Are you a doctor?

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

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Pathway

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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.

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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.
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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.
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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.
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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.
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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.
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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.
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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

Am I eligible to take the USMLE exams?

How much does the entire USMLE process cost?

What are the IMG friendly specialties?

When should I start preparing for the USMLE exams?

What is a minimum USMLE Step 1 and Step 2 CK score for residency?

How important is US Clinical Experience (USCE) for residency applications?

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