The Educational Commission for Foreign Medical Graduates Certification
Through its certification program, the Educational Commission for Foreign Medical Graduates (ECFMG) evaluates the readiness of international medical graduates to enter residency or fellowship programs in the United States that are accredited by the Accreditation Council for Graduate Medical Education.
An Observership Program is designed to familiarize International Medical Graduates (IMG) to American medicine practice as they experience a hospital-based residency program. Find information about how to establish an observership program for IMGs.
After ECFMG certification, physicians who wish to practice medicine in the United States must complete an accredited residency training program in the United States or Canada. This process will take at least 3 years. The physician will have to complete a residency program regardless of the training he or she has received overseas.
IMGs who seek entry into U.S. programs of Graduate Medical Education must obtain a visa that permits clinical training to provide medical services.
Every medical graduate must apply for a license in the state(s) in which they intend to practice. Generally, you have to complete 1–3 years of residency or years of practice outside of the United States or Canada before applying for a license.
State licensure requirements vary by state. IMGs should consult each state’s requirements before beginning the licensure process.