Until recently, the United States was the premier destination for Pakistani physicians wishing to go abroad for postgraduate training. The events of 9/11, and subsequent circumstances, have led to an atmosphere that can be described as best unfavorable. Some of the major obstacles that have arisen are increased competition for residency positions, visa requirements, and security clearances. Nevertheless, doctors from Pakistan continue to obtain and excel in postgraduate positions. I have recently undertaken the complete process, and will try to explain it in a manner that will hopefully benefit other physicians.
Key words: Medical training, house job, internship