Physician residency and licensing overview
The pathway for International Medical Graduates (IMGs) to achieve ECFMG certification, complete US medical residency (ACGME), and obtain state medical licensure.
Who this pathway suits
Doctors educated abroad wanting to practice medicine in the United States.
Eligibility at a glance
- Graduation from a medical school recognized by the World Directory of Medical Schools meeting ECFMG criteria
- Pass USMLE Step 1 (pass/fail) and USMLE Step 2 Clinical Knowledge (CK)
- Complete an approved ECFMG Pathway for clinical and communication skills
- Obtain ECFMG Standard Certificate to participate in the National Resident Matching Program (NRMP)
How the process works
- Register with ECFMG and open account
- Pass USMLE Step 1 and Step 2 CK
- Obtain ECFMG certification
- Match into ACGME residency on J-1 or H-1B visa
- Pass USMLE Step 3 and obtain State Medical Board License
Documents you will typically need
- Medical degree diploma, medical school transcripts, USMLE score transcripts, ECFMG certificate
What to keep in mind
Completing an ACGME-accredited US residency program is mandatory to obtain a full medical license in almost all US states.
Official sources: ECFMG · USMLE. Government authorities make all final decisions; no outcome is guaranteed.
Parallel Options & Supporting Tools for Physician residency and licensing overview
Explore supporting intelligence briefings, interactive points assessment tools, institutional services, and parallel global migration pathways.
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