Residency Programs In The United States

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Residency Programs In The United States
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U.S. MedicalEducational System
4 years College/University
6 years Medical School
Residency Programs In The United States
MCAT Exam
4 years Medical School
Residency (3 to 7 years)
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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 of
• graduates of medical schools
• outside 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
ECFMG
USMLE
Residency Programs In The United States
USMLE Step 1
USMLE Step 1
USMLE Step 2
USMLE Step 2 (CK CS)
Step 2 Ck
Step 2 Cs
USMLE Step 3
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ECFMG Certification Requirements

• Exams
• USMLE STEP 1Medical 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
  organs
• Physician 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.or
  g/

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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
Residency Programs In The United States

• 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
J1-VISA
Residency Programs In The United States
DS-2019
Step 2 CK
Acceptance
Step 2 CS
Matching Programs
ERAS
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Finding A Residency
Residencies The Graduate Medical Education
Directory (Green Book) Accreditation Council for
Graduate Medical Education (ACGME) database
http//www.acgme.org/adspublic/
Residency Programs In The United States
Fellowships International 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 scores
• previous clinical experience,
• recommendation letters
• community 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 Care
• Medical Knowledge
• Practice-Based Learning and Improvement
• Interpersonal and Communication Skills
• Professionalism
• Systems-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, its 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 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
J1-VISA
Residency Programs In The United States
DS-2019
Step 2 CK
Acceptance
Step 2 CS
Matching Programs
ERAS
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THANK YOU GOOD LUCK
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