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Let me explain something to you.
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So someone in New Mexico wanting to get to hospital would probably get there quicker than someone from the arse end of Mayo would even though NM is 4 times bigger than the whole of Ireland.
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Foreign docs? Nope, in the US they have to do a US residency.
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Do they really?
And there was me thinking the 3rd and final exam that is required for doctors who are graduates of foriegn medical schools to be granted a licence can be taken in several States without having to do the residency.