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Professional Advisement Session: Internationally trained Physicians

Professional Advisement Session: Internationally trained Physicians. The International Medical Graduate (IMG). Anyone from an accredited 6 year program from outside the U.S. Includes U.S. citizens with a non-U.S. education

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Professional Advisement Session: Internationally trained Physicians

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  1. Professional Advisement Session:Internationally trained Physicians

  2. The International Medical Graduate (IMG) • Anyone from an accredited 6 year program from outside the U.S. • Includes U.S. citizens with a non-U.S. education • Must be certified by ECFMG prior to patient contact in the U.S.

  3. ECFMG Certification • Assesses the readiness of graduates of medical schools outside U.S. and Canada to take USMLE and participate in U.S. Residencies • Does not guarantee permission to take USMLE; you must meet educational criteria first • Required for all international Medical Graduates

  4. USMLE Step 1 • Fees: $740 • Eight-hour, multiple-choice, computer- based test • Covers basic medical sciences • Anatomy • Behavioral sciences • Biochemistry • Microbiology • Pathology • Pharmacology • Physiology • Interdisciplinary topics

  5. Step 2 CK: Clinical Knowledge • Fees: $740 • Nine-hour, multiple-choice, computer-based test • Covers clinical sciences • Areas relevant to provision of care under supervision • Normal conditions and disease of particular organs • Physician tasks: diagnosis, understanding • disease mechanisms, establishing diagnosis, care management principles

  6. Step 2 CS: Clinical Skills • Fee: $1,295 • On-line and paper application are available via the ECFMG website. • Applicants must take Step 2 CS within 12 months of their registration date. • Applicants can select a testing location, subject to availability, at the time of scheduling. • Exam is administered at five clinical skills evaluation centers: Atlanta – Georgia, Chicago – Illinois, Houston – Texas, Los Angeles – California & Philadelphia – Pennsylvania.

  7. Description of Step 2 CS: • One day, hands-on exam • Fifteen-minute examinations of twelve “standardized patients” • 10 minutes to compose the written record of the encounter on computer (Patient Note) • Covers: internal medicine, surgery, obstetrics and gynecology, psychiatry, family medicine and Pediatrics. • 30 and 15 minutes break • Tests • Data-gathering skills including medical history taking and physical examination skills in patient note • Communication / interpersonal skills • Spoken English language proficiency

  8. Scoring • Passing performances on all three components in a single administration are required to pass Step 2 CS. • For ECFMG certification, there is no limit on the number of attempts to enter Step 2 CS. • CS test can not be re-taken within 60 days of last attempt. • CS test can not be taken more than 3 times in any 12-month period. • Results are finalized within 6 to 8 weeks after the examination date. • Scores are reported in a Pass/Fail designation.

  9. Timing of Examinations • Must have completed medical school before applying to take any part of the USMLE: Step 1, Step 2 CS, or Step 2 CK. • Recommended that you have finished medical school 3-5 years prior to taking exam, more time than then that, check with NYSED. • All three tests must be passed within a seven-year period. • If all three are passed, results do not expire.

  10. Applying to Residencies • ERAS (Sep. & Oct.) • ERAS transmits residency applications, letters of recommendation, dean's letters, transcripts, and other supporting documents to residency program directors via the Internet. • http://www.ecfmg.org.eras

  11. The Match • National Resident Matching Program (NRMP) • Applicants rank programs; programs rank applicants • NRMP application is separate from ERAS/program application http://www.nrmp.org • Applicants have to be aware of the options of Inside the Match and Outside the Match positions. However, it’s up to the program director to allocate positions in and outside the match.

  12. Post Match Scramble • On the Tuesday of the match week (third week of March) a list of unfilled positions is posted on the website. • It is very competitive and all positions could literally be filled within an hour.

  13. Residency Programs • More chances of being accepted in certain specialties such as Internal Medicine, Family Medicine and Pediatrics than other fields like Orthopedics or Ophthalmology. • Regular programs (3 - 4 years) in areas such as Internal Medicine, Family Medicine and Pediatrics take only 3 years, Surgery is 5 years, Psychiatry is 4 years and Neurosurgery is 7 years. For subspecialties like Cardiology, applicants have to take a 3 year program of Internal Medicine and then Cardiology for another 3 years.

  14. Criteria for Acceptance in Residency Programs • Exam scores • Past academic performance • Recommendation letters • Personal Statement • Interview skills • Interpersonal and Communication Skills • Professionalism • Systems-Based Practice

  15. QUESTIONS?

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