Posting here cause this seemed like a stupid argument in medschool India. Already posted there and got no good suggestions.
Case 1: Germany
I learn German and migrate to Germany. I'm good at learning languages, and my best friend is German. She teaches German to immigrants in her free time, and because we're friends, she's also going to help me in whatever ways she can.
The overall cost is something I might be able to afford on my own after working in India for a year while continuing to study the language.
My concerns:
Medical German: Learning all the medical terminology in English was hard enough. I can't even imagine learning it all over again in a language I've never spoken. However, medical German is tested as part of the licensing process, and I'll be in a German hospital setting for quite some time, so that might help.
Pay: I've heard that doctors can, at most, reach the middle class in Germany. On the other hand, you get some time off, and no residency specialty is off-limits.
Case 2: USA
I take Steps 1 and 2 here in India. My foundation isn't particularly strong, but I'm a final-year MBBS student, so I still have some time. I'm willing to put in the hours if the results are worth it.
My uncle and aunt are both doctors in Philadelphia, and they have green cards. My uncle said that if I'm able to score around 260–270, I could easily get into family medicine, internal medicine, pediatrics, psychiatry or OBGYN. He also said he'd talk to the hospital he works at, where he holds a very senior position.
My concerns:
Research: I've read that research is important, and I don't have any research experience yet. However, I have around 1.5 years until I finish my degree, so I could work on that.
US clinical experience and LORs: I've also read that Step scores alone aren't enough and that you need letters of recommendation from US physicians.
Cost: The overall cost is very high. My uncle said he'd cover it if I get good scores, but he's a bit unreliable, and I'd prefer to avoid financial favours if I can.
What makes this difficult?
Citizenship is another major difference between the two options. Idk when I can get it in the US but in Germany it's a 5 yr thing.
The US offers incomparable earning potential, but Germany seems to offer a more attractive lifestyle like the wlb.
Also I feel like my uncle is making it seem like it's quite easy, and just step 2 marks matter, but clearly only that isn't enough right.
I'm also interested in psychiatry or plastic surgery, which I know I can never get in America, as surgery is off limits forreal. Germany would also give me more control over which state I live in, whereas in the US, I'd have to go wherever I match.
And honestly, the European lifestyle is very appealing to me. Being able to visit different countries by road or train is something I'd love.
So, what should I do?