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so in deciding what you want to do first mcem or mle, well it depends where you wanna settle down. if india is your final destinataion do mcem first, then if you want you can top it off with a residency in us.
but if you dont plan to practice in india, do some research, come to US, but you will not get EM thats a branch thats not friendly at all for IMGs in most places... so good luck finding one.