How Foreign Medical Graduates Can Practice in the USA

In the United States, international medical graduates (IMGs) make up about 23 percent of the physician workforce. The process centers around assessments, additional training, and official certifications. The ACGME requires IMGs to complete additional training and hands-on clinical experience in the United States.

International graduates must pass the USMLE. One major requirement for Step 3 is earning an ECFMG Certificate. To obtain ECFMG certification, IMGs must meet several conditions including completing an ECFMG Pathway, passing the Clinical Knowledge exam, submitting an online ECFMG application with Form 186, and meeting World Directory requirements.

If your medical diploma, transcripts, or credentials are not in English, you must submit certified translations. A certified translation includes a signed statement confirming the accuracy and completeness of the translation. Sure Translation provides certified translations that are accurate, confidential, and accompanied by a signed certificate of accuracy. Sure Translation is ATA Corporate Member with easy online ordering, certified translations starting at $18 per page, and standard delivery in 1–3 business days.