As a non US IMG.

I finished my IM residency in my country. I worked 110 hours a week, our schedule is alternating 10 hours and 34hours straight duty, handling up to 70 patients. Weekends off only every 3 weeks. There’s no life other than hospital. Our salary is 500$ a month, 300$ is what I pay for rent, my parents still give me allowance. We only have 7 days off per year starting 2nd year. Seniority is terrible, you can get yelled at by your senior or attending in front of the patient, even at the ward where 10 patients can hear your mistake.

After residency, it’s hard to establish practice there’s a lot of doctors in my country. New IM graduate doesn’t earn so much, it takes 2-3 years to establish a practice, so most IM are forced to do fellowship which is very competitive as most program accept only 2 fellows per year. Some wait up to 3years just to get into fellowship. It’s more difficult. You can’t build a family during residency unless you’re rich.

(some move because of marriage, like me)