medical research jobs in usa for img

USMLE STEP PREP resource for IMGS

How to unlock research opportunities as an international Medical Graduate

Research experience and publications are important for keeping international medical graduates worldwide up-to-date and helping them give the best care possible. 

During the USMLE journey, IMGs are confronted with the question of their research and publishing experience. 

As the residency match gets more competitive each year, research experiences and published work can considerably boost one’s residency application. 

However, many IMGs are unfamiliar with the processes of conducting research and getting a paper published. 

There are, of course, numerous paths to doing research and getting published, including applying for research positions in the US.  

However, as it’s only an option for some IMGs, I’d like to share alternative research and publication methods. 

Interested? 

Let’s dive in!

Research experience VS individual research

First, it’s crucial to distinguish between research and publication. 

What I mean by that is, only some research results in publication and only some publications count as the result of research experience on a resume. 

So, what is the difference, and why does it count? 

Research experience:

Research experience is any professional or academic research done while working for an institution. 

In other words, it implies that you hold or were holding a position in an establishment. 

Besides potentially publishing the results of your work, research experience has many advantages, including the following:  

• You’ll benefit from the guidance and experience of mentors and fellows, which is especially helpful if you have no experience with research and publishing.
• Positive impact on a resume and ERAS application, regardless of whether or not the research resulted in publication.
• Opportunities to make connections.

Depending on whether it’s funded research or unfunded research, the flip sides of both research experiences are that: 

• Unfunded research proposes only unpaid positions. Therefore, you’ll have to sustain yourself financially throughout the research experience.
• Funded research offers paid positions. However, there are fewer positions for a large pool of applicants, and it usually requires applicants to have previous research experience and a solid resume to be considered.

What are the remaining options for IMGs who cannot sustain themselves financially to apply for unfunded research and do not have enough research experience to apply for funded research?

One answer to this question is – Individual Research!

Individual research:

So, what do we mean by individual research? 

Individual research can be conducted without working with an institution and results in the publication of an article.

Individual research won’t be considered as research experience; however, it’s a good compromise for IMGs and an excellent opportunity to acquire the skills to conduct research and get more familiar with the process of getting published. 

So, what are the key elements of conducting individual research? 

Which study type best fits individual research?

As you won’t hold a position in an institution, you won’t have access to a laboratory or direct access to patients to conduct the study. 

Therefore, the most straightforward way to run individual research is to work on existing data, which results in either conducting a Systematic Review or a Meta-Analysis.

The systematic review:

A systematic review involves the collecting, critical assessment, and synthesis of previous research on a particular topic.

The meta-analysis:

A meta-analysis is a systematic scientific approach that, using a repeatable process, combines the findings of numerous independent investigations on a specific issue. It’s a statistical synthesis of the research that was a part of a systematic review. By analyzing many cases and reaching a general conclusion, meta-analysis enables a more accurate interpretation of the data.

Here are some links that will guide you in the process of conducting a meta-analysis or a systematic review: 

• A Meta-Analytic Methodology Guide from frontiersin.org
• A very interesting article on how to run a systematic review from ncbi  

From topic selection to publication

Once you have decided which type of study you want to conduct, it’s time to start taking concrete actions. 

So, where do you start?

Select a subject

This step is crucial and shouldn’t be taken lightly. 

Taking the time to select the appropriate topic is vital. You don’t want to invest time and effort into something only to realize halfway through that your chosen topic is irrelevant and unfeasible. 

So, what is a good subject? 

Ideally, the topic you decide to investigate should revolve around an interest of yours. For example, if you are interested in dermatology, look for a subject in that field. 

Also, writing articles in the field you want to work in will help your application significantly. 

Once you have defined the field you want to research, you’ll have to clarify the research question, which is, in my experience, the trickiest part! 

To determine the research question, you must first go through what’s already been done and what new questions the researchers have brought to light.

Reading the trending articles in Pubmed or highly-accessed journals can help you in this step and familiarize you with how research is conducted, how results are presented, how a paper is written, and so on.

Don’t hesitate to reach out to doctors or medical residents in your home country or elsewhere to ask about what subject they think is worth investigating. 

I recommend you use the PICO method to formulate a research question.

What are the steps to publish a paper?

Form a team:.

Although we’re talking about “individual”  research, publishing a paper is a result of collective work. 

As you determine the tasks that need to be accomplished to achieve the goals of your study, you can start reaching out to individuals who possess the necessary skills and establish clear roles and responsibilities for each team member, as well as a system for communication and collaboration.

With your team, you’ll have to complete the following steps: 

Conduct a literature review:

Conducting a literature review will allow you to highlight what’s already been established and documented, and confront the study you’re conducting with the previous one. 

Define the design of the study:

Your research design is like your house’s foundation: Essential. 

Study design refers to the methods used to collect and analyze the data and ultimately represent the quality of your work. 

Collect the data and do a statistical analysis:

The data correspond to the articles selected to be integrated into your systematic review and meta-analysis. 

Once you have collected all the data, you will have to do a statistical analysis of the results.

Although you can task a statistician to do the statistical analysis, I highly recommend you learn and do it yourself as you will acquire a new valuable skill and get a better ,broader perspective of the study you are conducting. 

You can find courses on Coursera or Udemy .

While writing, pay special attention to the following: 

• Vocabulary and grammatical errors

Do not hesitate to ask mentors or fellows to proofread your work, or use professional tools to assist your writing, such as Grammarly. 

But remember that it’s not enough to proofread with this kind of tool. It’s better to seek assistance from a professional proofreader who’s a native English speaker. Feel free to contact us as we work with several native writers.

Identify a journal

The final step of your publication journey is to identify a journal where you want your work to be published.

However, don’t be too quick to shout victory, as this step can be daunting. 

Once you’ve identified a list of potential journals, I recommend you read their specific guidelines to ensure your research fits within the journal’s scope before submitting your work. 

Keep in mind that some journals have a longer turnaround than others and that the process can take many months. With that in mind, choose a journal that aligns with your timeline for publication. 

How to make it to the next level

Besides maximizing your chances of getting matched with your dream specialty, getting published is a unique opportunity to learn, acquire new skills, and make new connections.  

As you define a study question worth investigating, use it as an opportunity to contact doctors who have conducted studies on a related topic and, if possible, suggest a collaboration. 

Email the institution you want to apply to with your project study, motivations, goals, and an attached resume. 

Again, this is not just about getting published to put it on ERAS, but rather a chance to start taking action and building a network.  

Besides good scores and US clinical experience, research and publications have become much more important in the matching process. 

Since getting a research position might not always be an accessible option for all IMGs, individual research represents an excellent compromise to get started in research and publishing. 

Selecting the appropriate subject and acquiring the necessary skills to publish your first piece of work is key in the USMLE journey. It will help you match 

with your dream specialty, and it also presents a unique opportunity to start reaching out to hospitals and making new connections. 

About The Author

Dr. Zineb Moustaatif

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Career Options for International Medical Graduates

The Educational Commission for Foreign Medical Graduates (ECFMG), through its program of certification, assesses whether physicians graduating from medical schools outside the US are ready to enter programs of graduate medical education in the United States ( http://www.ecfmg.org/forms/certfact.pdf ). The examination requirements for ECFMG Certification include passing a three-step United States Medical Licensing Examination. The process is grueling and expensive. However, passing the exams is just the beginning. Securing residency is the ultimate challenge. Some have waited for years without acceptance into a residency program. Furthermore, those who get accepted have to come to terms with the 80-hour work week (for salaries less than some 40-hour work weeks) for non-degreed positions. This has led many international medical graduates (IMGs) to look into other career options. Even if your goal is to ultimately practice medicine in the US (a process that may take up to 8 years), the suggestions offered in this post can still benefit you. So where do you start?

Start by browsing the jobs posted on this website (HospitalRecruiting.com) . Make a note of positions that interest you and learn more about these positions. There are several websites that offer a full description of careers in healthcare. (Go to http://www.bls.gov/ooh/healthcare/home.htm .) There are opportunities in allied health and non-clinical healthcare professions that are often a good fit for IMGs. Careers as a physician assistant , occupational therapist , or speech language pathologist are just a few of several well-paying career options that require minimal training (when compared to years of uncertainty you may spend in getting ECFMG certified). Trained as a clinician (an IMG), I opted for a career in biomedical research here in the US. If you are research-oriented, one of my recommendations is that you familiarize yourself with Responsible Conduct of Research. Learn the research lingo. Most research positions require that you present your data to an audience that sometimes consists of your peers, medical students, staff, and even Nobel Laureates. There are weekly meetings where you discuss your data and current articles of interest, so good communication skills are vital. If you are not a native English-speaker and communication is a barrier, work in a cell culture lab preparing specimens for research may be ideal. If you don’t mind working with mice, there is always a great demand for persons with a medical background who can work with mice. Remember that preclinical studies that lead to the early phases of the drug development process start with animals (especially rodents). If this is an area in which you might be interested, start by viewing the information on this website: http://microsurg.hs.columbia.edu/index.html. They offer training in rodent microsurgery.

Apply for a career training grant. There are many grants available for educational expenses and career training. There is so much to choose from. Become familiar with funding agencies. Find out whom they fund. Look beyond government and federal grants. There are foundations and private sources that give grants for research and educational purposes. Most career training today can be done online, so you can essentially pace yourself. Trained as a clinician, I opted for a career in the biomedical sciences at the Children’s Hospital of Philadelphia and The University of Pennsylvania. I became a recipient of several awards (grants), including NIH’s National Research Service Award for training in Molecular and Cellular Biology. (This is one of the most prestigious awards in the sciences.) In this position, I acquired skills in writing scientific manuscripts and grant proposals. After my academic career, I transitioned to the pharmaceutical industry, where I contributed to new drug applications and other FDA correspondence. Now an entrepreneur, I currently offer a full range of services, including career coaching services, through my service-based business Consult To Aspire ( www.consulttoaspire.com ). A career training grant opened the door to many opportunities.

Another option I have shared with a client (who was also an IMG), is taking a course in Introduction to the Principles and Practice of Clinical Research (IPPCR). The IPPCR course is offered yearly at NIH’s Clinical Center in Maryland. A certificate is awarded upon successful completion. It is of interest to physicians training for a career in clinical research (http://www.cc.nih.gov/training/training/ippcr.html ) Whether you decide to get into residency and train as a Physician Scientist or to explore a career in industry, the IPPCR training will still be of benefit.

In summary, the path from an international medical graduate to a successful career in the US is not an easy one. However, with planning, self-motivation, and persistence, it can be done.

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About Christiana Davis, MD

As an International Medical Graduate (IMG) Consultant, I offer career advice that only an IMG can give. I know of your stories and your struggles. When I immigrated into the United States, I did not know where to start. I knew of no blogs, no career consultants, and no mentors. Looking back, there were roadblocks, but I did not give up. Today, the web and social networks have made our world much smaller. You can learn everything there is to know about succeeding in the United States without leaving your house. Some of the services I offer include:

• Help defining your career vision
• Expert advice on alternative career paths
• Help with standardized testing
• Advice on making the best of your residency and fellowship training
• Help with writing career documents, including personal statements, CVs, and resumes

Email me at [email protected]. Read more of my articles and leave a message at https://internationalmedicalgraduate.wordpress.com/. Tell me your story and connect with me on LinkedIn http://www.linkedin.com/in/christianadavis/. Call me at 267-233-7926.

51 Responses

Please sign the petition asking to allow medical graduates to work in medically underserved areas: https://www.change.org/p/texas-legislature-and-governor-help-end-the-doctor-shortage

Hi,I am IMG.now permanent resident here.looking for my future career here in USA. Beside USMLE what’s are other options for me to continue? ? Please help

Hi Qamar, thanks for reading our blog post. The other required steps for you to practice medicine are ECFMG certification, U.S. residency training, and state licensure. You can more info and a few other resources here; http://www.ama-assn.org/ama/pub/about-ama/our-people/member-groups-sections/international-medical-graduates/practicing-medicine.page ?

Hey Qamar, Have you ever given Pharmacovigilance and Drug Safety or Clinical Research any thought? Lots of IMG’s take this option as it is second best to becoming an actual physician, and it is a very lucrative career. Look it up! I took a Drug Safety Course at Sollers Institute, they helped me a lot and also helped place me. I took it online because I do not live in New Jersey, but it was a live interactive class so I still felt comfortable taking it.

Many organizations self-certify and many are not recognized outside of a specific geographical area, but I liked Sollers because they are certified by the Council on Occupational Education. Also, they were the only school that had actual hands on training with the software Argus. I think this may have given me the edge when I was looking for placement after being certified as a Drug Safety Associate.

Oh btw you can call their advisers I think this is the right number: 331-999-0061 or check out their website!

Hope you find your perfect future career. I found mine! Don’t stress!:) Good luck!!

Greetings, i am an IMG, i have just appeared for the step1 exam and am awaiting the results. i would like to gain some work experience be it clinical or research oriented while i prepare for step 2. i have a B1/B2 visa valid until 2026 what kind of jobs can i apply to as a non-resident of usa? thank you for your help, i appreciate it.

HI i am IMG,Non US citizen can i find a job without ECFMG certification?

Hello Mitul, Thanks for reading our blog. In order to practice medicine in the U.S. you will need to first obtain ECFMG certification, then complete post-graduate medical education in the United States. It may be possible to work in other areas, such as medical research, without ECFMG certification, but not to practice medicine.

Thanks for your valuable response

Hey Mitul. Is this Mitul Modi ?

Hi there, Your post is very encouraging because I am a recent foreign medical school graduate currently applying for residency, but matching looks very bleak so far. I would love to get to know more about the program. Was it easy finding a job once you received the certification in this course? Any details you can provide are greatly appreciated!! Thanks!

Also, what’s the average salary earned for this field?

what jobs are open for IMG in medical research and where to find them. please

Need help with any hints on how to get a residency after I quit my first one when I had medical problems that I had to take care of. Now all I get are rejection letters despite having decent scores on step one and two. I am american but went to foreign medical school. It’s like I have the plaque! Mary d

I will be moving to the US from France soon to join my husband and might want to apply for a job in healthcare (not as a physician) but for example as a medical assistant or go back to school to learn medical coding. I have taken STEP 1 so I am registered with ECFMG but do not intend to take the further steps for now I need to work soon…

I am looking for a way to get my credentials/education recognized in the US to be able to apply for a job in healthcare or to a college course. Can I use ECFMG / EPIC which has already communicated with my university? Do they deliver without going through with the steps some kind of credential information that is valid in the US (EPIC?) Or should I go through a service suche as World education services or ECE Education credetial evaluation?

Hi Janine, Did you get a job after getting certified from them. Does Sollers PV training really helps?

HI THANKS A LOT FOR YOUR ADVISE , I’M 46 Y/O WITH EFCMG CERTIFICATE, I DINT FOUND RESIDENCY , WHAT KIND OF COURSES I CAN TAKE FOR FOUND A JOB, PROBABILITY I WILL PREFER SALES IN A INDUSTRY OF SURGICAL DEVICES ,

Hi i am an img and have been in us since last 4 yrs as a permanent resident. I am a housewife with two kids so adding these responsibilities makes the process of pursuing my career quite slow. I have taken step 1 and ck and now preparing for cs. Despite the fact that getting residency will be very tough and competitive i still dont wanna give up on my career. I am really interested in pathology. I am doing observership at the moment at a clinic with an endocrinologist and looking for more medical related opportunities to add up to my resume. I am already lacking because its been five years since i graduated and its still a long process ahead and what i really need is someone to advise me what suits me best given my circumstances and limitations that i cannot do any full time job due to my resposibiloties at home. I have been asked to look for certain jobs for an ekg tech or a research assistant but again due to lack of networking and guidance i am finding it really hard even how to start looking.I will be very obliged if you can give your expert advise regarding my queries. Thankyou!

Hi I am an IMG recently graduated with also a BS in Biology realized in US territory. I recently move to Houston and I am looking for job in terms to continue studying for my USMLE exams and finally getting ECFMG certification done. What do you suggest me to do? I have apply to many jobs…

Hi, I am an IMG. I have graduated two years back. I have been looking for job oppurtunities in the USA. I am currently preparing for USmle step 1, but not gaining confidence at all. I have minimal clinical knowledge .I would like to take up any job or do research work. Please kindly guide me . Any help would be appreciated .

Sollers make so many promises to get you to enroll. After getting the certificate, you’re on your own. They don’t help you in job placement. Talking from experience.

Hello maam… I am an IMG preparing for USMLE…. I have in the back of my mind regarding the match process… If I don’t get matched in my 1st attempt can I get any JOB like parttime or something to meet my ends till the next match… are there any jobs for img which pay (even if minimal) and provide a boost to my CV…..

Hi! I am an IMG and I got an Registered Medical Assistant certification, RMA, I know it is very basic but it can provide you with some income while you wait.

Hi. I am a certified cardiologist in Brazil, and I’m considering becoming an echo or stress test tech there. I already perform there on a daily vasos, as Brazilian law only allows doctors to perform those exams, but I might need some kind of certification in America. I don’t think I’m willing to go through residency again, so becoming a cardiologist there is out of the question. Do you have any ideas for me? Can I hire you to give me assistance on this matter? Thank you

Hi, I immigrated to the US more than 3 years ago. I am a permanent resident here in the US, but I am a licensed medical doctor from the Philippines. I realized the path to becoming a practicing medical doctor here is long and I graduated 2003, therefore I am an old IMG. I am thinking to give up the USMLE journey which I started taking USMLE 1 last year. I am thinking of becoming a researcher instead. Give me the guidance so I will not anymore waste money and time passing all my USMLEs and wait for residency match which is sometimes nil because I am an old graduate. Do I need to be a US citizen first and acquire further education to become a clinical researcher which I think I am eligible now?

Good day. I am an IMG and I have a B1/B2 visa. I am interested in undertaking a medical assistant training in Knoxville TN or close to that location so that I can be closer to family. Can you kindly guide me please? Thanks…[email protected]

Hi, Im from the ?? too. Can i ask for your email so we could chitchat in private?

hi , am an Img from India . Hasn” t given my usmle steps yet. I want to know if one can be a physician assistant and then train for usmle ..I am a permanent resisdent and live in pennsylvania.

hello janice benny. im in the same situation as you. please share what ever you options and help you get.

im from nepal and im also a permanent resident. havent given any usmle steps.

thank you and all the best.

Hi, my name is Mary, an IMG. I failed step 1 in my first attempt (score 190). I’m completely disappointed. Studied FA two times, Caplan Video, more than 10,000 tests. UWORLD/NBME score>250+ but failed! no idea why ;( I’m on H4 visa right now. please any idea or help to get a research position w/o step 1 🙁

Hi Yazmin. How did you get the medical assistant certification and how long did it take?

Did you get some info about research position?Please share any information.

I am in the same situation like you

Contact me directly at [email protected]

Contact me at [email protected]

Email me at [email protected]

See my message above

Great question.

See my message to Janice

I think you contacted me. If not feel free to email me.

Great question. I’ll be glad to answer that question.

Definitely count the cost before leaving Brazil. Life for most IMGs in the US is anything but comfortable; at least for the first few months, if not years.

To learn more, contact me directly at [email protected]

Abhisek: Hope by now you are working; better yet, matched. If not feel free to contact me directly at [email protected]

Circumstances vary. Contact me directly at [email protected]

Tahira: Hope by now things have settled down some. Stay motivated. As the kids get older you’ll have the opportunity to pursue a satisfying career. To learn more about options you can pursue, or just to brainstorm, feel free to contact me directly at [email protected]

See my comments above; contact me directly at [email protected]

Val: I think you’ve contacted me in the past; if not I look forward to hearing from you. You can start working on your job application package even when you are in France. Contact me directly at [email protected]

Mary: Hope things are better by now. Regardless, I’ll still love to hear from you. Contact me directly at [email protected]

To learn more about specific options and how to prepare for these feel free to contact me [email protected]

To learn about specific options and how to prepare for these contact me at [email protected]

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Office of International Medicine Programs

Medical research fellowship program.

The  Medical Research Fellowship Program  (MRFP) at the George Washington University (GW) School of Medicine and Health Sciences (SMHS) provides international medical graduates with the opportunity to enhance their research and clinical skills, preparing them to be strong candidates when applying for U.S. residency programs in the United States. Since the MRFP began in 2012, 86% of research fellows have successfully matched into U.S. residency positions after completion of the program.

The goals of the program include providing opportunities for research fellows to:

• Develop a rich and longstanding relationship with a GW faculty member
• Create a network of professional contacts for future support in international medicine
• Develop critical thinking, analytical, and practical inquiry skills utilizing the latest approaches in U.S. healthcare and medical research
• Build a foundation for utilizing evidence-based medicine
• Increase skills in critical appraisal, research design, and understanding of the entire medical research process
• Publish articles or abstracts in peer-reviewed journals and present research posters or papers at conferences
• Gain first-hand knowledge of the U.S. healthcare delivery and medical education system
• Develop personal and group leadership skills necessary for advancement in clinical practice and research
• Develop strategies for communicating clinical research and medical information in spoken and written English
• Gain broad public speaking and presentation experience and participate in at least one professional conference in field of interest

Research : Research fellows attend weekly critical appraisal sessions to increase their knowledge of research methods, analyze the latest in medical publications, and publish letters to the editor. Research fellows also participate in individual and group research projects alongside their faculty mentor aiming to present at a national conference and publish in a peer-reviewed journal.

Clinical observation : Research fellows actively and successfully participate as members of a clinical team. While direct, hands-on patient contact is not permitted, the research fellow engages with the team in all other clinical activities. 

One-on-one mentorship : Each research fellow is matched with a GW faculty mentor in their specialty of choice. Research fellows join the faculty mentor and are integrated into the clinical team, which includes faculty, residents, and students. The faculty mentor provides counseling and guidance through weekly meetings.

U.S. residency application preparation : Research fellows are supported by IMP staff and the Program Medical Director who provide residency preparation interviews and review of curriculum vitae and personal statements. Research fellows can obtain detailed and personalized letters of recommendation from GW faculty members when appropriate. 

Professional development : Research fellows attend regular clinical department grand rounds, conferences, and lectures with their team of faculty, residents, and students. Research fellows are key members of the team and fully participate in department activities. 

Application Process

Research fellows can participate in the program for a duration of 6 months or 12 months. The recommended start date is in May and alternative start dates are considered on a case-by-case basis. Applicants should submit the following required documents to the Office of International Medicine Programs (IMP) at  [email protected] :

• Headshot photograph
• Curriculum vitae 
• Personal statement (1 page)
• Medical school degree
• Medical school transcript
• Three letters of recommendation
• USMLE Step 1 and 2 score reports (if available)

Please contact [email protected]  with any questions or to request additional information about the program fees.

Expert Consult

Applying for Residency as an International Medical Graduate

By Ole-Petter R. Hamnvik, M.B.B.Ch., B.A.O., M.M.SC.

Published April 6, 2022

The medical profession in the U.S. has a remarkable international flair. One in four U.S. physicians is an international medical graduate (IMG), and every year around 12,000 IMGs apply for U.S. residency positions. But the path to practicing in the U.S. is not an easy one when you must navigate the requirements without the structural support from a U.S. medical school and the mentorship of peers and faculty, especially with the added challenges of language and culture.

In the fall of 2018, NEJM Resident 360 hosted a discussion on applying for residency as an IMG. Participants asked questions that ranged from clarifying the practical steps required to be eligible to practice in the U.S. to seeking advice on experiences that can optimize the IMGs’ chances of obtaining their dream residency position. In this post, I summarize some of the main points from that discussion and provide an outline of the practical steps required to pursue this path. For even more information, you can access the library of resources available from the Educational Commission for Foreign Medical Graduates (ECFMG). 

Why Go to the United States?

The decision to seek training in the U.S. depends on both personal and professional factors. Some common reasons to apply include:

the quality of training in practice environments with high-quality standards,

a predictable career path and employment after completing training

a flexible career structure

opportunities for board certifications that are recognized worldwide

completing a U.S. residency is virtually always required to practice medicine in the U.S. and therefore is a path to immigration.

While the reasons are many, make sure you think through your motivation because it is not an easy path. The practical steps are outlined below, and each comes at a high financial cost. However, with determination, it is within reach!

Apply for ECFMG Certification

To be eligible for a residency spot, you must go through a rigorous process to ensure that you are competent to practice in a clinical environment with the supervision provided by a training program. The ECFMG certification process is the standard for evaluating the qualifications of IMGs entering the U.S. health care system. This process assesses the readiness of IMGs to participate in U.S. residency or fellowship programs that are accredited by the Accreditation Council for Graduate Medical Education (ACGME) . ECFMG sets requirements related to IMGs’ medical schools and medical education, as well as examination requirements.

The definitive source of information on ECFMG Certification is the ECFMG Information Booklet and is required reading for applicants. ECFMG issues the Standard ECFMG Certificate to applicants who meet all requirements for certification. Approximately 10,000 IMGs receive certification annually, representing only about 60% of IMGs who initially apply.

The following is a summary of the main steps involved to receive ECFMG certification:

Ensure that your medical school meets ECFMG requirements .

Apply for a United States Medical Licensing Examination ( USMLE)/ECFMG identification number .

Complete the Application for ECFMG Certification , including the notarized Certification of Identification Form.

Pass the USMLE Step 1, Step 2 Clinical Knowledge (CK), and Step 2 Clinical Skills (CS). These three exams are the same examinations U.S. medical students must pass for medical licensing. Step 1 and 2 CK are computer-based exams that are offered at Prometric testing centers worldwide. Step 2 CS is a live, clinical-encounter exam featuring standardized patients and is only offered in U.S. testing centers (requires a trip to the U.S.)

Provide ECFMG with your final medical diploma; they will verify the diploma directly with the issuing medical school and at the same time request a copy of your final medical school transcript. This process can take some time, depending on how responsive your medical school is to the verification request. 

Consider Visa Options

Unless you already are a U.S. citizen or permanent resident (with a Green Card), you will need a visa to participate in a graduate medical education program in the U.S. Although you need to think about your visa options early, you do not actually apply for a visa until after you have matched into a residency program.

The J-1 Visa for physicians is sponsored by ECFMG and is the most common visa for those pursuing graduate medical education. The J-1 physician category is specifically meant for trainees (you can’t work as an attending or moonlight with this visa) and can be extended for a total duration of 7 years.

If you are pursuing a J-1 visa, ECFMG will issue a DS2019 form or Certificate of Eligibility for Exchange Visitor Status. This form tells the consulate that you have met J-1 visa sponsorship requirements. The American consulate in your home country decides whether to issue the visa. The Ministry of Health/Health Department of your most recent county of legal residency must sign a document indicating the need in this country for physicians trained in your prospective specialty. J-1 visa applications are usually processed quickly, although some countries have a longer processing time.

However, this visa comes with a home residency requirement that dictates that you must go back to your home country for at least 2 years before being eligible to apply for any other U.S. visa status. This requirement is important to consider because, although you may plan to go back to your home country when you apply for residency, your plans may change by the time you complete your training in 3-7 years. For example, you may be offered a good career opportunity or meet a U.S.-based partner. If you end up in this situation, you can try to obtain a waiver for the home residency requirement. Unfortunately, the waiver is complicated, competitive, and limits the types and locations of potential jobs.

The H-1B Visa is sometimes preferred by trainees because of the difficulty of obtaining a waiver for the home residency requirement for the J-1 visa. The H-1B Visa is a so-called “dual-intent” visa because it is a nonimmigrant visa that you can have while you apply for permanent residency status. Another advantage is that there is no 2-year home residency requirement. The H-1B visa is also not restricted to training activities only; an employer can also use it legally for other opportunities (including moonlighting). This visa is sponsored by the institution that hosts the training program. As a result, some training programs (both residencies and fellowships) are reluctant to sponsor an H-1B visa because it requires more work than the ECFMG-sponsored J-1 visa and is more likely to be delayed. Many programs will reverse their position on H-1B visas if you talk to them or the international office at the institution. However, to be eligible for this visa, you must pass USMLE Step 3 .

You are only eligible for Step 3 after you have obtained your medical degree, passed USMLE Step 1, Step 2 CK, and Step 2 CS, and obtained the ECFMG certification. As a result, you can only take this examination after medical school, delaying your application for residency for 1-2 years. Step 2 CS and Step 3 are only offered in the U.S. (requiring you to travel to the U.S. on two separate occasions to take these exams).

If you plan for an H-1B visa, delays may occur. Once you match, you need to apply for a state medical license to be eligible for this visa followed by 2 to 3 months for visa processing. As the residency match happens in March, and residencies begin in June or July, there is little time to get the paperwork completed. The institution that hosts the residency program may choose to pay for expedited visa processing to shorten the processing time to just a few weeks.

The Diversity Immigrant Visa lottery  is one of the few ways to obtain permanent residency (Green Card) in the U.S. without first entering on a visa. The lottery provides residency to a random selection of applicants who are from countries with low rates of immigration to the U.S. 

Other visa options may be available for different circumstances. Speaking to an immigration lawyer might be helpful if you think you have a unique situation. Immigration lawyers can also provide you with the most up-to-date information about your visa options.

Select a Specialty

Before applying for residency, you need to choose a specialty. For guidance on choosing a specialty, see the NEJM Resident 360 blog post on How to Choose a Specialty . The primary care specialties (family medicine, internal medicine, pediatrics, and psychiatry) have traditionally been most popular for IMGs, in part because these programs have the most spots and are therefore less competitive. Although some applicants apply for several specialties, this practice is generally frowned upon because it gives the impression that you are not fully committed to any one specialty. If you are applying for a more competitive specialty (e.g., many surgical specialties), consider applying for a preliminary general surgery residency. This is a one-year residency for programs to see how you perform before committing to training you for the entire duration of your residency.

Select Residency Programs

Once you decide on a specialty, you need to choose the residency programs you want to apply to. Many considerations come into play, including answers to the following questions:

Is geography important (urban vs. rural, East Coast vs. Midwest, etc.)?

Are you looking for an academic program with a heavy emphasis on research or a clinical program with high clinical volume?

How important is residency reputation?

How competitive is your own application?

Are you moving with a spouse who will also seek employment?

With so many considerations, you will need to assess your options and discuss them with colleagues and mentors who know you and in your field. The AMA Residency & Fellowship Database ( FREIDA ) is a good resource to help narrow your search and obtain contact information. For internal medicine, the American Board of Internal Medicine (ABIM) also provides residency program pass rates for medicine certification examinations as an indication of how well the programs prepare residents for the board exam. 

Submit the Residency Application

All residency applications are submitted to programs using the Electronic Residency Application System ( ERAS ). To register for ERAS, you need to go back to your old friend ECFMG to obtain a residency token and gain access to ERAS and register.

Once registered with ERAS, you will provide your resume information in a standardized curriculum vitae (CV) template, enter a personal statement, upload a photo, and submit your examination transcript, dean’s letter, and letters of reference.

Be sure to include all your experiences in the application, including teaching experiences, membership in academic organizations, and extracurricular activities. This is also an opportunity for you to highlight how your unique background can enrich the residency program if you match there.

Designate the programs you wish to apply to. Your application will be electronically submitted to these programs.

Register for the Match

Residency applicants also must register for the National Resident Matching Program (NRMP), also known as the Match. NRMP is a separate organization from the ERAS application service and thus requires separate registration. As discussed in more detail below, the Match is where the preferences of applicants and program directors are entered and matched by an algorithm.

Overview of the Process for Applying for Medical Residency in the United States

Optimize Your Chances of Success

While many programs are accustomed to assessing applications from IMGs, some programs may not consider any IMGs or have a higher threshold for interviewing an IMG. Programs may not recognize the name of your medical school, may not know your recommendation letter writers, or may not understand the grading system at your medical school. Therefore, you need to be proactive to ensure that your application is as strong as possible.

Here are some tips for optimizing your chances of success:

Have good grades: High scores on the USMLE examination and your medical school tests can only be helpful. Some institutions use USMLE cut-offs (particularly Step 1 scores) and may not look at applications with low USMLE scores.

Prepare your letters of recommendation: Make sure that you have clinical faculty members who are willing to write you strong letters of recommendation. American letters are often more positive in tone than those from other countries. For example, describing a candidate as “a good clinician” is a red flag when adjectives such as excellent, outstanding, stellar are more common. Therefore, explaining this difference to your letter writers could be helpful and consider providing examples of U.S. letters (for examples, see Tips for Writing Strong Letters of Recommendation and Writing Letters of Recommendation for Residency ).

Obtain clinical experience in the United States: Most residency programs value true clinical experiences from the United States. This will also give you the opportunity to request and submit a letter from the faculty member who supervised you and who is familiar with expectations of U.S. residency programs.

If you are in medical school, most U.S. medical schools offer a visiting student or clinical away elective. Some programs are free, but most require a fee. Your best bet is to search the Web for “visiting students” or “clerkship” and the name of the medical school that interests you. Most programs have a dedicated site with information for prospective students. Often, the hospital where you rotate is likely to offer you an invitation to interview for their residency program, so take that into consideration. Keep in mind your competitiveness as a candidate. If you are competitive for the top-tier program, then a rotation at a top-tier institution will be a helpful. If not, you may want to consider a rotation at a less competitive program. Make sure you prepare for your rotation. If you will be doing a rotation in infectious diseases, then read up on infectious diseases topics beforehand so you can impress the faculty during your rotation.

If you are no longer in medical school, then your opportunities for clinical experiences in the United States are much more limited. Very few medical schools or hospitals allow visiting physicians, but you may be able to use your medical school alumni network or other contacts. One option is the American Medical Association (AMA) Observership Programs. If you can only do an observership, some ways to show your skills include offering to help the interns by calling consulting services; give daily 5-10 minute presentations on questions that come up on rounds; accompany the interns during admissions and ask to present these admissions during rounds; and write up case reports, case series, and review papers.

Ask mentors to advocate for you: A personal call from a mentor that knows you well can help get your application looked at by the residency program director. Use this sparingly because you don’t want to overwhelm your mentor or the residency program, but asking the mentor to advocate for your application with one or two programs is reasonable.

Consider doing research: Doing research is a good way to improve your application, at least for programs that are focused on developing future researchers. If you do research at a U.S. hospital, it may also be a way to get a foot inside the door. Your research mentor may be able to provide you with clinical opportunities, and may know the residency program director and advocate for you. However, if you spend many years doing research, residency programs will be worried about the steep learning curve of reintroducing yourself into clinical medicine. In addition, community-based programs may not value research experience as much. 

Advocate for yourself: You can reach out to programs to ask for early decisions because of international travel or coordination with other interviews. It is usually best to contact the program coordinator (contact details are in FREIDA) rather than the program director because recruitment season is a busy time of year. You should also make sure that the program downloaded your application (which you can track in ERAS), and you can contact the program for updates if you have not received an invitation or a rejection. 

Once you receive a request for an interview, see the NEJM Resident 360 blogpost on Applying for Residency for information and guidance on the interview process. 

Program Ranking and the Match

After interviews, applicants rank programs in the NRMP’s Registration, Ranking, and Results (R3) system . As noted above, you must register with the NRMP (the Match). Applicants submit a list of programs where they wish to train, ranked in order of preference. At the same time, program directors submit a list of applicants, ranked in order of preference, whom they have interviewed and wish to train. The final preferences of applicants and program directors, as expressed on their rank order lists (ROLs), that determines the Match outcome.

Registration for the Main Residency Match opens September 15 through the third week in February. You will owe a late fee if you register after November 30.

Ranking opens on January 15.

Results of the Main Residency Match are released the third week in March. 

Eligible applicants who do not match to a program can participate in the Supplemental Offer and Acceptance Program (SOAP), in which positions left unfilled after the matching algorithm has been processed are offered to eligible applicants. NRMP provides resources on participating in the Match, as well as data and reports on results of the Match that can be helpful as you consider your options and your competitiveness.

Once you have a spot in the program, you will apply for a state medical license and a visa and start packing! Good luck!

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Kick Start your career in the USA as Research Professional

For Foreign or International Medical Graduates (IMGs), pursuing a career in medicine in the US is not always easy. The journey to becoming a doctor in the US is long, tiring, and expensive. If you are struggling to complement your career in the US, there are several research career opportunities where you could leverage your existing degree, knowledge, and background and can have job satisfaction. Employment opportunities in the clinical research industry are increasing with over 70,000 jobs in research. At NLCR, we provide the necessary training to get your foot into the industry as a Clinical Research Coordinator so you can earn up to $50,000* in the first year.

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International Medical Graduate (IMG)

General information.

What is an International Medical Graduate?

An International Medical Graduate (IMG) in the United States is a physician who has graduated medical school from outside of the United States or Canada.  They comprise about 25% of the U.S. physician workforce.

An IMG may be a U.S. citizen or permanent resident (“Green card” holder), or a citizen of another country.

An IMG applying to subspecialty fellowships may have completed an ACGME accredited residency, or may have completed residency-equivalent training abroad.

What is ERAS?

The Electronic Residency Application Service (ERAS®) transmits applications, letters of recommendations, performance evaluations, transcripts and other supporting material from applicants to program directors. ERAS is supported by the Association of American Medical Colleges (AAMC) .

What is NRMP?

The National Resident Matching Program® (NRMP®) is a non-profit organization that supports a standardized residency and fellowship selection process. The NRMP manages the Main Residency Match® and the Specialties Matching Service® (SMS), which includes matches for more than 40 subspecialty fellowships, including Infectious Disease.

What is ECFMG?

The Educational Commission for Foreign Medical Graduates (ECFMG, https://www.ecfmg.org   ) is the organization which certifies IMGs’ credentials. They are designated by the Department of State to sponsor physicians requiring J-1 visas for medical training.

What is ACGME?

The Accreditation Council for Graduate Medical Education (ACGME, https://www.acgme.org   ) sets and monitors compliance with standards for internship, residency and fellowship programs across all medical specialties in the United States.  They accredit programs and ensure the education program meets standards.

What is ACGME-I?

ACGME-I is the international arm of the ACGME.  They provide voluntary accreditation to medical training programs outside the United States.

What is ABIM?

The American Board of Internal Medicine is the not-for-profit organization which oversees board certification in internal medicine and its subspecialities, including infectious diseases and nephrology.  www.abim.org

What are licensing requirements for training?

There are 71 MD and DO licensing boards in the United States. Each jurisdiction has specific requirements which may differ whether you are applying for a training license or a full, unrestricted license.  Visit https://www.fsmb.org/contact-a-state-medical-board/ to find the medical board for your jurisdiction .

What is FCVS?

The Federation Credentials Verification Service (FCVS) is a service of the Federation of State Medical Boards (FSMB) to store and verify core medical credentials such as diplomas, transcripts, Medical Student Performance Evaluations (MSPE or “Dean’s Letter”).

One advantage for an IMG to use FCVS is that many state boards will accept medical school credentials verified and stored by FCVS, reducing the need to provide original documentation for subsequent license applications.

When applying for a job, all the state licensing boards require verification of the credentials. FCVS is a convenient method of preserving essential qualifications that can be utilized across various state medical boards. These boards depend on this standardized and centralized system to acquire education information that has been verified from primary sources for individuals seeking licensure.

Kentucky, Louisiana, Maine (Medical), Massachusetts, Nevada (Osteo), New Hampshire, Ohio, Rhode Island, South Carolina, Utah (Medical), Utah (Osteo), the Virgin Islands and Wyoming require an FCVS Profile for all applicants for licensure.

New York and North Carolina require FCVS Profile for IMGs

All states accept FCVS credentialing.

J-1 vs H-1B–What is the difference?

The majority of US GME programs will sponsor a J-1 visa; an H1-B visa may be sponsored if specifically requested by the applicant. Upon completion of training in the US, J-1 visa trainee holders must return and work in their home country for 2 years before becoming eligible for any immigrant or temporary worker visa like H-1B. A J-1 visa can be extended for a maximum of 8 years.  Applicants for an H-1B should have passed all 3 steps of the USMLE.

Although less common, some GME programs will sponsor trainees to obtain H-1B visa. An H-1B visa is for temporary workers in specialty occupations including medical professions. H-1B visa does not have the 2-year home residency requirement; however, it can only be extended for up to 6 years.

Table 1: Comparison of J-1 and H-1B visas

Does the subspecialty/fellowship program accept candidates on J-1 visas?

The majority of the programs in the US do, especially as ECFMG (Educational Commission for Foreign Medical Graduates) sponsors J-1 visas. However, if you are on H1-B visa status prior to joining a fellowship, you should specifically disclose and consult with the fellowship training program about further sponsorship.

Check the FREIDA database for this information: https://freida.ama-assn.org/

What is a J-1 waiver position? 

A J-1 waiver job is usually offered in areas that are considered to be ‘medically underserved’ for a particular field. The most common J-1 waiver scheme, the Health and Human Services Exchange Visitor Program (aka Conrad 30), each state has a limit of 30 waiver positions.  However, some states’ Departments of Health may use up to 5 of its 30 annual J-1 waiver slots to place physicians in geographic locations which are not medically underserved provided patients who reside in medically underserved areas will be treated by the physician. The slots are known as the “FLEX 5″ slots. Use of these slots is entirely within the discretion of the state department of health and states who do not use all of their 30 slots are likely to be the most receptive to using the FLEX5 slots. 

Other J-1 waiver schemes are discussed below.

Are there other waivers other than the Conrad-30?

The following waivers are alternative pathways to Conrad-30. There is no cap on the number of applications approved in each state. Applications are reviewed all year.

• Interested Government Agency (IGA) waiver: This waiver is for physicians who have employment offers from US governmental agencies like National institute of Health (NIH), Veterans Affairs, or the CDC. The agency can submit a request on the physician’s behalf.
• Appalachian regional commission (ARC) waiver: to obtain this waiver, physicians must have a job offer from a healthcare facility located in the Appalachian region which includes a limited number of counties in 13 states.
• Delta Regional Authority (DRA) waiver: similar to ARC waiver, physicians must be sponsored by employers in the delta region which includes Alabama, Arkansas, Illinois, Kentucky, Louisiana, Mississippi, Missouri and Tennessee.
• Southeast Crescent Regional Commission (SCRC) waiver: a new program that started in 2022 which accepts waiver requests in facilities located in Virginia, North Carolina, South Carolina, Georgia, Alabama, Mississippi, and all of Florida.
• The US Department of Health and Human Services (HHS) waiver: this waiver is for physicians who seek positions in mental health or primary care. Physicians commit to work in health professional shortage areas (HPSA) for 3 years. Physician graduation from their residency program must be no more than 12 months before the date of employment.
• Hardship waiver- An individual applicant may petition for a waiver if departure from the United States for 2 years would place an undue hardship on the applicant’s US citizen/permanent resident spouse or child.  Consultation with a qualified attorney is recommended.
• Persecution waiver–An individual applicant may petition for a waiver if departure from the United States to their home country would place them at risk for oppression based on race, religion or political beliefs. Consultation with a qualified attorney is recommended.

How likely are you able to land a J-1 waiver spot as a sub-specialist once you graduate?

There are J-1 waiver spots across the country that might be the best fit for you (which needs a bit of research). However, most of them are in underserved areas and preferably for primary care physicians or internal medicine doctors.

Hence, it can turn out to be competitive to land a J-1 waiver spot for a subspecialist, especially in your location of choice.

Under the Health and Human Services Exchange Visitor Program (aka Conrad 30), each state has a limit of 30 waiver positions. The method in which spots are allocated is determined by each state, and thus varies across the nation. It is important to learn about waiver timelines and application process in your state of interest when looking for a waiver position. The best advice is to apply early during each application cycle.  

What is your preference post fellowship? Academics/research vs private practice vs community practice?

If you wish to go into academics after fellowship, this may be somewhat more challenging to do on a J-1 waiver. Although there are some academic institutions that can sponsor J-1 waivers, most waiver positions are available in community hospitals/clinics. Keep in mind that a waiver is a three-year minimum contract, so it is possible to move into academia once you have completed your waiver. The process of transitioning to permanent resident status (Green card holder) begins after you fulfill the 3-year waiver requirement and it lasts ~2 or more years depending on your country of birth.

Should you plan to do fellowship soon after medical residency if you are on a visa?

The situation will vary from person to person depending on their personal and professional circumstances. Some will consider long term academic goals. Some candidates might have to take their financial situation into consideration, also your visa situation is a telling factor. For example, IMGs from countries like Mexico, Philippines, India, and China especially might have a wait time of many years prior to obtaining  permanent residency status in the US, which might be crucial especially if they have a family.

Also important to note for J-1:

In order to maintain J-1 visa status, you must transition directly to another training program. Therefore, fellowship should be pursued immediately after residency. Alternatively, it is also possible to complete a J-1 waiver after residency and transition to a different visa or permanent resident status for fellowship afterwards.

When should I start looking for a J-1 waiver position?

Typically, you should begin the search for a J-1 waiver position 1.5 years before you graduate.

Do I need to be board -eligible or board-certified for a job after fellowship?

The majority of job openings are listed with criteria as “Board certified or board eligible”. To our experience, larger tertiary and academic hospitals tend to prefer experienced candidates, with probably a few years of experience post-graduation or with teaching experience.  Board eligibility is often acceptable, but board certification always adds strength to your application.  Most employers will want you to be board certified within 3 years of hire.

Are there any tips for looking at J-1 waiver jobs and “non J-1” jobs and finding a way to make them a J-1 waiver?

When looking for J-1 positions, it is helpful to use various job search websites (see below). Keep some criteria in mind and use filters to help narrow your job search (for example location, inpatient vs. outpatient, call schedule). Most job postings will specify whether a J-1 visa waiver can be sponsored, but it may be worth reaching out to the recruiter for further details if a job is of particular interest. Health systems can cover a broad region and may support J-1 waivers at certain clinics/hospitals, despite not advertising this.

80% of US counties don’t have ID physicians (Walensky et al.  Ann Int Med, 2019).  Similarly, there is a mismatch between supply and demand for nephrologists in parts of the United States ( Fraher et al, ASNData, 2017 ).  For this reason, you may ask if a J-1 waiver position is negotiable even if it is not advertised as such. There are multiple ways of obtaining a J-1 waiver position, however it can be tricky to obtain a perfect matching job. It is always recommended to seek advice from an attorney who is versed in J-1 waiver positions. It is prudent to have your attorney work closely with the hiring hospital’s attorney.

Some popular sites for finding jobs include:

• https://www.nejmcareercenter.org/
• https://www.healthecareers.com/
• https://practicelink.com
• https://practicematch.com
• https://doccafe.com

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International Medical Graduates: Getting Hands-On US Clinical Experience

• October 8, 2023

Table of Contents

Getting Hands-On US Clinical Experience in the US healthcare system is extremely valuable for international medical graduates (IMGs) looking to advance their medical careers. Whether you are seeking residency in the US or want to strengthen your CV, hands-on US clinical experience can provide you with the clinical skills, networking opportunities, and residency application boost you need. Read on to learn about the different types of US clinical experience available to IMGs and how to make the most of this experience.

Gaining hands-on clinical experience in the US as an IMG can be a challenging but rewarding endeavor. With competition for US residency positions at an all-time high, US clinical experience has become an almost essential component of a strong residency application. This first-hand exposure to the US medical system provides IMGs with invaluable clinical training while demonstrating their commitment to US residency programs.

In this article, we will explore the various forms of US clinical experience open to IMGs, discuss how to obtain these opportunities, highlight the key benefits, and provide tips for getting the most out of your US rotations. Whether you are a medical student or an IMG, this guide will outline how to advance your medical career through impactful US clinical experience .

Types of US Clinical Experience for Getting Hands-On US Clinical Experience

There are several main types of US clinical experience available to international medical graduates:

 Observerships

Observerships, also known as clinical shadowing programs, allow you to shadow physicians and learn about medical specialties by observing in a clinical setting. Observerships are typically 1-4 weeks long and are primarily observational, with minimal hands-on practice. They provide excellent specialty exposure and networking opportunities.

Externships

Externships are 4-12 week clinical training programs where you will work under limited supervision, actively participating in patient rounds and care. Externships provide more hands-on experience than observerships.

Clerkships are longer clinical rotations, usually 4-12 weeks, where you take on supervised roles managing patients, similar to a medical student. Clerkships provide excellent hands-on clinical training.

Many hospitals and universities offer research programs where you can gain experience conducting clinical research. These research opportunities help strengthen your academic CV.

Clinical Electives

Some US medical schools offer clinical elective rotations where international medical students can gain clinical experience under supervision. These are extremely competitive but provide outstanding US training.

Getting Hands-On US Clinical Experience as an IMG

As an IMG, navigating the complex process of obtaining US clinical experience can be challenging initially. Here is an overview of the key steps:

Meet Eligibility Requirements

IMGs must meet certain eligibility criteria to participate in US clinical training programs. This typically includes having passed USMLE Step 1 and 2, obtaining ECFMG certification, and meeting specific visa requirements.

Contact Program Directors

Once you identify programs you are interested in, reach out to the program director via email or phone to inquire about eligibility and availability. Provide an updated CV highlighting your credentials and motivation.

Apply to Programs

Many hospitals, medical schools, and companies offering US clinical training will have online application forms to submit your background, objectives and schedule availability. Some programs have rolling admission whereas others have fixed cycles, so apply early.

Obtain Funding

Unfortunately, most US clinical experience programs do not provide stipends or funding. You will need to finance the program fees, travel/housing costs, and living expenses yourself. Some external scholarships are available.

Complete Program Requirements

Once accepted, fulfill all program requirements in a timely manner. This can include paperwork, payments, obtaining medical liability insurance, visas, travel logistics, and more. Stay organized!

The Benefits of Getting Hands-On US Clinical Experience

Completing hands-on US clinical rotations as an IMG provides numerous lifelong benefits beyond just strengthening your residency application.

Gain Valuable Clinical Experience

The exposure to real patients in US hospitals and clinics under attending physician supervision is invaluable. You will be able to vastly improve your clinical skills, medical knowledge, and hands-on capabilities.

Understand the US Medical System

By training directly in US healthcare facilities, you will gain first-hand experience with the American medical system. This includes learning electronic medical records, interdisciplinary teams, residency training, insurance/payments, and overall best practices.

Network with Colleagues and Mentors

Your supervising physicians and fellows can become invaluable mentors and advocates who provide clinical teaching, career guidance, and letters of recommendation. Networking expands your professional opportunities.

Build Your Residency Application

US clinical experience demonstrates your commitment to training in America. It strengthens your CV, prevents gaps, provides US letters of recommendation, and gives you talking points for residency interviews.

Prepare for Residency

The clinical and technical skills, medical knowledge, and professional behaviors gained during US rotations will help prepare you to excel as a resident. You will have an easier transition to residency training.

Setting Yourself Up for Success

Here are some key tips for IMGs looking to maximize their growth from US clinical experience:

• Research extensively – Thoroughly research each program, specialty, and hospital before applying. Prioritize well-regarded university hospitals.
• Strategically choose specialties – Select specialties that align with your career goals and need for growth. Consider applying both to your desired specialty and internal medicine for maximum exposure.
• Set learning goals – Set personal learning objectives for your rotations to identify gaps and direct your focus. Share goals with your supervisors.
• Act professionally – Be on time, dress professionally, show initiative, ask thoughtful questions, and always be respectful. Your professionalism speaks volumes.
• Network intentionally – Develop connections with attendings, residents, administrators – these can lead to letters of recommendation, research opportunities, career guidance and more.
• Soak up the experience – Keep an open mind, embrace challenges. The more engaged and active you are on rotations, the more you will take away from the experience.
• Maintain ECFMG/visa status – Ensure your ECFMG, USMLE, visa status and other requirements stay valid throughout rotations to avoid disruptions.

Conclusion: Invest in Advancing Your Medical Career 

While certainly requiring much planning, dedication and financing, obtaining hands-on US clinical experience provides unmatched growth opportunities for international medical graduates. The clinical exposure, mentorship, networking and residency application strength offered by these US rotations can be integral in transforming you into the competitive residency applicant you strive to be. Take control of your career and take the leap to gain experience in America’s medical system!

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Your Guide to a Successful Match: 100 IMG-Friendly Programs with Visa Sponsorship and USMLE Score Cutoffs

When applying for residency, IMGs encounter certain challenges such as visa sponsorship and USMLE score cut offs  you need to overcome these to stand out in a competitive crowd. This is where the idea of “IMG-friendly” programs comes into play. Your chances of matching can be greatly increased by being aware about which programs have a history of accepting IMGs.  In a process where every detail counts, having the right information can be the difference between matching and missing out. Our blog is an invaluable resource. We help you focus your applications effectively by offering comprehensive insights into which programs are IMG-friendly, along with details on states, USMLE score cutoffs and visa sponsorship information. Your efforts can be directed towards programs that match your credentials, rather than squandering time and money on ones that have a poor track record of enrolling IMGs. 100 IMG friendly Internal Medicine Programs: Internal Medicine is one of the most sought-after specialties among IMGs because of its wide range of applications and diverse fellowship options. The acceptance of IMGs varies in different residency programs. While it’s important to research each program individually, here is a list of 100 Internal Medicine programs known for being IMG-friendly! Program State USMLE Score  %IMGs Visa  Program ID University of Arkansas for Medical Sciences (UAMS) College of Medicine Program Little Rock, AR Step 1 – pass Step 2 – cut off 230  22.7% H1BJ1 1400421030 Mayo Clinic College of Medicine and Science (Scottsdale) Program Scottsdale, AZ Step 1 – passStep 2 – pass 11.7% H1BJ1 1400321512 Bridgeport Hospital/Yale University Program Bridgeport, CT Step 1 – pass Step 2 – cut off 245 96.6% H1BJ1 1400811074 Quinnipiac University Frank H Netter MD School of Medicine/St Vincent’s Medical Center Program Bridgeport, CT Step 1 – passStep 2 – cut off 220 77.8% H1BJ1 1400811075 Danbury Hospital Program Danbury, CT Step 1 – passStep 2 – cut off 220 95.3% H1BJ1 1400811076 Greenwich Hospital/Yale University Program Greenwich, CT Step 1 – pass Step 2 – pass 26.2% H1BJ1 1400821079 Yale-New Haven Medical Center Program New Haven, CT Step 1 – pass Step 2 – pass 15% H1BJ1 1400821085 Norwalk Hospital/Yale University Program Norwalk, CT Step 1 – pass Step 2 – pass 96.2% H1BJ1 1400831086 Howard University Program Washington, DC Step 1 – pass Step 2 – pass 10% H1BJ1 1401021461 Mayo Clinic College of Medicine and Science (Jacksonville) Program Jacksonville, FL Step 1 – pass Step 2 – pass 15.7% H1BJ1 1401121509 Cleveland Clinic (Florida) Program Weston, FL Step 1 – pass Step 2 – cut off 235 75% H1BJ1 1401121528 Piedmont Athens Regional Program Athens, GA Step 1 – pass Step 2 – cut off 220 98.8% H1BJ1 1401200928 Atrium Health Navicent the Medical Center/Mercer University School of Medicine Program Macon, GA Step 1 – pass Step 2 – pass  36.8% H1BJ1 1401221491 MercyOne North Iowa Medical Center Program Mason City, IA Step 1 – pass Step 2 – pass  37.3% H1BJ1 1401800140 Cook County Health and Hospitals System Program Chicago, IL Step 1 – pass Step 2 – pass 79.2% H1BJ1 1401612113 Ascension Illinois/Saint Francis Program Evanston, IL Step 1 – pass Step 2 – cut off 240 85.3% H1BJ1 1401611126 University of Illinois College of Medicine at Peoria Program Peoria, IL Step 1 – pass Step 2 – cut off 220 64.3% H1BJ1 1401631131 Boston University Medical Center Program Boston, MA Step 1 – pass Step 2 – cut off 220 10.3% H1BJ1 1402431164 Berkshire Medical Center Program Pittsfield, MA Step 1 – pass Step 2 – pass 91.7% H1BJ1 1402411179 Mass General Brigham/Salem Hospital Program Salem, MA Step 1 – pass Step 2 – cut off 225 88% H1BJ1 1402412180 UMass Chan-Baystate Program Springfield, MA Step 1 – pass Step 2 – pass 48.6% H1BJ1 1402411181 St Agnes HealthCare Program Baltimore, MD Step 1 – pass Step 2 – pass 97% H1BJ1 1402312156 Ascension St John Hospital Program Grosse Pointe Woods, MI Step 1 – pass Step 2 – pass 74.1% H1BJ1 1402511191 Ascension Providence/MSUCHM Program Southfield, MI Step 1 – pass Step 2 – pass 80% H1BJ1 1402511203 St Luke’s Hospital Program Chesterfield, MO Step 1 – pass Step 2 – cut off 235 82.9% H1BJ1 1402821219 Mercy Hospital (St Louis) Program Saint Louis, MO Step 1 – pass Step 2 – pass 29.2% H1BJ1 1402831217 SSM St Mary’s Hospital-St Louis Program St Louis, MO Step 1 – pass Step 2 – cut off 230 92.3% H1BJ1 1402811220 University of North Dakota Program Fargo, ND Step 1 – pass Step 2 – pass 37.6% H1BJ1 1403721326 SUNY Upstate Medical University Program Syracuse, NY Step 1 – pass Step 2 – cut off 230 74.3% H1BJ1 1403521316 Westchester Medical Center Program Valhalla, NY Step 1 – pass Step 2 – pass 26% H1BJ1 1403511317 Akron General Medical Center/NEOMED Program Akron, OH Step 1 – pass Step 2 – cut off 220 52% H1BJ1 1403811328 Christ Hospital Program Cincinnati, OH Step 1 – pass Step 2 – cut off 225 16.6% H1BJ1 1403811331 TriHealth (Good Samaritan Hospital) Program Cincinnati, OH Step 1 – pass Step 2 – cut off 220 98.9% H1BJ1 1403831332 The MetroHealth System/Case Western Reserve University Program Cleveland, OH Step 1 – pass Step 2 – no cut off  17% H1BJ1 1403811336 Cleveland Clinic Foundation Program Cleveland, OH Step 1 – pass Step 2 – no cut off 29% H1BJ1 1403812339 Case Western Reserve University/University Hospitals Cleveland Medical Center Program Cleveland, OH Step 1 – pass Step 2 – no cut off 17.7% H1BJ1 1403821335 Cleveland Clinic Foundation/Fairview Hospital Program Cleveland, OH Step 1 – pass Step 2 – cut off 240 95.6% H1BJ1 1403821340 Western Reserve Health Education/NEOMED Program Warren, OH Step 1 – pass Step 2 – cut off 220 92.5% H1BJ1 1403831350 St Elizabeth Youngstown Hospital/NEOMED Program Youngstown, OH Step 1 – pass Step 2 – no cut off 88% H1BJ1 1403811349 Abington Memorial Hospital Program Abington, PA Step 1 – pass Step 2 – cut off 230 68% H1BJ1 1404112358 St Luke’s University Hospital Program Bethlehem, PA Step 1 – pass Step 2 – no cut off 18.8% H1BJ1 1404131360 Geisinger Health System (Danville) Program Danville, PA Step 1 – pass Step 2 – cut off 220 35.8% H1BJ1 1404111362

The Medical Residency Application Process 2025: How IMG Helping Hands Can Assist You

Have you ever wondered what it truly takes to secure your dream residency in an ever-evolving medical landscape? As we step into 2025, the residency match process has transformed significantly, especially with the recent changes to the United States Medical Licensing Examination (USMLE). Navigating the medical residency application process can be overwhelming, but with the right guidance and preparation, you can successfully match into the program of your dreams. Here’s a comprehensive guide to help you through every step of the way, and how IMG Helping Hands can support you throughout this journey. Comprehensive Application Review Your residency application is your first impression on program directors. IMGHH offers a thorough review service to ensure your application stands out: A compelling personal statement can set you apart from other applicants. IMG Helping Hands offers: Our experts meticulously review your ERAS application, providing feedback to highlight your strengths and address any weaknesses. We guide you in selecting the best recommenders and ensure your LoRs are impactful and well-written. Strategic Planning and Timeline Management Navigating the match process requires careful planning. Our agency helps you stay organized and on track with a personalized timeline: We provide a detailed timeline, outlining each step from application submission to Match Day, ensuring you meet all deadlines. Research and Extracurricular Activities A well-rounded application goes beyond academic performance. We assist you in enhancing other critical components: We connect you with research projects relevant to your specialty, helping you gain valuable experience and strengthen your CV. We guide you in selecting meaningful extracurricular activities and leadership roles that align with your career goals. Top Residency Programs 2025 While many factors contribute to the ranking of residency programs, some consistently stand out due to their comprehensive training, research opportunities, and strong mentorship. IMG Helping Hands provides insights and connections to: We help you understand what these programs look for in applicants and how to tailor your application to fit their criteria. Residency Match Timeline 2025 Understanding the timeline for the residency match process is essential. IMG Helping Hands provides: Residency Specialties in Demand 2025 Certain specialties are expected to be in high demand in 2025. IMG Helping Hands offers guidance on pursuing specialties such as: We help you understand the trends and prepare your application accordingly. Residency Match Results 2025 Match results can be a mix of joy and disappointment. IMG Helping Hands supports you in navigating Match Day and beyond: Post-Match Guidance Our support doesn’t end on Match Day. We continue to assist you with the next steps: We help you prepare for the transition from medical school to residency, offering tips on acclimating to your new role. Our career advisors work with you to develop a long-term career plan, ensuring you are on the right path to achieving your professional goals. IMGHH is dedicated to guiding you every step of the way, from crafting a standout application to excelling in interviews and beyond. With our comprehensive support, you can navigate the match process with confidence and secure a residency that aligns with your aspirations. Let us help you turn your dreams into reality. Contact us today to start your journey to success!

Visa and Immigration Process for IMGs: A Comprehensive Guide

For IMGs, to practice medicine in USA is more than just passing USMLE and securing a residency; it also involves surfing through the intimidating visa processes. Each stage is critical and demands meticulous attention to detail, from comprehending the different visa options to obtaining sponsorship and completing the application process successfully. Are you an International Medical Graduate (IMG) dreaming of practicing medicine in the United States but feeling overwhelmed by the visa and immigration process? In this blog, we will simplify the complex visa and immigration procedures for international medical graduates (IMGs), providing you with the details and strategies you need to successfully manage this crucial phase of your career. This guide is your road map to success whether you’re just beginning to consider your options or are well into your application process. Understanding Visa Options for IMGs The J-1 visa, also known as the Exchange Visitor Visa, is commonly used by IMGs for residency training. It is sponsored by the Educational Commission for Foreign Medical Graduates (ECFMG). The H-1B visa is a non-immigrant work visa that allows IMGs to work in the U.S. in various professions, including medicine. The O-1 visa is for individuals with extraordinary achievements or merits in their profession. Steps to Obtain a J-1 Visa Steps to Obtain an H-1B Visa Obtaining an O-1 Visa Waivers and Extensions If a waiver is granted, the J-1 visa program’s home residency requirement will not apply. Tips for a Smooth Immigration Process Conclusion Taking the leap from being and IMG to a practising physician in USA is a rewarding yet demanding path. Remember, each IMG has their own story to write. So stay informed, stay organized, and seek support when needed. The visa and immigration process may seem like an overwhelming challenge, but it is certainly achievable with perseverance, careful planning, and the right resources. Contact IMGHH to know more about the visa process and which options will take you towards your dream of practising medicine in USA. Welcome to the next chapter of your medical career in the United States!

The Medical Residency Application Process 2025

Are you ready to embark on one of the most transformative journeys in your medical career? The residency match process is a pivotal step for medical students transitioning from academic training to clinical practice. Navigating the medical residency application process can be overwhelming, but with the right guidance and preparation, you can successfully match into the program of your dreams. Are you prepared for the next big step in your medical career? The 2025 residency match process, with its new dynamics following the changes to the USMLE, is more competitive and demanding than ever. With Step 1 now a pass/fail exam, how will you stand out among thousands of aspiring physicians? Let’s dive in and explore how you can make your application shine and secure the residency of your dreams. Strengthening Your Application With Step 1 now pass/fail, Step 2 CK scores play a critical role in distinguishing applicants. Aim for a high score to demonstrate your medical knowledge and clinical reasoning skills. Strong performance in clinical rotations is essential. Seek diverse experiences and build positive relationships with attending physicians to secure impactful LoRs. Engage in research projects, especially those relevant to your desired specialty. Active participation in extracurricular activities, leadership roles, and community service can enhance your application. Craft a compelling personal statement that reflects your journey, motivations, and suitability for your chosen specialty. Be authentic and highlight experiences that shaped your career aspirations. How to Match into Residency 2025 Matching into a residency program requires careful planning and a strategic approach. Here are the key steps to follow: Residency Interview Tips 2025 The residency interview is a critical component of the application process. Here are some tips to help you succeed: Medical Residency Personal Statement Examples 2025 A compelling personal statement can set you apart from other applicants. Here are some tips and an example to help you craft a strong statement: Example: “I have always been fascinated by the intricate workings of the human body, which led me to pursue a career in internal medicine. During my clinical rotations, I encountered diverse patient populations and complex medical conditions, which reinforced my passion for this specialty. My experience volunteering at a free clinic further solidified my commitment to providing compassionate care to underserved communities. I am eager to continue my training at a residency program that values both clinical excellence and community service.” Residency Match Timeline 2025 Understanding the timeline for the residency match process is essential. Here are the key dates to keep in mind for 2025: Residency Specialties in Demand 2025 Certain specialties are expected to be in high demand in 2025. These include: Residency Match Results 2025 Match results can be a mix of joy and disappointment. Here are some tips for navigating Match Day: By focusing on diverse application components, staying organized, and seeking guidance, you can navigate the process successfully and secure a residency that aligns with your career goals. Embrace this journey with confidence and resilience, knowing that each step brings you closer to your dream of becoming a practicing physician. Join IMGHH to strengthen every aspect of your profile for Match 2025! For more detailed information on how to navigate the residency application process, check out our comprehensive guide: The Medical Residency Application Process 2025: How IMG Helping Hands Can Assist You.

Exploring Medical Research Scholarships in the USA: Opportunities, Requirements, and Application Process

Pursuing medical research in the United States offers unparalleled opportunities for academic growth, access to cutting-edge technology, and the ability to work alongside leading experts in various fields. Securing a scholarship can significantly alleviate the financial burden and provide additional support for your research endeavors. This blog provides a detailed guide on various medical research scholarships in the USA, how to apply for them, and the requirements needed to avail these opportunities. 1. National Institutes of Health (NIH) Postdoctoral Fellowships Overview: The NIH offers a variety of postdoctoral fellowship programs aimed at fostering the development of biomedical researchers. These fellowships support research across a broad spectrum of biomedical disciplines. Key Programs: Eligibility: Benefits: Application Requirements: How to Apply: 2. Howard Hughes Medical Institute (HHMI) Fellowships Overview: HHMI offers fellowships for exceptional early-career scientists to conduct independent research. The institute focuses on transformative research across various biomedical fields. Key Programs: Eligibility: Benefits: Application Requirements: How to Apply: 3. American Heart Association (AHA) Research Fellowships Overview: The AHA provides numerous grants and fellowships to support cardiovascular and cerebrovascular research. These programs aim to foster the next generation of researchers in heart health. Key Programs: Eligibility: Benefits: Application Requirements: How to Apply: 4. American Cancer Society (ACS) Research Fellowships Overview: The ACS offers various fellowships aimed at supporting innovative cancer research. The programs cover multiple stages of career development, from doctoral students to independent investigators. Key Programs: Eligibility: Benefits: Application Requirements: How to Apply: Tips for Applying 1. Start Early:    Begin your application process well in advance. This allows ample time to gather necessary documents, draft and revise your research proposal, and secure recommendation letters. 2. Follow Guidelines:    Carefully read and adhere to the application guidelines provided by each scholarship program. This ensures your application meets all the criteria and increases your chances of success. 3. Seek Mentorship:    Consult with mentors or advisors who can provide guidance on your research proposal and application materials. Their insights can be invaluable in refining your application. 4. Highlight Your Strengths:    Emphasize your research experience, achievements, and the potential impact of your proposed research. Strong applications clearly demonstrate how the research aligns with the goals of the funding organization. Conclusion Securing a medical research scholarship in the USA requires thorough preparation, a clear understanding of the application requirements, and a compelling research proposal. These scholarships not only provide financial support but also offer opportunities for professional growth and collaboration with leading experts in the field. By following the guidelines and tips provided, you can enhance your chances of obtaining a scholarship and advancing your research career. For more detailed information and specific application deadlines, please refer to the respective program websites: – [NIH Postdoctoral Fellowships](https://www.training.nih.gov) – [HHMI Fellowships](https://www.hhmi.org) – [AHA Research Fellowships](https://professional.heart.org) – [ACS Research Fellowships](https://www.cancer.org) Explore these opportunities and take the next step in your medical research career! At IMGHH, we recognize the importance of research experience in residency training and are committed in shaping the future of healthcare, one resident at a time. Join our mentorship opportunities, as we provide residents with the knowledge, skills, and confidence to thrive in the dynamic field of medical research.

A Comprehensive Guide for International Dentists to Practice in the USA

Embarking on a journey to practice dentistry in the United States is a dream for many international dentists. In the vast landscape of American dentistry, there exists a thriving community of professionals from diverse cultural backgrounds, each bringing a unique perspective and skill set to the table. A dentist from halfway across the globe, driven by a passion for healing and a desire to make a difference, sets foot on American soil with a vision to practice dentistry in the land of opportunity. The road ahead may seem daunting, fraught with challenges and uncertainties, yet brimming with potential and promise. Whether you’re a seasoned practitioner with years of experience under your belt or a fresh-faced graduate, you can make a successful transition to practicing dentistry in the USA. Have you ever wondered what it takes to turn that dream into reality? Join us in this blog as we unlock the doors to a world of opportunity in American dentistry. 1. The Growing Demand for Dentists in the USA It’s an excellent opportunity to be a dentist in the US, especially with the scarcity of dentists the country is currently experiencing. From 2016 to 2026, the U.S. Bureau of Labour Statistics anticipates a 19% increase in the number of dentist jobs. The aim is to serve underserved areas where population density is increasing, and dental coverage is below the recommended minimum of one dentist per 5,000 residents. HRSA estimates that USA would need more than 10 thousand new dentists to eliminate this shortage. According to a survey conducted in 2022, an average annual wage for dentists in USA was $155,040! 2. Understanding the Requirements and Licensure Process for Dentists in the USA International dentists who wish to practice in the USA typically need to go through a process called “credentialing” or “licensure.” Here’s a general outline of the steps involved: 3. Navigating the Process: A Step-by-Step Guide for International Dentists in the USA The transition process for international dentists is time consuming and requires consistency. However there are several key steps that can make your journey a lot easier. Remember, the key to success in the NBDE lies not only in using the right study materials but also in developing a strategic study plan, sticking on the study materials that suit you best, practicing regularly, and seeking clarification on challenging topics. 4. Overcoming Challenges and Enhancing Your Application: Tips for International Dentists Like any significant transition, this path is promising but comes with its challenges. The journey awaits, and the possibilities are limitless. There are common challenges encountered by international dentists. A couple of strategies can make you a strong candidate and well suited for the job. Cultural Adjustment: Pro tip: Actively engage in cultural immersion experiences, such as shadowing American dentists or participating in cultural exchange programs to acclimate to American culture and healthcare practices. Dental Experience in United States: Most international dentists obtain US experience by working as dental assitants. It will get you hands on experience as well certification. A recommendation letter from a U.S. dentist you have worked with is often requested by many programs. To have a well-rounded application, assemble a diverse range of experiences, such as volunteer work and community service in the US. Establishing Networks: Pro tip: Attend dental conferences, seminars, and networking events to connect with colleagues and potential referral sources. Join professional organizations and online forums. Build connections with experienced dentists who can offer guidance and support in transitioning to US healthcare system. The journey of international dentists to practice in the USA is a testament to resilience, determination, and unwavering passion for dentistry. By understanding the requirements and navigating the process diligently, international dentists can break barriers and and make a meaningful impact in American healthcare. Follow and reach out to IMGHH to know more about the requirements, exam formats and prepare for licensure.

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• International Medical Graduates
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The University of Minnesota welcomes International Medical Graduates (IMGs) to GME residencies and fellowships. On this webpage you will find information on IMG Eligibility, IMG Support & University of MN Social Group, ECFMG Certification, J-1 | J-2 Eligibility, J-1 | J-2 Application Process, J-1 | J-2 Application Timeline, J-1 | J-2 International Travel Requirements, & H1-B Visas.

International Medical Graduate (IMG) Definition

An International Medical Graduate (IMG) is a physician who received their basic medical degree or qualification from a medical school located outside the United States and Canada. The location of the medical school, not the citizenship of the physician, determines whether the graduate is an IMG. This means that U.S. citizens who graduated from medical schools outside the United States and Canada are considered IMGs.

IMG Eligibility & ECFMG Certification

+ eligibility.

Per the  Eligibility and Selection of Residents/Fellows Policy , to qualify for a residency/fellowship at the University of Minnesota, International Medical Graduates (IMGs) must meet all criteria found in the policy and provide documentation of one of the following:

• A  currently valid certificate from the Educational Commission for Foreign Medical Graduates (ECFMG) ,  or
• An unrestricted license to practice medicine in a U.S. state,  or
• Successful completion of a Fifth Pathway Program in an LCME-accredited medical school in the United States.

+ ECFMG Certification

Any incoming resident or fellow who is an international medical graduate (img) must be ecfmg certified prior to beginning in their training program, per the institution policy on eligibility and selection of residents/fellows ..

IMGs MUST have their ECFMG Certificate before beginning work in a residency or fellowship program.  Medical students who are concerned about timing should work with their medical schools to request timely verification.  Some medical students have requested and been granted early diplomas by their medical schools, which helps expedite the process.

For more information about ECFMG Certification view the ECFMG Certification Webpage

Canadian & Puerto Rican Graduates

Graduates of medical schools in the United States (including Puerto Rico) and Canada are not considered IMGs and therefore are not required to obtain ECFMG Certification.  An ECFMG Identification Number is issued to graduates of Canadian medical schools only for purposes of Exchange Visitor Sponsorship (J-1 visa).

Visas (J-1 Alien Physician | H1-B Employment Visa)

+ j-1 visa application process | application timeframes, j-1 application process.

The University of Minnesota's ECFMG Training Program Liaisons (TPLs) will guide you through the J-1 visa application process via email and a detailed checklist.

Your J-1 application process starts when your program notifies the UMN TPL that you will be joining or continuing in the program for the coming academic year.  After the program has confirmed you, the application process proceeds through these steps:

• The TPL will contact you (via email from [email protected] ) with instructions and a link to the appropriate application checklist. More information on checklist material can be found on the ECFMG website.
• The applicant will collect the documents and information outlined in the checklist and submit them to the TPL via Smartsheet form.
• Once ALL application documents are received, the TPL will initiate your online application in ECFMG's EVNet system, upload the supporting documents, and notify you by email of your next steps.  Read more about ECFMG's online application system here .
• The applicant will log into their OASIS account to review their online application.  The applicant will complete all remaining required information and pay the administrative/application fee.  The application cannot proceed until the applicant complete their online portion in OASIS.
• ECFMG will review the application, working through the TPL to address any questions or gather any additional documents needed from the applicant.
• Once ECFMG has approved the application, they will create a DS-2019 and mail it directly to the TPL.
• The TPL will notify the applicant via email that the DS-2019 has arrived and outline your next steps to receive it.  

J-1 Application Timeframes

The earliest ECFMG can issue your DS-2019 is six months prior to your start date.  In October, the TPL will email all continuing and known new UMN J-1 trainees to share application instructions (see Step 1 above).  New residents matching via the national Match Day in March will receive their instructions via email during the first week in April.

If you have a J-2 spouse dependent who is working, it is very important that you submit your J-1 and J-2 dependent application to the TPL as soon as possible.  Please note that for those J-2 dependents who need an Employment Authorization Document (EAD) card, the renewal process for the EAD card is lengthy and can take up to 6 months.

Average J-1 application processing times

Standard applications (for ACGME-accredited programs):

• 4-6 weeks (during the busy season--March, April, May, June, July)
• 2-4 weeks (during the non-busy season)

Non-standard applications (for non-accredited programs and any applications requiring Department of State review):

• 6+ weeks (during the busy season--March, April, May, June, July)
• 4-6 weeks (during the non-busy season)

Please submit your application materials early to avoid processing delays!

+ J-1 | J-2 International Travel & Travel Validation on DS-2019

ECFMG strongly discourages international travel unless absolutely necessary.

World events of the last few years have introduced changes that have a direct effect on international travel for foreign nationals. Security and background checks, along with other security-based initiatives have, in some cases, caused delays in visa issuance at U.S. consulates. These delays have in turn compromised physicians’ return to the United States in a timely fashion. 

If travel is absolutely necessary, it is important that, prior to any departure from the United States, ECFMG-sponsored physicians are aware of the documents they and their dependents must have in order to reenter the United States in J-1 or J-2 status.

The following sections provide basic information on some of the more popular travel-related questions asked by J-1 holders and program coordinators. 

View more detailed information on international travel on the ECFMC website . The preparation for International Travel dropdown will outline all of the appropriate documents you will need to be readmitted in the US in J-1 status.

Canadian Citizens 

Canadian citizens do not require a J-1 visa stamp in their passport. It is easy for customs to assume that you are traveling to the US as a visitor. If you travel to Canada from Minnesota over the border, or at the airport, ensure that your I-94 states J-1 status and not a visitor status. J-1 status allows the University of Minnesota to employ and pay you.

• It is good practice to check your status every time you return from Canada on the I-94 website.
• USCIS Boarder Control Contact Center 

Travel Validation on DS-2019 Form

Ensure that the travel signature and date on your Form DS-2019 on the bottom right hand corner is valid. The date is good for one year once signed by the Responsible Officer at ECFMG (Ex. Signed 5/24/2023- Good until 5/23/2024).

If your travel date has expired or will expire when you are abroad, you must request a duplicate DS-2019 form. Please allow 30 days for this request to be processed.

• Fill out the Request for Duplicate DS-2019
• Send the filled out form to the TPL at [email protected]
• The TPL will sign and upload the document to your OASIS Appointment Profile for ECFMG review
• Once reviewed ECFMG will send the DS-2019 form with travel validation signature to the TPL
• The TPL will notify you once it arrives and where to pick it up

+ J-1 Eligibility

The J-1 alien physician visa is sponsored by the Education Commission for Foreign Medical Graduates (ECFMG) and is the preferred visa of University of Minnesota Medical School residencies and fellowships. 

Please check the program manual of the program you are interested in to verify if J-1 visa sponsorship is allowed in your program. 

Eligibility

International Medical Graduates (IMGs) and non-IMGs (i.e. graduates of LCME-Accredited U.S. or Canadian Medical Schools) who require visa sponsorship may be eligible for J-1 visa sponsorship.  For more information, please see the UMN-GME Institution Visa Sponsorship Policy and the UME GME Eligibility and Selection Policy.

Note: All IMG J-1 Applicants must be ECFMG-certified before applying for J-1 visa sponsorship.

+ H1-B Employment Visa

The J-1 alien physician visa is the preferred visa of University of Minnesota Medical School residencies and fellowships.  As an institution, the University of Minnesota also allows for residents and fellows to be sponsored on H-1B visas.  However, each program determines whether H-1B visas are appropriate for their program.

When interviewing, applicants should use the GME Visa Sponsorship - Applicant Information form as part of their conversation with the program regarding visa sponsorship needs.  Not all programs offer H-1B visas, so it is important to discuss your visa needs openly and early so you and the program can plan appropriately.

Review our Visa Sponsorship Policy for further information about H-1B requirements.

IMG Social Group | Resources

The IMG Social Group is made of IMGs (international medical graduates) residents/fellows/medical students/residency applicants who want to support IMG healthcare professionals orient themselves in the new US environment and integrate them in their new role at the University of Minnesota (UofM).

• The IMG Social Group provides content for the IMG Resource Google Site. Questions you may have on how to connect with the group via Whatsapp, DEI initiatives in your program, J-1 specific information, travel information, moving to Minnesota, all can be found on this site.

+ Information and Resources

• Educational Commission for Foreign Medical Graduates (ECFMG) Certification Requirements
• The IMG Social Group provides content for the IMG Resource Google Site.
• Join the IMG Social Group Whatsapp Chat
• ECFMG Resources 
• Pre-Arrival Information for J-1 resident and fellows

International Medical Graduate (IMG) Orientation

Each summer the GME office holds a special IMG Orientation Session for all incoming residents and fellows who are IMGs, new to the University of Minnesota, and also new to the US Medical System. 

University of Minnesota IMG Social Group

• The IMG Social Group provides content for the IMG Resource Google Site.   Questions you may have on how to connect with the group, DEI intiatives in your program, J-1 specific information, travel information, moving to Minnesota, all can be found on this site.

International Student and Scholar Services (ISSS)

The  ISSS website  contains a wealth of information to support international students throughout their time at the University, including:

• English Language Opportunities at the University of Minnesota
• Identification Documents

+ Related links

• ECFMG Website   
• U.S. Citizenship and Immigration Services  
• University of Minnesota International Student & Scholar Services  
• U.S. Department of Homeland Security website  
• U.S. Department of State website  
• U.S. Department of State J-1 Visa Exchange Visitor Program website

Institutional Policies Regarding IMGs

• ECFMG/J1 Visa Holders: Documentation Requirements for FMLA
• Institution International Medical Graduates Policy
• Institution Visa Sponsorship Policy  

Education & Training

• Incoming Residents & Fellows
• Current Residents & Fellows

J-1 Visa questions:   Contact Christy Illig via email at [email protected]

Orientation session for IMGs (International Medical Graduates) questions:   Contact Christy Illig at [email protected]

Application questions: Contact the  individual program  to which you plan to apply for information about eligibility and their application process.

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Clinical Research Full Time jobs in United States

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Found 12 jobs

Associate director (ad) in the radiation research program (rrp).

• Rockville, Maryland
• Commensurate with education and experience
• National Cancer Institute (NCI)

The National Cancer Institute (NCI) is recruiting for an Associate Director (AD) in the Radiation Research Program (RRP).

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Nanyang Assistant Professorship (NAP)

• Singapore (SG)
• Nanyang Technological University

NTU invites outstanding early-career researchers (postdoctoral fellow or equivalent) to apply for an appointment as a Nanyang Assistant Professor.

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Senior Director for Clinical Study

• Globally competitive, can offer additional support based on individual qualifications and needs.
• SINOVAC LIFE SCIENCES CO., LTD.

Qualification and Requirements MD or PhD on oncology/immunology/another relevant field. 5+ years clinical experience in cancer treatment, especia...

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Laboratory Manager - Atherosclerosis Clinical Research

• Houston, TX
• Baylor College of Medicine

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Associate or Full Professor Neuroimager Faculty Position

• Competitive
• The Mesulalm Center

The ideal candidate would have an active research program that synergizes with the mission of the MCCNAD

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Tenure Track Associate Professor/Professor - Imaging Center Director

• East Lansing, Michigan
• Commensurate with experience
• Michigan State University Department of Radiology

MSU Radiology invites you to apply for the role of Inaugural Director for our newly established Center for Imaging and Image-Guided Therapies.

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Staff Scientist

• West Haven, Connecticut
• See job description.
• Yale University -

Staff Scientist University Job Title: Research Support Specialist 4 Bargaining Unit: None - Not included in the union (Yale Union Group) Tim

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Senior Director, Clinical Research (MD required)

• Collegeville, Pennsylvania, United States;

Job Description ROLE SUMMARY The purpose of the Senior Director of Clinical Research role is to coordinate and lead the development of first in m...

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Senior Director, Vaccine Clinical Research & Development (MD required)

The clinician medical monitor should be able to function independently and have direct experience with all the steps in designing and delivering re...

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Director, Clinical Research (MD required)

The clinician medical monitor is accountable for providing medical and scientific expertise and oversight for Clinical Trials and serves as a singl...

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Assistant Professor or Higher

• El Paso, Texas
• Compensation is commensurate upon the qualifications
• Texas Tech University Health Sciences Center El Paso -Department of Molecular and Translational Medicine

Assistant Professor or Higher Department of Molecular and Translational Medicine Center of Emphasis in Infectious Diseases  The Department of Molec...

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Post Doctoral Fellow - Indiana University School of Medicine (IUSM) - Department of Ophthalmology

• Indianapolis, Indiana
• Salary will be commensurate with experience and will adhere to current IUSM guidelines
• Indiana University School of Medicine - Department of Ophthalmology

Our research focus is retinal cell biology with the goal of discovering small molecule therapy for photoreceptor degenerative disorders.

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Vice President- Vaccine Clinical Research & Development

• Collegeville, Pennsylvania, United States;United Kingdom - MarlowCambridge, Massachusetts, United States;

The primary purpose of the job is to oversee and ensure that vaccine clinical research and development program(s) are planned and implemented to me...

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Faculty Positions – Assistant, Associate and Full Professor

• Miami, Florida
• The University of Miami offers competitive salaries and a comprehensive benefits package.
• Miami Miller School of Medicine - Desai Sethi Urology and Sylvester Comprehensive Cancer Center

Seeking outstanding scientists for faculty positions at the assistant through full professor levels with experience in genitourinary cancers.

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AMWA Supports International Medical Graduates

• International Medical Graduates

The American Medical Women’s Association has an active, growing community of International Medical Graduates (IMGs). We recognize the valuable contributions that IMGs bring to the United States’ patient care workforce and want to provide a network of support and resources for IMGs as you seek to practice medicine.

Whether you are an IMG just starting on your journey, a practicing physician who began your career as an IMG, or even a physician who is ready to help mentor IMGs, we hope that you will participate in this effort. IMGs who are looking to complete a residency in the US can become a member of AMWA at the resident rate for a modest flat rate that includes all pre-residency and residency years. The code: IMG gives 15% off. Join here and select resident membership (use code: IMG at checkout).

• How To Prepare Your ERAS Application (September 5, 2024)
• OET Writing Workshop (July 10, 2024)
• OET Speaking Workshop (June 27, 2024)
• Bootcamp for Interns: Everything You Need to Know Before Your Residency Training (June 13, 2024)
• IMG Webinar: How to Succeed as an Intern (April 25, 2024)
• Unmatched: Strategies to Improve your CV (February 22, 2024)
• Rank Order List (ROL) Tips & Tricks (February 8, 2024)
• How Do IMGs Navigate Research for Residency? (Jan 25, 2024)
• Mock Interview Workshop – (November 30, 2023)
• OET Series with OET Expert, Jack Waas ( Tips and Tricks – Oct 19 ; Reading – Nov 9 ; Listening – Dec 14 )
• The Kidney Path with Dr. Maria Veronica Rodriguez (October 30, 2023)
• From Mediocre to Memorable: Crafting Unforgettable and Authentic Interview Responses in Four Steps (September 21, 2023)
• Insights on the IMG Journey from Crafting Your Story to Conquering the Match: Insights from Experts – including a panel or residency program directors  (September 7, 2023)
• Medical Communications Workshop (Feb. 22, 2023)
• IMG Coffee Chat Meenakshi Jolly, MD, MS – Associate Program Director for Rush Rheumatology Fellowship Program (January 25, 2023)
• IMG Coffee Chat: Does the Shoe Fit? Finding a residency program that is the best fit for you. (Nov. 23, 2022)
• IMG Coffee Chat: Interview Prep for the Match  Jessica Zlotcavich – Career Counselor, Founder, Prep4Residency (Sept. 28, 2022)
• IMG Coffee Chat Dr. Parneet Grewal – Neurologist, Assistant Professor, Medical University of South Carolina (Aug. 24, 2022)
• IMG Coffee Chat: How to Write Your CV for ERAS and Other Formats (July 27, 2022)
• IMG Coffee Chat: Let’s Talk About ERAS (June 22, 2022)
• IMG Presents: Things You Wish You Had Known Before Your Intern Year (June 14, 2022)
• IMG Coffee Chats – Focus on Research  Sebastian Arruarana, MD, Founder The Project IMG (May 19, 2022)
• IMG Coffee Chat: Internship Survival Tips – An IMG Perspective Tenesha Moody, MD (April 21, 2022)
• Coffee Chat: IMG Perspectives (March 17, 2022)

Dr. Farzana Hoque is an Associate Professor of Internal Medicine in the Division ofospital Medicine and the Co-Director of the Medicine Acting Internship at Saint Louis University School of Medicine. She also serves as the inaugural Medical Director of Bordley Tower at SSM Health Saint Louis University Hospital. Dr. Hoque has received numerous prestigious awards, including the Caring Physician Award, the Attending of the Quarter Award, and the Excellence in Professionalism Award from Saint Louis University Hospital. She was honored with the Clinical Award: Physician of the Year by SSM Health, representing the solo physician selected from all hospitals in St. Louis, Missouri. Additionally, she was recognized as a ’40 Under 40′ honoree by the St. Louis Business Journal and “Unsung Hero” by the Society of Hospital Medicine. The American College of Physicians has selected Dr. Hoque to receive the Young Achiever Award for three consecutive years. She has been invited as a speaker at national, and international conferences and has over 40 publications. Dr. Hoque is the President of the Society of Hospital Medicine St. Louis Chapter. She is a Fellow of the Royal College of Physicians of the UK & a member of the prestigious Alpha Omega Alpha Honor Medical Society.

Yazmin Heredia is a Mexican Medical Graduate from the Universidad Autonoma de Yucatan. She is currently collaborating on diverse projects as Associate Author in First Aid, as a Scholar Rx Student Advisory Council member, and as a leadership team member at The Clinical Problem Solvers. During the past year, she has been an AMWA member and participated in the Anti-Racism Committee and the PATH group as the Public Relations student co-chair. She developed a passion for Public Health, Medical Education, and Health Equity throughout her medical training. As an international graduate, she is eager to further the IMG initiative to provide ethical and accessible assistance to more trainees on their journey. She looks forward to applying to the Internal Medicine Residency in the upcoming Match cycle.

Dr. Méndez Colmenares is a medical doctor and cognitive neuroscientist specializing in advanced white matter imaging. With a Ph.D. in Cognitive Neuroscience from Colorado State University, USA, her research focused on white matter decline and plasticity in aging populations using advanced MRI techniques. Dr. Mendez is currently a postdoctoral researcher at the BRAiN Lab in Colorado. She aims to integrate patient care, research, and education as a physician-scientist in the future. Dr. Mendez is also actively involved in initiatives supporting neurology applicants and research career development for international medical graduates.

Mayver Gonzalez MD is a Venezuelan Doctor currently working as Clinical Research Coordinator II at Baylor College of Medicine, specifically at The Treating Obesity with Precision Laboratory (TOP) where her research is focused on Rare Genetic Disorders of Obesity in children and adults, and the development of new treatments to fight against obesity. Dr. Gonzalez is passionate about science, and health disparities in underserved communities, and she advocates for the Latinx culture. She strongly believes knowledge is power. She is committed to helping others to achieve their goals through education. Dr. Gonzalez’s goal is to become a Geriatrician in the United States.

Andrea Anampa-Guzmán is a medical student at Universidad Nacional Mayor de San Marcos. She performs research for the Department of Medicine at the Roswell Park Comprehensive Cancer Center. Anampa-Guzmán is an assistant producer of the DEI shift, a podcast of the American College of Physicians (ACP). She is part of the team of the #HemOnc Fellows Network. She is interested in medical education, survivorship, and global oncology. Andrea Anampa-Guzmán has published over 20 research articles and numerous awards, including the MOLA-Michael Reese Foundation Scholarship, AACR Global Scholar-in-Training Award, and Conquer Cancer Foundation Annual Meeting Research Award.

Raquel Horowitz is a graduate of the Central University of Venezuela Medical School. She is passionate about primary care, research, and global health. She is currently a PGY-2 Family Medicine Resident at TBHC in NYC. She participates as a teaching assistant in the PPCR Program at Harvard T.H. Chan School of Public Health. She enjoys volunteering in the Endurance Promise Mission with the US Navy, providing care for low-income populations in South America. Dr. Horowitz is part of the Team producing the Spanish version of the AFP podcast of the American Academic of Family Physicians.

AMWA IMG STUDY GROUPS

AMWA is forming study groups for USMLE Step 1, 2, and 3 and OET Medicine. Looking to push yourself and keep motivated while studying? Join AMWA IMG Study groups to gain support, learn from experts, and develop new skills. Language exchange program beginning soon! For more information, sign up here . For more information, contact [email protected].

Guides & Workbooks

A comprehensive “how to” guide based on personal experience. DOWNLOAD

AMWA IMG NMatch2024 Research Tips Guide

AMWA members – download our new workbook for Observerships

IMGs in the U.S.

According to the American Medical Association, IMGs represent approximately 25% of licensed physicians in the United States in 2020. The percentage is even higher within certain specialties, like internal medicine, pediatrics, family medicine and psychiatry, though IMGs remain underrepresented in leadership and within medical associations. This Pathway to Medical Licensure in the United States published by the Federation of State Medical Boards provides a good overview of the different tracks for medical training.

The number of women IMGs has continued to rise, though this particular group often faces additional challenges. These challenges may include domestic responsibilities or lack of childcare support in addition to the traditional barriers that many IMG’s encounter — limited networks, difficulties in obtaining U.S. Clinical Experience (USCE), and the penalty that comes from taking “too many” gap years.

Graduate Medical Education and ECFMG Certification

Graduate medical education is the training that follows medical school and includes both residency and fellowship training in programs accredited by the ACGME (Accreditation Council for Graduate Medical Education).

To be eligible for applying to ACGME accredited residencies or fellowships, IMGs must be certified by the ECFMG (Educational Commission for Foreign Medical Graduates). This section provides resources in the certification process and requirements. Due to COVID-19, the Step 2 Clinical Skills (CS) exam was suspended for 2021, so additional pathways have been offered to achieve ECFMG certification. Starting in 2024, only graduates from a formally accredited medical school will be eligible for ECFMG certification. Learn more about the ECFMG 2024 Accreditation Requirement . The ECFMG Certificate Holders Office provides support and services to ECFMG-certified physicians.

• ECFMG Certification Fact Sheet
• ECFMG Certification 2021 Information Booklet
• Requirements for ECFMG Certification for 2021 Match
• Requirements for ECFMG Certification for 2022 Match

The ECFMG also has specific ERAS® (Electronic Residency Application Service®) Support Services to help graduates in the electronic residency application process.

Visas & Other Documents Required for Work in the U.S.

There are different types of non-immigrant and immigrant visas that IMGs may choose from in order to pursue residency training in the United States. Information about these options is available from the AMA here: Immigration Information for International Medical Graduates . Learn more about the following U.S. Visas here:  B1/B2 Visa , J-1 Visa,   H-1B Visa, H-4 Visa ,  Immigrant Visa . *  Individuals who have applied for asylum may apply for permission to work in the United States a year after they file their asylum application.

*This list should be used as reference only and may be subject to change. Please visit governmental websites for additional information.

Building Experience in the U.S. Healthcare System

There are many ways for IMGs to strengthen their applications for a residency position as they pursue continuation of their medical training in the U.S. Clinical opportunities (clerkships, observerships, or externships) are important for IMG’s to gain clinical experience in the U.S. Yet finding these opportunities can be challenging. Clerkships are rotations undertaken as a medical student, while observerships and externships are shadowing experiences and hands-on experience respectively.

Many hospitals have established observership programs, but IMGs have also made their own contacts within the healthcare system to set up individual rotations. The American Medical Association (AMA) maintains a list of Observership Program Listings for International Medical Graduates .

IMGs may take on clinical positions in the U.S. while they are completing the necessary examinations and certification to apply for residency programs. These positions often enable them to gain relevant U.S. clinical experience and support themselves and their families. For example, as trained physicians (some have even completed residencies in their home country), IMGs can often readily gain certification as an medical assistant or surgical technician in most states. Research

IMGs may also pursue research to develop expertise in specific areas. Research networks can be a valuable way to advance scholarly work.

One of the greatest challenges that non-U.S. IMGs face upon arrival to the United States is the lack of mentorship. Professional networking for many may begin in college and medical school, and this can represent a disadvantage for those who leave their home country after graduation. Access to mentorship is vital to help bridge the gap between IMGs and U.S. graduates and helps IMGs obtain access to guidance, sponsorships, and opportunities to successfully integrate into the American healthcare system.

Impact of the COVID-19 Pandemic

The COVID-19 pandemic created extra challenges for IMGs looking to continue their medical careers in the U.S. as physicians. There have been changes in (1) certification requirements due to the cancellation of the Step 2 Clinical Skills test, (2) gaining relevant clinical experience due to canceled observerships and externships, (3) delays in visa processing, and (4) restrictions on entry into the U.S. For more information, please visit the ECFMG website.

Resources and Articles

Residency Program Requirements for International Medical Graduates (AMA) Foundation of International Medical Graduates (IMG) Professional Challenges of Non-US-Born International Medical Graduates and Recommendations for Support During Residency Training (Chen, Curry, et. al., Acad Med ) Immigrant Neurologists in the United States: The Path of Most Resistance  (Mahajan, et. al. Neurology ) Charting Outcomes in the Match: International Medical Graduates (National Resident Match Program) How IMGs Have Changed the Face of American Medicine (Brendan Murphy, AMA) Why IMG physicians are vital to U.S. health security (Andis Robeznieks, AMA)

Active Physicians Who Are International Medical Graduates (IMGs) by Specialty, 2017 (AAMC) States with Highest Numbers of Exchange Visitor Physicians (ECFMG, 2019) Specialties Pursued by Exchange Visitor Physicians (ECFMG J1 visa sponsorship, 2019) Results of the 2020 NRMP Program Director Survey (National Resident Match Program)

Resources by Specialty

Emergency Medicine: International Medicine Graduate (IMG) Emergency Medicine Applying Guide (Council of Residency Directors in Emergency Medicine) Family Practice: Residency Application Requirements for International Medical Graduates (AAFP) Internal Medicine: Guidance for International Medical Graduates (IMGs) Matching in Internal Medicine (ACP) Pediatrics: Section on International Medical Graduates Psychiatry: Navigating Psychiatry Residency in the United States

Resources for IMGs seeking Asylum

Supporting the Integration of Refugee and Asylum Seeking Physicians Into the US Health Care System (Namak, et. al., J of GME )   Immigration Service – Q and A: Asylum Eligibility and Applications

Perspectives on the Journey

Applying for Residency as an International Medical Graduate (Ole-Petter R. Hamnvik, MBBCh., BAO., MMS; Jan 2019) An Informed Transition? International Medical Graduates Settling in the United States and Canada (Rayes, et. al. Guide to Observership search in US for IMGs (Sivabalan Narayanan) Path to US Medical Residency for IMG (Sivabalan Narayanan)

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