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2            Section i    Special SituationS                                                                                                                                                  Special SituationS





                                                    ` `FIRST AID FOR THE INTERNATIONAL MEDICAL GRADUATE


                                                   “International medical graduate” (IMG) is the term used to describe any
                    ` IMGs make up approximately 25%
                  of the US physician population.  student or graduate of a non-US, non-Canadian, non-Puerto Rican medical
                                                   school, regardless of whether he or she is a US citizen/resident or not.



                                                   IMG’s Steps to Licensure in the United States
                                                   To be eligible to take the USMLE Steps, you (the applicant) must be
                    ` More detailed information can be found in
                  the ECFMG Information Booklet, available   officially enrolled in a medical school located outside the United States and
                  at www.ecfmg.org/pubshome.html.  Canada that is listed in the World Directory of Medical Schools (WDOMS;
                                                   www.wdoms.org) and meet the ECFMG eligibility requirements, both at
                                                   the time you apply for examination and on your test day. In addition, your
                                                   “Graduation Year” must be listed as “Current” at the time you apply and on
                                                   your test day.

                                                   If you are an IMG, you must go through the following steps (not necessarily
                                                   in this order) to apply for residency programs and become licensed to
                                                   practice in the United States. You must complete these steps even if you are
                                                   already a practicing physician and have completed a residency program in
                                                   your own country.

                                                       ƒ Pass USMLE Step 1, Step 2 CK, and Step 2 CS, as well as obtain a
                    ` Applicants may apply online for USMLE Step
                  1, Step 2 CK, or Step 2 CS at www.ecfmg.org.  medical school diploma (not necessarily in this order). All three exams
                                                      can be taken during medical school. If you have already graduated prior
                                                      to taking any of the Steps, then you will need to verify your academic
                                                      credentials (confirmation of enrollment and medical degree) prior to
                                                      applying for any Step exam.
                                                       ƒ You will be certified electronically by the Educational Commission for
                                                      Foreign Medical Graduates (ECFMG) after above steps are successfully
                                                      completed. You should receive your formal ECFMG certificate in the
                                                      mail within the next 1–2 weeks. The ECFMG will not issue a certificate
                                                      (even if all the USMLE scores are submitted) until it verifies your
                                                      medical diploma with your medical school.
                                                       ƒ You must have a valid ECFMG certificate before entering an accredited
                                                      residency  program in  the United  States, although  you can  begin the
                                                      Electronic Residency Application Service (ERAS) application and
                                                      interviews before you receive the certificate.
                                                       ƒ Apply for residency positions in your fields of interest, either directly
                                                      or through the ERAS and the National Residency Matching Program
                                                      (NRMP), otherwise known as “the Match.” To be entered into the
                                                      Match, you need to have passed all the examinations necessary for
                                                      ECFMG certification (ie, Step 1, Step 2 CK, and Step 2 CS) by the
                                                      rank order list deadline (usually in late February before the Match).
                                                      If you do not pass these exams by the deadline, you will be withdrawn
                                                      from the Match.













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