Q&A

*Job prospect for Foreign-Trained Dentists in the U.S

There is one topic that I want to write about for a long time but wanted to wait until after I started working so I can have more accurate information. A lot of people asked me about job opportunities for foreign-trained dentists and if we can pay off student loan. I have worked for a few months only so maybe my viewpoint will change a year from now, but I want to share with you all what I have observed so far.

1) Is it more difficult for a foreign-trained dentist (FT dentist) to find a job?

Yes and no. It all depends on if you need a work permit to stay in the U.S or not.

If a FT dentist has citizenship or green card, he or she will have the same start as other new-grad dentists if not better. I’ve talked to a recruiter in my 1st year at UCDenver, she told me they would pay more for a FT dentist because we were supposed to have more experience “If we pay $500/day for a new-grad, we will pay you guys $550”. Of course, this thought is not always true as I have met so many impressive dental students during my two years at UCDenver.

If you don't have green card or citizenship and need sponsorship to apply for work permit and eventually green card, then your opportunities will be somewhat limited. Not every clinic wants to sponsor because of the hassle of paperwork, so most people can only work for corporates until they have green card.

2) In case I need sponsorship, is it really difficult to find a job?

Nope! I asked my senior this question on my 1st day in Colorado. Here was her response – “It’s all about what you are willing to compromise. If you want to live in big cities, you cannot expect a big paycheck. If you are willing to live in a small rural town, your benefit will be much better. If you want to live in big cities and want a big paycheck as well, then it will be difficult. If you are willing to compromise, there’s always a job for anyone.”

I myself don’t need sponsorship and was one of the latest to sign a contract. Most of my friends signed contract 1-2 months before graduation. A few of them signed as early as 3 months before G-day. People who don’t have big family here and can live pretty much anywhere are the earliest to sign. Most people love to live in the coast, so if you are okay with living in New Mexico, Utah, Iowa, etc then it will be like a breeze to find a job with great salary. I have limitation in the “location” box as I have big family in the Seattle – Tacoma area and I want to stay close to them. Therefore, I had a harder time to find a job – my 1st offer was a month after graduation, but it fell through, I signed a contract with a different practice a month later. I felt a bit desperate at that time honestly (I am always over-worried anyway) but eventually there is always a job for anyone – just like the senior said.

3) So, it’s not difficult to find a job, but is it difficult to pay off huge student loan though?

Believe me, even dentists who were born here, raised here, trained here ask the same question. Our tuition is twice as theirs for one year but most of us have 2 years instead of 4 like them. Some of us will join a 3-year program but dental students also take loan for 4 years undergrad before applying to dental schools. So, it’s safe to say we all graduate with almost the same burden.

A one-million-dollar mansion or a tesla car is never on my list of shopping (well, maybe 15 years from now but not a few months out of school) and if you share the same thought, then we shouldn’t have problem. You must have a realistic expectation in spite of student loan. You cannot expect to work 3 days a week, take 4-week vacation every year, buy the latest car model, live in a big house and pay off student loan in 5 years. If you want to pay aggressively in 5 years, you have to live frugal. If you want to pay in 10, 15 years while saving to purchase your own practice, you have to live modestly as well.

This is a big topic that dentists are talking about every single day so I won’t dwell on this too much. All you want to know is yes you can afford student loan but you have to be smart in spending and saving. I’ve read in one of the facebook dentist group that if your loan is about $250k, it’s easy; if your loan is up to $500k, it’s more difficult but manageable.

4) Any discrimination toward FT dentists from patients?

I haven’t experienced any discrimination so far, maybe where I live play a part. I live in Washington State – a liberal state so I’ve heard that people tend to be more open-minded. I’ve only lived in 2 states so far – WA and CO – and they both are liberal states so I cannot compare. However, I have lots of friends living in other states as well and I haven’t heard any crazy story about discrimination, so maybe it’s not a thing toward international dentists. I am pretty sure bad things happen everywhere and discrimination does too. It’s just not a trend. What I have experienced so far is the “title” international dentist working in my favor! You know when a patient suspect that you are a new-grad, they always look at you and judge if you are good enough to treat them. But, whenever I continue the story with “That was my 2nd dental school! I am a dentist in my home country and had practiced for a while before coming here”, then they always say “Wow!” There was a patient in UCDenver pointing out to me “Wow, so you are a doctor at two countries! One is hard enough and you have two down!” I realized for the first time how impressive it may sound to patients’ ears. Thanks patient, you made my day! Once in a while when I am in a good mood and want to tease my patients a bit, I always start with “Actually I just graduated a few months ago”, pause a second, then continue “But that was my 2nd dental school…”

Those are the questions that I got asked more often toward job prospect. I hope my post will bring you some hope and reassurance on your journey. If there are any other question, don’t hesitate to send me a message below or pm me at our facebook page. Looking forward to talking to you soon.

Whatever you do, keep being a gem!

*Question and answer on INBDE

Hi guys, I have been received questions about different topics. I think it may be a good idea to share some questions and answers with you as maybe some of you are too shy to ask. No question is stupid question. Here is the first one of the series.

Q: Hey, Hannah, I’ve read your comparison between INBDE and NBDE part1+2. It was very helpful for me to make my decision. Thank you a lot. Besides, I’m wondering about the study material of the INBDE... Is it possible if we will be obligated to review both: NBDE part 1+2´s material, the two dental decks ect... I’ve noticed that the INBDE is more focused in dentistry skills but how long is the biochimistry or the anatomy part and how should we be preparing it... I’m a little nervous about the preparation, and the lack of old exams which are helpful to orientate the preparation. Waiting for your reply, thank you in advance.

A: Hi, thank you for reaching out. I am glad to learn that my post was helpful. About your question, please keep in mind that I am no master in this new format thing as I only took 1 mock test and that's all ^^ However, I will share with you what I would do if I had to take it again.

First thing first, the test was the combination between part 1 - pure science and part 2 - dentistry related. I did not see any question like "what is the molecule of insulin", instead it was like "you will see a patient today to restore a class II, patient was diagnosed with diabetes type II and you know you will need insulin in emergency kit just in case, why do you need insulin?" (This is not exam question, I just made that up). They try to test on how we apply our knowledge in our daily dental life more than memorizing, memorizing, memorizing.

With that in mind, I would still cover both dental decks but with different approach. I would try to find as many questions online as possible to check if I understand the material right and if I know how to apply it when I see patients. Doesn't have to be nbde questions. There's lots of mock questions out there I believe - the main goal is to check if you really understand what you just learn from books. I would not attempt to memorize those part 1 material - if I don't think it's relevant to dentistry at all (you know those topics where you have to scratch your head and ask why you have to know this). I would make sure I understand and master part 2 as much as possible especially when I run out of time for studying. My motto was - “I have limited time and limited brain so I will try to master whatever I can understand and remember - rather than trying to memorize everything and ending up forgetting it all”.

Last but not least, everyone has different set of questions. One may have more part 1-ish and one may have more part 2-ish. Just like with NBDE part 2, my friends and I had so many pharm questions and no restorative ones while another friend taking exam at same center, same day, same time had none pharm question. Obviously I did it so much worse than that one friend but we both passed. Why? They will compare your result with anyone sharing the same pattern - me with other candidates having the "pharm pattern" and that one friend with others having "restorative pattern". So same thing may happen with INBDE, one could have totally different experience comparing to mine. Just keep that in mind. My advice - keep checking all forums/groups to see anyone else taking the mock exam, reaching out to those to see if they had same experience with mine and deciding for yourself how you would study.

Wish you all the luck. Hannah.

Check out the 2nd post of the Q&A series here

If you have any question, no matter how big or small, please don't hesitate to reach out to me either by sending me a message at the bottom of this page or at our facebook page. Looking forward to hearing from you.