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U.S. Pre-Medical Pathway to Medical Licensure IMG Preparation for U.S. Resldency3 • Register for MCAT in the United States • Obtain MD degree or equivalent • Apply with AMCAS • USMLE Step 1 and/or AACOMAS • USMLE Step 2 CK, USMLE Step 2 CS • Obtain ECFMG certification -MD -IMG -ALL -DO -MD/DO • Obtain Visa, If Indicated U.S. Medical School 1st Year U.S. Medical School U.S. Medical School 3rd Year 4th Year • USMLE Step 34 U.S. Medical School ➔ • USMLE Step 2 CK • Registerfor NRMP • COMLEX-USA Level 31,4 • USMLE Step 2 CS • Registerfor AOA Mate� • Apply for state training llcense5, H Indicated, or full 2nd Year 6 • COMLEX-USA Level 2 CE1 • Register for ERAS and unrestricted state medical license, If ellglble • USMLE Step 1 • COMLEX-USA Level 11 • COMLEX-USA Level 2 pp • Obtain MD or DO degree

• Begin to apply foremployment or make plans for AACOMAS: American Association of COilegesof Osteopathic IMG: International Medical Graduate Independent practice Medicine Application service IMLC: interstate MedicalI jcensureCompact 6 AAFP: AmericanAcademy Qf famUy Physicians MCAT:Medical COilege Adm ission Test • Apply for full and unrestricted state medical llcense{s) ABMS: American Board of MedicalSpecia lties MD: DoctorOf Medicine • Apply with FCVS (may be required) ACCME: Accreditation council for COntinuingMedical Education NRMP: NaMna1 Resident Matching Program • Apply with UniformApplication (available in many states) ACGME: Accreditation Council for Graduate MedicalfducaMn PE: Performance Evaluation • Apply with individual state medical board(sl (if applicable) AMA: AmericanMedical Association USMLE: United States Medical Licensing Examination AMCAS: AmericanMedical COilege Application service If Indicated/desired: AOA: AmencanOsteopathic Association 1u.s. 00sare also eligible to take the USM LE Examination. • Apply for ABMS/AOA Specialty Board CertHlcatlon Exam CE: Cognitive Evaluation 2u.s. DOs are also eligible to register for the NRMP. • Apply for hospital prlvlleges CK: ClinicalKnowledge 'IMGs are eligible to train in ACGME-accredited GME programs or AOA • Apply for provider status with health Insurance companies COMLEX-USA: ComprehensjyeOsteopathjC Medical programs accredited by ACGM E. • Apply for DEA Registration, If applicable I jcensing fxamjnaMn 4Medical school graduates may be able to sit forthis exam before • Obtain Medicare/Medicaid privileges, If applicable CS: Clinical Skills residency training. DEA: Drug Enforcement Administration 'Training licensure requirements vary from state to state DO: Doctor QfOsteopath ic Medicine (41 state medical bOards issue a residen1/training license). ECFMG: Educational commissionfor Foreign Medical Graduates ERAS: Electronic Residency Application service •ucensure eligibility differs from state to state. 7 FCVS: Federatjon Credentials verjficatianservice State licensure renewals vary from 1· to 3-year cycles. • State llcensure renewal7, Including state-specific GME: Graduate Medical fducatjon "CME is usually accredited or certifiedby the ACCME, AMA, AAFP and requirements, If Indicated, such as: AOA. •Continuing Medical Educatlon8 •Maintenance of CertHlcatlon and/or Osteopathic PROTECTING THE PUBLIC WITH More Info onllne at www.tsmb.org Continuous Certification, H desired fsi9 HIGH STANDARDS FOR MEDICAL FIOIUtATIOH 01!' ltATI MIDICALIOA■DI LICENSURE AND PRACTICE • If more than one state medical license Is desired, ©2018 F€deration of State Medical Boards apply for IMLC where applicable