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To practice medicine in the United States, UMHS graduates must successfully pass all three steps of the United States Licensing Examinations (USMLE) and be certified by the Educational Commission for Foreign Medical Graduates (ECFMG). UMHS also offers a board preparation program in 5th semester to further prepare students to pass Step 1 of the USMLE on their first attempt. Each state regulates medical licensure in the United States. Because these standards vary by State, we urge students to contact their state medical board for further information about licensure. United States Licensing Examinations (USMLE)Three tests comprise the USMLE, and they assess a physician’s ability to apply knowledge, concepts, and principles as well as to demonstrate fundamental patient-centered skills that constitute the basis of safe and effective patient care. USMLE Step 1 (taken prior to semester 6 at UMHS)Assesses whether medical school students understand and can apply important concepts of the sciences basic to the practice of medicine. USMLE Step 2 CK and Step 2 CS (taken prior to graduation from UMHS)Assesses whether medical school students can apply medical knowledge, skills and understanding of clinical science essential for provision of patient care under supervision. USMLE Step 3 (taken prior to completion of residency training)Assesses whether medical school graduates can apply medical knowledge, skills and understanding of biomedical and clinical science essential for the unsupervised practice of medicine. ECFMG CertificationIn addition to taking the United States Medical Licensing Examinations, students graduating from international medical schools must be certified by the Education Commission for Foreign Medical Graduates (ECFMG). This certification is required for residency and licensure. Residency PositionsResidency programs begin July 1st of each year. In order to be eligible, students must have the following prior to May 31st:
The best way to become familiar with programs and their addresses is to obtain a copy of the American Medical Association (AMA) Graduate Medical Education Directory, also known as the “green book”, from any medical library or bookstore. This book lists the programs accredited by the Accreditation Council for Graduate Medical Education (ACGME). Match ProgramThe National Residency Match Program (NRMP) is a universal placement service that most programs and applicants participate in as it greatly optimizes the chances of getting a residency position. Applications are available from July to October for entry the following July. The deadline for receipt of the application is October. To be eligible to participate in the NRMP, students must have passed USMLE Step 1 and Step 2 CK and CS by December of the year prior to which they wish to enter residency training. Students must also be scheduled to graduate from medical school on or before May 31st. After applying to the NRMP, students must apply to each residency program in which they are interested and go on interviews. In February, students must submit a “rank order list” to the NRMP. The rank order list is a list of the programs at which students interviewed that are listed from most to least desirable. Simultaneously, all residency programs submit their rank order lists of the candidates they interviewed. A computerized matching process begins, with results released in March. If a student matches at a specific program, it is a legally binding contract and he/she must begin the residency that July. If a student fails to match or is not eligible to enter the NRMP, the student can still apply to residency programs to obtain a position “outside the match”. Students who participated in NRMP but did not match will be sent a publication listing all unfilled residency positions. Resources
USMLE Secretariat
American Medical Association
ECFMG
National Resident Match Program
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