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U.S. Pre-Medical Pathway to Medical Licensure IMG Preparation for U.S. Resldency3
• Register for MCAT
• Apply with AMCAS
in the United States • Obtain MD degree or equivalent
• USMLE Step 1
and/or AACOMAS
• USMLE Step 2 CK, USMLE Step 2 CS
• Obtain ECFMG certification
-MD -IMG -ALL
-DO -MD/DO • Obtain Visa, If Indicated
U.S. Medical School
1st Year
U.S. Medical School U.S. Medical School
3rd Year 4th Year • USMLE Step 34
U.S. Medical School ➔ • USMLE Step 2 CK • Register for NRMP • COMLEX-USA Level 31,4
• Apply for state training llcense5, H Indicated, or full
• USMLE Step 2 CS • Register for AOA Mate�
2nd Year and unrestricted state medical license, If ellglble6
• COMLEX-USA Level 2 CE1 • Register for ERAS
• USMLE Step 1
• COMLEX-USA Level 11 • COMLEX-USA Level 2 pp • Obtain MD or DO degree

• Begin to apply for employment or make plans for

AACOMAS: American Association of COileges of Osteopathic
Medicine Application service
AAFP: American AcademyQffamUy Physicians
ABMS: American Board of Medical Specialties
ACCME: Accreditation council for COntinuing Medical Education
ACGME: Accreditation Council for Graduate Medical fducaMn
AMA: American Medical Association
AMCAS: American Medical COilege Application service
AOA: Amencan Osteopathic Association
CE: Cognitive Evaluation
CK: Clinical Knowledge
COMLEX-USA: Comprehensjye OsteopathjC Medical
I jcensing fxamjnaMn
CS: Clinical Skills
DEA: Drug Enforcement Administration
DO: Doctor QfOsteopathic Medicine
ECFMG: Educationalcommission for Foreign Medical Graduates
ERAS: Electronic Residency Application service
FCVS: Federatjon Credentials verjficatian service
GME: Graduate Medical fducatjon
IMG: International Medical Graduate
Independent practice
IMLC: interstate Medical I jcensure Compact
MCAT: Medical COilege Admission Test • Apply for full and unrestricted state medical llcense{s)6
MD: Doctor Of Medicine • Apply with FCVS (may be required)
NRMP: NaMna1 Resident Matching Program • Apply with Uniform Application (available in many states)
PE: Performance Evaluation • Apply with individual state medical board(sl (if applicable)
USMLE: United States Medical Licensing Examination
If Indicated/desired:
1 u.s. 00s are also eligible to take the USMLE Examination. • Apply for ABMS/AOA Specialty Board CertHlcatlon Exam
2u.s. DOs are also eligible to register for the NRMP. • Apply for hospital prlvlleges
'IMGs are eligible to train in ACGME-accredited GME programs or AOA • Apply for provider status with health Insurance companies
programs accredited by ACGM E. • Apply for DEA Registration, If applicable
4Medical school graduates may be able to sit for this exam before
• Obtain Medicare/Medicaid privileges, If applicable
residency training.
'Training licensure requirements vary from state to state
(41 state medical bOards issue a residen1/training license).
•ucensure eligibility differs from state to state.
7State licensure renewals vary from 1· to 3-year cycles.
• State llcensure renewal7, Including state-specific
"CME is usually accredited or certified by the ACCME, AMA, AAFP and
AOA. requirements, If Indicated, such as:
•Continuing Medical Educatlon8

fsi9 PROTECTING THE PUBLIC WITH

More Info onllne at •Maintenance of CertHlcatlon and/or Osteopathic
HIGH STANDARDS FOR MEDICAL
www.tsmb.org Continuous Certification, H desired
FIOIUtATIOH 01!' • If more than one state medical license Is desired,
ltATI MIDICAL IOA■DI LICENSURE AND PRACTICE
©2018 F€deration of State Medical Boards apply for IMLC where applicable