Residency Programs Residency Programs In The United StatesIn The United States

Residency Programs Residency Programs In The United StatesIn The United States

U.S. MedicalEducational System

4 years College/University

MCAT Exam

Residency (3 to 7 years)

4 years Medical School

6 years Medical School

Residency Programs Residency Programs In The United StatesIn The United States

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.

Residency Programs Residency Programs In The United StatesIn The United States

ECFMG Certification!

Assesses the readiness ofgraduates of medical schoolsoutside U.S. and Canada to enter U.S. residencies and fellowship programs

Does not guarantee acceptance into programs

Required for licensure testing (USMLE Step 3)

Residency Programs Residency Programs In The United StatesIn The United States

ECFMG AND USMLE

USMLE Step 1

USMLE Step 2

USMLE Step 1

USMLE Step 2(CK +CS)

USMLE Step 3

USMLEECFMG

Step 2Ck

Step 2Cs

Residency Programs Residency Programs In The United StatesIn The United States

ECFMG CertificationRequirements

Exams USMLE STEP 1:Medical

Sciences USMLE Step 2:

Step 2 CK (Clinical Knowledge) Step 2 CS (Clinical Skills)

Credentials Completion of all

requirements for final medical diploma

Receipt of final transcript

ECFMG verification of credentials

Residency Programs Residency Programs In The United StatesIn The United States

USMLE Step 1 Fees: $825 Eight-hour, multiple-choice, computer- based test Covers basic medical sciences

Anatomy Behavioral sciences Biochemistry Microbiology Pathology Pharmacology Physiology Interdisciplinary topics

Residency Programs Residency Programs In The United StatesIn The United States

Step 2 CK

Fees: $840 Nine-hour, multiple-choice, computer-based

test Covers clinical sciences

Areas relevant to provision of care under supervision

Normal conditions and disease of particular organsPhysician tasks: diagnosis,

understanding disease mechanisms, establishing

diagnosis, care management principles

Residency Programs Residency Programs In The United StatesIn The United States

Scheduling USMLE Steps

Choose an appropriate three month “eligibility period” and testing region.

Send completed paper application and fee to ECFMG or apply online using Interactive Web Application (IWA).

Receive Scheduling Permit from ECFMG. Register and schedule a testing

appointment with Thomson Promteric.

Residency Programs Residency Programs In The United StatesIn The United States

STEP 2 Clinical Sciences (CS)

Purpose of Step 2 CS

Description of Step 2 CS

Registration and scheduling

Scoring

Residency Programs Residency Programs In The United StatesIn The United States

Purpose of Step 2 CS!

To ensure that graduates of foreign medical schools

demonstrate the ability to gather and interpret clinical

patient data and communicate effectively at

a level comparable to standard students

graduating from U.S. medical schools.

Residency Programs Residency Programs In The United StatesIn The United States

Description of the Step 2 CS

One day, hands-on exam in limited U.S. sites Fifteen-minute examinations of twelve

“standardized patients” 10 minutes to compose the written record of the

encounter (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

Residency Programs Residency Programs In The United StatesIn The United States

Scheduling Step 2 CS

Fee: $1,200 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. Receive Permit from ECFMG. Exam is administered at five clinical skills

evaluation centers: Atlanta – Georgia, Chicago – Illinois, Houston – Texas, Los Angeles – California & Philadelphia – Pennsylvania.

Check your Online Application Status & Information System (OASIS) https://oasis2.ecfmg.org/

Residency Programs Residency Programs In The United StatesIn The United States

Scoring

Passing performances on all three components in a single administration are required to obtain the overall designation of passing on 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.

Residency Programs Residency Programs In The United StatesIn The United States

Timing of Examinations

Must have completed three years of medical school before applying to take any part of the USMLE: Step 1, Step 2 CS, or Step 2 CK.

Tests may be taken in any order. All three tests must be passed within a

seven-year period. If all three are passed, results do not

expire.

Residency Programs Residency Programs In The United StatesIn The United States

Steps To Residency

USMLE Step 1

Step 2 CS

Matching Programs

DS-2019

Acceptance

J1-VISA

ERAS

Step 2 CK

Residency Programs Residency Programs In The United StatesIn The United States

Finding A Residency

ResidenciesThe Graduate Medical Education Directory (Green Book)

Accreditation Council for Graduate Medical Education (ACGME) database: http://www.acgme.org/adspublic/

FellowshipsInternational Fellowships in Medical Education (IFME) http://www.ecfmg.org/faimer/

Residency Programs Residency Programs In The United StatesIn The United States

Applying to Residencies

ERAS (Sep. & Oct.) Apply directly to program directors by

using the ERAS (Electronic Residency Application Service).

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

Residency Programs Residency Programs In The United StatesIn The United States

ERAS and Residency Programs

Program coordinators can access the system and check applicants’ requests.

Programs categorize applicants according to:

ECFMG test scoresprevious clinical experience,recommendation letterscommunity service (volunteer work)

etc.

Residency Programs Residency Programs In The United StatesIn The United States

Residency Programs

The applicants are then invited for interviews.

Interview (Nov., Dec., & Jan.)

Applicants need to be qualified to meet the selection criteria. The ACGME endorsed general competencies for residents in the areas of:

Patient CareMedical KnowledgePractice-Based Learning and

ImprovementInterpersonal and Communication SkillsProfessionalismSystems-Based Practice

Residency Programs Residency Programs In The United StatesIn The United States

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

Residency Programs Residency Programs In The United StatesIn The United States

The Match

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.

In February, after the interviews the applicants have submitted their program preferences (Rank order list) applicants rank their preferences and programs rank their preferred applicants.

Residency Programs Residency Programs In The United StatesIn The United States

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.

Residency Programs Residency Programs In The United StatesIn The United States

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.

Residency Programs Residency Programs In The United StatesIn The United States

Criteria for Acceptance in Residency Programs

Exam scores Past academic performance Recommendation letters Patient Care Medical Knowledge Practice-Based Learning and

Improvement Interpersonal and Communication

Skills Professionalism Systems-Based Practice

Residency Programs Residency Programs In The United StatesIn The United States

Visa ApplicationVisa Application

Must contact U.S. Embassy/ Consulate once DS-2019 received

Must guarantee intent to return home

Must apply for an interview as early as possible

Residency Programs Residency Programs In The United StatesIn The United States

Steps To Residency

USMLE Step 1

Step 2 CK

Step 2 CS

DS-2019

Matching Programs

Acceptance

J1-VISA

ERAS

THANK YOU&

GOOD LUCK

www.educationusa.state.gov