Graduate Medical Education in the United States –

International medical graduates (IMGs) consistently represent approximately one-fourth of both the physician workforce and the graduate medical education (GME) population of the United States. To enter into accredited US GME programs, IMGs must be certified by the Educational Commission for Foreign Medical Graduates (ECFMG). However, to be certified to participate in a U.S. residency program, these candidates must pass USMLE Step 1, USMLE Step 2 Clinical Knowledge, USMLE Step 2 Clinical Skills, and graduate from a medical school that is recognized by and listed with ECFMG’s International Medical Education Directory (IMED). Only then can they receive a certificate which allows them to sit for the USMLE Step 3 exam and/or participate in a U.S. medical residency or fellowship program.

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