Dr Haisook’s Medicopedia

For IMGs: Steps for obtaining a Medical License/Residency in the U.S.

Posted by: drhaisook on: February 13, 2007

There’s actually a lot of confusion about how to obtain a Medical License/Residency in the US, especially to IMGs (International Medical Graduates). The fact that there are certain visas that are required for entrance of the country (for taking Step 2 CS exam primarily) is sort of frustrating for those who had never had an experience with such routine processes. Moreover, an IMG would be undecided on whether to take Step 1 exam or Step 2 exam first.

First off, it’s highly recommended that you prepare and review for the USMLE while you’re still in school rather than after graduation.

If you’re confused as to what sources to review from, here are a few that would be of very usefulness and high-yield value:

  1. Kaplan Medical Videos (It’s not difficult to get them in Egypt, for instance. They’re highly important.)
  2. Kaplan Lecture Notes (accompanying the videos)
  3. Kaplan Q Book (for revision at the end of reviewing)
  4. First Aid Book (for quick reviewing from time to time)

So here’s a supposedly easy and clear scheme that I’ve written defining the recommended steps.
It has been approved by members from prep4usmle.org forums.

In your country:

- Take Step 1 (after completion of the basic sciences course in your school)
- Take Step 2 CK (after completion of the clinical course in your school)
- Obtain a B1 or B2 visa (from the American embassy closest to you) — (valid for 6 months upon entry)
- Travel to the US

In the U.S.:

- Take Step 2 CS [at one of the 5 locations]

  • Philadelphia, PA
  • Atlanta, GA
  • Los Angeles, CA
  • Chicago, IL
  • Houston, TX

- Apply for ECFMG –> Obtain the ECFMG certificate
- Take Step 3 [in one of the 13 states that do not require postgraduate experience]

  • Arkansas, California, Connecticut, Florida, Louisiana, Maryland, Nebraska, New York, South Dakota, Texas, Utah, Washington, West Virginia.

- Apply for a full medical license –> Obtain the license
- Obtain a H1B visa
- Apply for Recidency (the Match) – thru ERAS
- Attend residency interviews –> get a job
- Take speciality board exam

5 Responses to "For IMGs: Steps for obtaining a Medical License/Residency in the U.S."

Till now no comments, hmmm.

For sometime I have been thinking that I should write about USMLE in Arabic to help out Arab students and graduates but I have been afraid that there wont be that much interest so I dropped the idea for sometime.

I thought about starting an exclusive blog in Arabic for such issues but I thought that it would probably not be worth it if there wasn’t going to be that many readers. Even once I started writing at amrkhalid forums (one of the biggest Arab forums) but unfortunately there wasn’t that much interest in the subject.

What do you think?

hi..i think after one and half year u have got someone interested :)

i am a medical doctor and have my master and looking to work in usa ..what i need to know should i register in ECFMG first be4 having the USMLE exams or i have to get the exams first then register in ECFMG

i am now in USA as a resident but i have got my medical certifications from Egypt

Shaima, sorry for being late,

Check out this page:
http://en.wikipedia.org/wiki/ECFMG

In short, you have to pass the exams first. The ECFMG acts as a proof that you have taken the steps and are eligible for residency in the US.

Hi Y.S!

Well, I think very few Egyptians opt for the USMLE. The medical system here is very anti-USMLE. There’s no sort of connection and the way things are approached here are way different from the American approach. Besides, the majority of medical students here are financially poor and their English is as poor, and hearing about expenses in $ freak them out, so they drop the whole thing. Another thing I don’t like about the ppl here is the antisocial aspect; if they’re preparing for the USMLE, they’ll never tell you about it. And so everyone ends up preparing alone. What makes Indians and Pakistanis superior in the USMLE is working together as a group and sharing experiences.

I think more Palestinians and Saudi Arabians consider the USMLE. However, don’t you think it’s funny if someone is seeking USMLE info in Arabic? I think if someone is looking for USMLE info in Arabic shouldn’t be preparing for this exam in the first place. I’ve seen a few threads on Arab forums, but as you’ve said, there wasn’t that much of an attention.

So a post in Arabic ‘might’ help, but not tremendously.

Man, you did not leave me any chance to argue. lol

I am familiar with every point you made. The “anti-socials”, South East Asians, and poverty. Oh well, at least I had good intentions.

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