Help! McMaster BHSC or Irish Med/Med in the UK?
I am currently a HS student in Alberta, Canada and I intend to pursue medicine. I've been fortunate to receive offers from McMaster BHSC, considered one of the better "pre-med" programs (there aren't any, but it is typically well regarded), alongside two medical school admissions in the UK and a few still pending in Ireland, through the Atlantic Bridge system.
Let us grant that I receive an admission letter from Ireland.
For those who have had a similar experience, either with the Irish med pathway as an IMG or, alternatively, those who took an undergrad in Canada such as Mc BHSC, how did you weigh—and how would you now weigh—the prospect of guaranteed medical school admission as an IMG vs. the nature of a Canadian undergrad and the often cumbersome process of the Canadian medical school admission process?
My current perception of the two options are as follows---correct me if any parts are too idealistic or just inaccurate:
Canadian undergrad pathway (McMaster BHSC):
Cost: ~$300K - $350K (4 yr undergrad + 4 yr medical school including rent, food, etc,.) Note: I am from AB, so presumably I would be renting the entire duration.)
Mc Master historical matriculation rates to medical school: ~60-80%
Residency match rates: high 90s (~95%+)
Pros:
- Cheaper
- Higher potential ceiling in terms of medical specialization
Cons:
- Lackluster backup if med school does not work out. While ~60-80% of students end up going to medical school from Mac BHSC, this does leave 20-40% of students with a health sciences degree that is not necessarily the most versatile.
Direct to Irish med:
Cost: ~$500K-$600k (5 yr program W. IBDP, including rent, food, etc,.)
Match rates back to Canada/US: Some of the websites boast figures in the high 80s to low 90s. Unsure how accurate this is. I presume this figure is higher than it actually is, as individuals who deem themselves unqualified do not go through with this application cycle to begin with.
Pros:
- Reduced downside risk. If I do not match back to Canada or the U.S., practicing in the UK is always an option (+ the option of transferring to North America after becoming a fully licensed physician, but of course not ideal).
- Save at least 2 years. If we presume the average age of 1st yr medical student is 23-24, the time saved is ~3 years.
Cons:
- Expensive/potential debt
- Lower ceiling in terms of medical specialty: IMGs are typically limited to IM or FM in Canada, and in the U.S. only the initiated elites are granted the privilege of more competitive specialties.
- NHS is not the best healthcare system to work in.
If you were in my shoes which path would you prefer?
Thanks for taking time out of your day to help!