residency programs in the united states. u.s. medical educational system 4 years college/university...
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U.S. MedicalEducational System
4 years College/University
MCAT Exam
Residency (3 to 7 years)
4 years Medical School
6 years Medical School
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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.
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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)
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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
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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
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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
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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
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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.
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STEP 2 Clinical Sciences (CS)
Purpose of Step 2 CS
Description of Step 2 CS
Registration and scheduling
Scoring
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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.
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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
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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/
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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.
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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.
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Steps To Residency
USMLE Step 1
Step 2 CS
Matching Programs
DS-2019
Acceptance
J1-VISA
ERAS
Step 2 CK
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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/
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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
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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.
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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
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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
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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.
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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.
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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.
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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
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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
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Steps To Residency
USMLE Step 1
Step 2 CK
Step 2 CS
DS-2019
Matching Programs
Acceptance
J1-VISA
ERAS
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THANK YOU&
GOOD LUCK
www.educationusa.state.gov