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EducationUSA.state.gov
Medical Education in the U.S.
Rohayma RatebEducationUSAAlexandria, Egypt
Residencies and other Medical Programs
EducationUSA.state.gov
Steps To Residency
USMLE Step 1
Step 2 CK
Step 2 CS
ECFMG certification
Applying to Residency Programs
Finding a Residency
EducationUSA.state.gov
• The Graduate Medical Education Directory (Green Book)
• Accreditation Council for Graduate Medical Education (ACGME) database: http://www.acgme.org/adspublic/
• American Medical Association (AMA), Fellowship and Residency Electronic Interactive Database (FREIDA)
http://www.ama-assn.org/ama/pub/education-careers/graduate-medical-education/freida-online.page
Applying to Residencies
ERAS
Electronic Residency Application Service
NRMP
National Resident Matching Program
EducationUSA.state.gov
Applying to Residencies
• ERAS (September & October)
• Apply directly to program directors by using the ERAS (Electronic Residency Application Service).
• ERAS transmits residency applications, Original Documents for Letters of Recommendation (LoR) and Medical Student Performance Evaluations (MSPEs) as well as other supporting documents to residency program directors via the Internet. • http://www.ecfmg.org.eras
EducationUSA.state.gov
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.
EducationUSA.state.gov
Residency Programs
• Applicants are then invited for interviews.
• Interviews (November, December, & January)
• Applicants need to be qualified to meet the selection criteria. The ACGME has endorsed general competencies for residents in the areas of:
•Patient Care•Medical Knowledge•Interpersonal and Communication Skills•Professionalism
EducationUSA.state.gov
The Match
EducationUSA.state.gov
• National Resident Matching Program (NRMP)
• Applicants rank programs; programs rank applicants
• NRMP application is separate from ERAS/program application http://www.nrmp.org
The Match
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• Inside the Match and Outside the Match positions
• Program director allocates positions in and outside the match.
• Ranking happens in February
Post Match Scramble
EducationUSA.state.gov
• 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.
Find a Residency or Fellowship
Date: March 25, 2011Program: Family MedicineProgram year: PGY 2Start date: July 4, 2011Institution: Mercy Medical Center (Merced)City and State: Merced, CA Contact name/email: Ka Thor [email protected] Contact address: 315 Mercy Ave, Ste 301, Merced, CA 94340Phone: 209 564-3513Deadline: OpenPrerequisites: Must be in good standing and must have completed PGY-1 in Family Medicine.
EducationUSA.state.gov
http://www.ama-assn.org/
Programs/Specialties
EducationUSA.state.gov
• More chances: Internal Medicine, Family Medicine and Pediatrics than other fields like Orthopedics or Ophthalmology.
• Regular programs (3 - 4 years) Internal Medicine, Family Medicine and Pediatrics
• 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.
Steps To Residency
EducationUSA.state.gov
ECFMG
certificate
Matching Programs
Acceptance
J1-VISA
ERAS
DS-2019
Medical Research/ Research Fellowship
For physicians who want to focus on medical research and papers to be published and not clinical work, ECFMG certification is not required since there is no patient contact.
EducationUSA.state.gov
Graduate Degree
Foreign medical graduates may also apply for graduate degree programs in fields such as: Public Health, and medical sciences like physiology and anatomy.
If no contact with patients is involved, ECFMG certification is not required but the GRE maybe required for a Master's and Ph.D. degree.
EducationUSA.state.gov
Observership Program Hands-off experience to assist IMGs who
wish to observe clinical practice in a U.S. setting.
Usually consists of attending morning rounds, seminars, student lectures and attending case presentations.
No patient contact and cannot perform physical examinations.
EducationUSA.state.gov
Clinical Externship
EducationUSA.state.gov
Clinical rotations for International medical graduates that give solid experience.
Responsible for duties as: presenting patients, assessing histories and performing physical examinations, as well as other tasks assigned by the Attending Physician.
Electives/Clerkships
EducationUSA.state.gov
Electives are like doing a medical school internship in another hospital which gives good hands-on experience.
AAMC Web site has a list of schools that accept international students for their electives. Check “accepts international students.” http://services.aamc.org/eec/students/