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Obtaining ECFMG Certification

Locating a Residency

Some Alternatives Not Requiring ECFMG Certification

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Specialized Professional Study
Medicine

Locating a Residency
ECFMG certification does not guarantee placement in a residency program. Indeed, in some years, only small percentages of international medical graduates who gained ECFMG certification have been placed in residency positions.

International medical graduates applying for residencies must have ECFMG certification before beginning a residency, but they may initiate correspondence with a program before they receive certification. Information on residency programs can be found on-line in the American Medical Association's (AMA) Fellowship and Residency Electronic Interactive Database (FREIDA), located
at http://www.ama-assn.org/ama/pub/category/2997.html. Information is also published by the AMA in print and on CD-ROM annually as the Directory of Graduate Medical Education. Many information and advising centers have a copy of this book, or an order form may be requested from the AMA, Order Dept. OP416798, P.O. Box 7046, Dover, DE 19903-7046, USA; Fax: 312-464-5600.

When corresponding with residency programs, be sure to obtain information on such issues as salary, length of appointment, elements of the program, hours of duty and responsibilities, and provision of health and professional liability insurance.

Application must be made to individual programs, and, in addition, applicants must generally participate in the National Resident Matching Program (NRMP) or one of several other computerized application programs in which residency programs in particular specialties participate. An increasing number of medical specialties are requiring use of the Electronic Residency Application System (ERAS), administered for international medical graduates by ECFMG. To receive an ERAS application form, applicants should contact the ECFMG ERAS Program, P.O. Box 13467, Philadelphia, PA 19101-3467, USA; E-mail: erashelp@ecfmg.org; Telephone: 215-386-5900; Fax: 215-222-5641.

To take part in the NRMP, physicians must pass all ECFMG examinations by January 1 of the year in which they plan to enter the residency. The NRMP allows each applicant to submit a list of their preferred residencies, which are then matched with the preferences submitted by residency programs. For further information, see ECFMG's bulletin, or contact the NRMP, 2501 M Street, N.W., Suite One, Washington, DC 20037-1307, USA; Telephone: 202-828-0566; Web site: http://www.aamc.org/nrmp.

ECFMG-certified foreign physicians who are matched with residency positions usually are eligible to receive sponsorship from the ECFMG for exchange visitor (J-1) visas. The period for which J-1 status is valid varies with the medical specialty chosen, with each specialty board determining the appropriate length of time for graduate clinical training in that specialty. After completion of the stipulated training period, exchange visitor physicians must leave the United States. They are not eligible to petition to apply to return to the United States in immigrant, temporary worker, or trainee status, or as an intra-company transferee, until they have resided in their home country, or country of last permanent residence, for two years.

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