A Clear Pathway to Your Medical Career in U.S.

Pathway

1. Complete MBBS in India
● Duration: 5.5 years including a 1-year internship.
● Obtain your medical degree from a medical college listed in World directory of medical school to meet US eligibility requirements .
● Focus on strong academic performance, as residency programs will request transcripts.

2. Prepare for the USMLE (United States Medical Licensing Examination)
- Step 1:
- ○ Focuses on basic sciences (anatomy, physiology, pathology, microbiology, etc.).
- ○ Recommended timeline: During the third or fourth year of MBBS.
- Step 2 CK (Clinical Knowledge):
- ○ Tests clinical understanding and its application in patient care.
- ○ Recommended timeline: Final year or after completing MBBS.
- Step 3:
- ○ Covers clinical knowledge and patient care across various specialties (like Internal Medicine, Pediatrics, Surgery, Psychiatry).
- ○ Recommended timeline: Can be given before match or during the first year of residency.
- ○ IMG aiming for H-1B visa passing Step 3 is required for sponsorship.

3. Obtain ECFMG Certification
- The Educational Commission for Foreign Medical Graduates (ECFMG) certification is mandatory for residency eligibility.
- Requirements for Certification:
- ○ Pass USMLE Step 1 and Step 2 CK.
- ○ Meet the requirement for OET exam.
- ○ Verify your MBBS degree and provide transcript through your medical school.
- ○ Good standing letter from your medical council.

4. Gain Clinical Experience in the US
- Clinical experience is important to understand the US healthcare system and strengthen your application.
- ● Options available -
- Clinical Electives: For students still enrolled in MBBS.
- Observerships/Externships: For graduates, these involve shadowing US physicians and participating in patient care.
- Subinternships (Sub-Is): Advanced clinical rotations with more responsibilities.
- ● Benefits of doing USCE -
- ○ Obtain Letters of Recommendation (LoRs) from US-based physicians.
- ○ Showcase your skills to potential residency programs.

5. Build a Competitive Residency Application
Residency programs evaluate candidates holistically. Ensure your application includes:
- USMLE Scores: Aim for competitive scores.
- Letters of Recommendation: Preferably from US physicians familiar with your clinical work.
- Personal Statement: A compelling narrative of your journey, career goals, and motivation to pursue the chosen specialty.
- Clinical Experience: Highlight US-based experience to demonstrate familiarity with the system.
- Research and Publications: Engage in research projects to strengthen your CV, especially for academic programs.

6. Apply for Residency via ERAS and NRMP
- ERAS (Electronic Residency Application Service):
- Submit applications to residency programs through ERAS.
- Include USMLE scores, LoRs, CV, personal statement, and other required documents.
- NRMP (National Resident Matching Program):
- Participates in the Match process, where candidates rank programs, and programs rank candidates.
- Match results determine residency placements.

7. Attend Residency Interviews
- Residency interviews are conducted from October to January.
- Preparation Tips:
- Practice common interview questions.
- Highlight your adaptability, clinical skills, and cultural competence.
- Demonstrate interest in the program and specialty.

8. Match into a Residency Program
- Match Process:
- Based on mutual preferences of candidates and programs.
- If unmatched, participate in the Supplemental Offer and Acceptance Program (SOAP) to secure remaining positions.
Frequently Asked Questions
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