We are proud to provide an A to Z guide about the United States Medical Licensing Examination (USMLE™) and your journey to medical licensure in the United States. Our purpose is to provide you all the information and guidance about taking the exams and getting into residency.  
  International medical graduate (IMG)  
An international medical graduate (IMG) is defined as any physician, regardless of nationality, who graduated from a medical school outside the United States, Puerto Rico, or Canada. There are about 26% IMG practicing medicine in United States. About 4500 ECFMG certificate are issued every year. There are some topics that are particularly pertinent to IMG like taking TOEFL and CSA examinations, which are not taken by US medical graduates. To be eligible for taking the USMLE you should have passed from a medical school listed in the World Health Organization. As an IMG you should be familiar with different requirements and strategies followed by most of the IMGs. We have tried to list all the facts involved in the approach to the residency position.
Most of the IMGs fix a particular amount of time to take both the exam successively. So you are not the only one to take time off.
Developing good test taking strategy is critical for the IMG.
IMG should target to complete all exam requirements by July of the year in which you wish to apply.
Every IMG does his/her research i.e. calling program to find out if he/she meets the selection criteria.
You should send in your application by Mid – August to early September to all the residency programs you intend to apply.
Earlier the better is the key for an IMG application. Earlier the application, more the interview calls better the chance to get matched.
Since sizable portion of the step 2 exam tests fundamental concepts of basic sciences so it is better to take the Step 1 before Step 2.
A good step 1 score is key to a strong IMG application.
All IMGs must take an English test (TOEFL), irrespective of their native language or citizenship (including US-born US citizens).
Don’t be particular about the location of the residency-training program while application or interviewing; decide it only at the time of submitting the Rank Order List. Most of the IMGs think it is better to get into the system first than later try for their choice of program.
It is important to understand the trends of IMG graduate training like the programs and the geographical locations that are friendlier to IMG. Try to find out whether the program accepts IMG and what is the proportion of IMGs in the program to get a better understanding of the chances to get into a program. As an IMG, the best way to get a residency position is to apply to a program that has a relationship with your medical school or has a resident from your medical school. Since some of these programs might have had excellent physicians from your school over the years. They have developed a good reputation with the schools and are not afraid, as are many other programs, of encountering forged documents, inflated grades, or poor quality instruction.
  New York – Annual IMG information Forum  
This forum is an informational session aimed at addressing all aspects of applying for and obtaining a hospital residency positions in New York State. Various speakers come from ECFMG, NRMP, New York State Department of Education, as well as a hospital residency director and an immigration attorney.
  Membership support services
Medical society of the State of New York
420, Lakeville Road, PO Box 5404
Lake success
NY – 11042
Telephone- 516 – 488-6100
Fax – 516 – 616-9285
  Dept of IMG – by American Medical Association  
  AMA international Graduate Services
515 N State st
Chicago IL 60610
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