Yeah, I probably botched the exact wording - "at the bottom" would have been stronger. It's been a very long time since I've heard that one. I once worked wit

Yeah, I probably botched the exact wording - "at the bottom" would have been stronger. It's been a very long time since I've heard that one. I once worked with a guy who had gotten his MD in a different country. Didn't have any luck getting work when he moved back to the US, and I can understand why - I wouldn't trust him to cut my toenail based on his competence in his new profession.