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Copyright©2004 by the Educational Commission for Foreign Medical Graduates (ECFMG®). All rights Copyright©2004 by the Educational Commission for Foreign Medical Graduates (ECFMG®). All rights reserved.reserved. 11
ECFMG CertificationECFMG Certification
Assures residency program directors and the US public that the international medical graduate (IMG) has met minimum standards to enter US residency programsPrerequisite for all IMGs for:
Entry into ACGME-accredited GME Taking USMLE Step 3 State licensure J-1 visa sponsorship / ECFMG
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Medical Education CredentialMedical Education Credential Requirements for ECFMG Requirements for ECFMG
CertificationCertificationEffective February 1, 2004Effective February 1, 2004
Complete a medical school curriculum of at least four academic years
Medical school and graduation year must be listed in the International Medical Education Directory (IMED).
Document completion of all requirements for, and receipt of, final medical diploma
Submit final medical school transcript Primary source verification of Medical
diploma and transcript by ECFMG
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Examination Requirements Examination Requirements for ECFMG Certificationfor ECFMG Certification
Prior RequirementsPrior Requirements New RequirementsNew Requirements
USMLE Step 1 USMLE Step 1 Basic ScienceBasic Science
USMLE Step 1 USMLE Step 1 Basic ScienceBasic Science
USMLE Step 2 USMLE Step 2 Clinical ScienceClinical Science
USMLE Step 2 CK USMLE Step 2 CK Clinical KnowledgeClinical Knowledge
ECFMG Clinical Skills ECFMG Clinical Skills Assessment (CSA)Assessment (CSA)
USMLE Step 2 CSUSMLE Step 2 CS
Clinical SkillsClinical Skills
English language English language proficiency test proficiency test (TOEFL) (TOEFL)
Spoken English Spoken English component incorporated component incorporated into USMLE Step 2 CSinto USMLE Step 2 CS
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Step 2 CS Replaces CSAStep 2 CS Replaces CSAJune 14, 2004June 14, 2004
NRMP “Match” Prerequisite ECFMG Certification USMLE Step 3 Prerequisite
Beginning July 1, 2005No expiration
CSA ended Spring 2004CSA ended Spring 2004
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Visa Considerations in Visa Considerations in 20042004
IMG Applicant Prior U.S. Experience / Length of
Stay Visa history Overall educational plan
GME Program/Institution Contractual agreement Training requirements Visa policies & options
(J-1, J-2 , H-1 , O-1 )
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ECFMG-SponsoredECFMG-Sponsored J-1 Exchange Visitor Visa J-1 Exchange Visitor Visa
Temporary, non-immigrant visa Full-time educational / training visa
NOT employment Two-year home residency obligation
INA §212(e) based on PL 94-484 Seven-year maximum for progressive
training Administered by the Department of
State
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Partnership in Partnership in Sponsoring Sponsoring
J-1 Physicians J-1 Physicians 22CFR§62.27(b)22CFR§62.27(b)
US Host
Institution/TPL
US Department of State
J-1 Physician
ECFMG
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Sponsorship Application Sponsorship Application ProcessProcess
J-1 Physician + TPL = Complete J-1 Physician + TPL = Complete ApplicationApplication
ECFMG – EVSP Regional Advisor ECFMG – EVSP Regional Advisor Evaluation and ApprovalEvaluation and Approval
SEVIS Form DS-2019 IssuedSEVIS Form DS-2019 Issued
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SEVISSEVISSStudent and tudent and EExchange xchange VVisitor isitor IInformation nformation SSystemystem
• Data exchange with DHS/DOS• Tracks non-immigrant students (“F” & “M”
visas) and exchange visitors (“J” visas)• Accessed by Consulates, Embassies,
Ports-of-Entry, DHS • SEVIS Record - 30 day validity from start
date• ECFMG creates and updates SEVIS records
for J-1 physicians
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Maintaining J-1 StatusMaintaining J-1 Status Full-time participation in the sponsored programFull-time participation in the sponsored program Possession of documents: DS-2019 + I-94 J-1, D/SPossession of documents: DS-2019 + I-94 J-1, D/S Health and accident insuranceHealth and accident insurance Mandatory address reporting to:Mandatory address reporting to:
ECFMG for update to SEVIS record ECFMG for update to SEVIS record (use OASIS at www.ecfmg.org)(use OASIS at www.ecfmg.org)
USCIS (all foreign nationals must submit Form USCIS (all foreign nationals must submit Form AR-11 within 10 days of moving)AR-11 within 10 days of moving)
Valid passportValid passport Visa stamp may expire. Visa stamp may expire. Annual visa renewal NOT required!Annual visa renewal NOT required!
Additional requirements may apply Additional requirements may apply (e.g., Special Registration)(e.g., Special Registration)
The US Government may impose additional requirements at The US Government may impose additional requirements at anyany timetime..
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INTERNATIONAL TRAVELINTERNATIONAL TRAVELIS DISCOURAGED
DURING TRAINING PROGRAMSDURING TRAINING PROGRAMS
If travel is required- Discuss contract If travel is required- Discuss contract Conditions. Conditions. • Delayed return Delayed return • Failure to returnFailure to return
Refer to Refer to www.travel.state.gov andwww.travel.state.gov and www.uscis.gov.www.uscis.gov. Plan accordingly. Plan accordingly.
Request travel documents from ECFMG:Request travel documents from ECFMG:• Travel endorsement on Form DS-2019Travel endorsement on Form DS-2019• Letter of Good Standing Letter of Good Standing
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J-1 Visa Update 2004J-1 Visa Update 2004GovernmentGovernment• J applicants given priority for visa interviewsJ applicants given priority for visa interviews• Discussion of possible multiple year J Visas Discussion of possible multiple year J Visas • SEVIS database enhancements implementedSEVIS database enhancements implemented
ECFMGECFMG • Early e-mail notification to sponsorship approval Early e-mail notification to sponsorship approval
to applicant physicianto applicant physician• Letter to consular officer to supplement DS-2019Letter to consular officer to supplement DS-2019• OASIS - On-line application payment and status OASIS - On-line application payment and status
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J-1 Sponsorship J-1 Sponsorship Non-Standard Clinical TrainingNon-Standard Clinical Training
DefinitionDefinition: : Advanced clinical subspecialty disciplines Advanced clinical subspecialty disciplines for which neither ACGME‑accreditation nor for which neither ACGME‑accreditation nor ABMS‑Certification is availableABMS‑Certification is available
Independent subspecialty fellowship Independent subspecialty fellowship program operating in program operating in direct associationdirect association with an ACGME‑accredited parent programwith an ACGME‑accredited parent program
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Essential Requirements Essential Requirements
Non-Standard Non-Standard ApplicationApplication
Prerequisites:Prerequisites:
1.1. ABMS-member board recognitionABMS-member board recognition
2.2. GMEC endorsement and program GMEC endorsement and program verificationverification
3.3. Detailed program descriptionDetailed program descriptionSee http://www.ecfmg.org/evsp/nonstand.htmlSee http://www.ecfmg.org/evsp/nonstand.html
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Non-Standard TrainingNon-Standard Training
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The American Board of Pathology is willing to endorse a J-1 visa applicant for advanced study in the fields of Pathology listed below only if the J-1 visa candidate has completed the prerequisites for primary certification and has applied for certification or is a diplomate of The American Board of Pathology. Please contact the board if there are additional questions.Autopsy pathologyAutopsy pathology
Laboratory Laboratory managementmanagement
ResearchResearch
Surgical pathologySurgical pathology
Clinical pathology:Clinical pathology:
InformaticsInformatics
ResearchResearch
Recognized Pathology Subspecialties
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J-1 Physicians in J-1 Physicians in Pathology Pathology Let’s Do the Let’s Do the
NumbersNumbers Pathology 1992-2003 Pathology 1992-2003 Residents/FellowsResidents/Fellows Non-Standard Pathology Programs Non-Standard Pathology Programs Totals by State Totals by State Top NationalitiesTop Nationalities Average Number of Years Sponsored Average Number of Years Sponsored
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THANK YOU!
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