If you graduated from a medical school that is not located in the United States or Canada then you're considered an international medical graduate (IMG). IMGs have requirements to fulfill in addition to those for American medical graduates (AMGs).
All IMGs must be certified by the Educational Commission for Foreign Medical Graduates (ECFMG). Click ECFMG for more information about who the ECFMG are and what they do. Medical schools outside the United States and Canada vary in educational standards, curriculum, and evaluation methods. The ECFMG, through its program of certification, assesses whether physicians graduating from these schools are ready to enter programs of graduate medical education in the United States.
An exception to the above requirement for ECFMG certification is taking the Fifth Pathway. The Fifth Pathway is a relatively rare credential. In the past thirty years, only about seven thousand have been awarded, Approximately 1 percent of practicing physicians in the U.S. hold the credential.
All IMGs must perform U.S. residency programs that are accredited by the Accreditation Council for Graduate Medical Education (ACGME). The ACGME is a private, non-profit council that evaluates and accredits medical residency programs in the United States. Some states accept ACGME approved fellowships in lieu of residencies.
Most state medical boards require IMGs to have a minimum of three years of approved training and others require two. Our state requirements page offers a chart that lists the required years of training for each state, attempt and time limit requirements for USMLE, and links to each state medical board.
Last Edit: Jan 16, 2014 14:37:59 GMT -6 by katmiller