Residency programs in the USA

8/13/2019 Residency programs in the USA

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Residency Programs

In The United States


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Residency Programs


U.S. MedicalEducational System

4 years College/University

MCAT

Exam

Residency (3 to 7 years)

4 years Medical School

6 years Medical School


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Residency Programs


The International MedicalGraduate (IMG)

Anyone from an accredited 6 year program from

outside the U.S. Includes U.S. citizens with a non-U.S. education

Must be certified by ECFMG prior to patient

contact in the U.S.


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Residency ProgramsIn The United States

ECFMG Certification!

Assesses the readiness of

graduates of medical schoolsoutside U.S. and Canada to

enter U.S. residencies and

fellowship programs

Does not guaranteeacceptance into programs

Required for licensure testing

(USMLE Step 3)


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ECFMG AND USMLE

USMLE Step 1

USMLE Step 2

USMLE Step 1

USMLE Step 2(CK +CS)

USMLE Step 3

USMLEECFMG

Step 2Ck

Step 2Cs


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ECFMG CertificationRequirements

Exams

USMLE STEP 1:MedicalSciences

USMLE Step 2:

Step 2 CK (Clinical

Knowledge)Step 2 CS (Clinical Skills)

Credentials

Completion of allrequirements for finalmedical diploma

Receipt of final transcript

ECFMG verification ofcredentials


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Step 2 CK

Fees: $840 Nine-hour, multiple-choice, computer-based test Covers clinical sciences

Areas relevant to provision of care undersupervisionNormal conditions and disease of particular

organsPhysician tasks: diagnosis, understandingdisease mechanisms, establishing diagnosis,care management principles


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Scheduling USMLE Steps

Choose an appropriate three month eligibility

period and testing region. Send completed paper application and fee to

ECFMG or apply online using Interactive Web

Application (IWA).

Receive Scheduling Permit from ECFMG. Register and schedule a testing appointment with

Thomson Promteric.


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STEP 2 Clinical Sciences (CS)

Purpose of Step 2 CS

Description of Step 2 CS

Registration and scheduling

Scoring


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Purpose of Step 2 CS!

To ensure that graduates of

foreign medical schoolsdemonstrate the ability to

gather and interpret clinical

patient data and communicate

effectively at a level comparableto standard students graduating

from U.S. medical schools.


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Description of the Step 2 CS

One day, hands-on exam in limited U.S. sites Fifteen-minute examinations of twelve standardized

patients 10 minutes to compose the written record of the

encounter (Patient Note) Covers: internal medicine, surgery, obstetrics and

gynecology, psychiatry, family medicine and Pediatrics.

30 and 15 minutes break Tests

Data-gathering skills including medical history takingand physical examination skills in patient note

Communication / interpersonal skills

Spoken English language proficiency


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Scheduling Step 2 CS Fee: $1,200 On-line and paper application are available via the ECFMG

website. Applicants must take Step 2 CS within 12 months of their

registration date. Applicants can select a testing location, subject to

availability, at the time of scheduling.

Receive Permit from ECFMG. Exam is administered at five clinical skills evaluation

centers: AtlantaGeorgia, ChicagoIllinois, HoustonTexas, Los AngelesCalifornia & PhiladelphiaPennsylvania.

Check your Online Application Status & InformationSystem (OASIS) https://oasis2.ecfmg.org/


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Scoring Passing performances on all three components in a

single administration are required to obtain the

overall designation of passing on Step 2 CS. For ECFMG certification, there is no limit on

the number of attempts to enter Step 2 CS.

CS test can not be re-taken within 60 days of last

attempt.

CS test can not be taken more than 3 times in any

12-month period.

Results are finalized within 6 to 8 weeks after the

examination date.

Scores are reported in a Pass/Fail designation.


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Timing of Examinations

Must have completed three years of medical

school before applying to take any part of the

USMLE: Step 1, Step 2 CS, or Step 2 CK.

Tests may be taken in any order.

All three tests must be passed within a seven-

year period.

If all three are passed, results do not expire.


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Steps To Residency

USMLEStep 1

Step 2 CS

Matching

Programs

DS-2019

Acceptance

J1-VISA

ERAS

Step 2 CK


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Finding A ResidencyResidencies

The Graduate Medical Education

Directory (Green Book)

Accreditation Council for GraduateMedical Education (ACGME) database:http://www.acgme.org/adspublic/

Fellowships

International Fellowships inMedical Education (IFME)http://www.ecfmg.org/faimer/


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Applying to Residencies

ERAS (Sep. & Oct.)

Apply directly to program directors by using

the ERAS (Electronic Residency Application

Service).

ERAS transmits residency applications,

letters of recommendation, dean's letters,transcripts, and other supporting documents

to residency program directors via the

Internet.

http://www.ecfmg.org.eras


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ERAS and Residency Programs

Program coordinators can access the system

and check applicants requests.

Programs categorize applicants according to:

ECFMG test scores

previous clinical experience, recommendation letters

community service (volunteer work) etc.


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Residency Programs

The applicants are then invited for interviews.

Interview (Nov., Dec., & Jan.)

Applicants need to be qualified to meet theselection criteria. The ACGME endorsed generalcompetencies for residents in the areas of:

Patient Care Medical Knowledge Practice-Based Learning and Improvement Interpersonal and Communication Skills Professionalism Systems-Based Practice


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The Match National Resident Matching Program (NRMP) Applicants rank programs; programs rank

applicants NRMP application is separate from

ERAS/program applicationhttp://www.nrmp.org


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The Match

Applicants have to be aware of the options ofInside the Match

andOutside the Match

positions. However, its up to the programdirector to allocate positions in and outside thematch.

In February, after the interviews the applicantshave submitted their program preferences (Rankorder list) applicants rank their preferences andprograms rank their preferred applicants.


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Post Match Scramble

On the Tuesday of the match week

(third week of March) a list ofunfilled positions is posted on thewebsite.

It is very competitive and all

positions could literally be filledwithin an hour.


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Programs More chances of being accepted in certain

specialties such as Internal Medicine, Family

Medicine and Pediatrics than other fields likeOrthopedics or Ophthalmology.

Regular programs (3 - 4 years) in areas such asInternal Medicine, Family Medicine and Pediatrics

take only 3 years, Surgery is 5 years, Psychiatry is4 years and Neurosurgery is 7 years. Forsubspecialties like Cardiology, applicants have totake a 3 year program of Internal Medicine and

then Cardiology for another 3 years.


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Criteria for Acceptance

in Residency Programs

Exam scores

Past academic performance Recommendation letters

Patient Care

Medical Knowledge

Practice-Based Learning andImprovement

Interpersonal and Communication Skills

Professionalism

Systems-Based Practice


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Visa Application

Must contact U.S. Embassy/

Consulate once DS-2019received

Must guarantee intent toreturn home

Must apply for an interview asearly as possible


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Steps To Residency

USMLEStep 1

Step 2 CK

Step 2 CS

DS-2019

Matching

Programs

Acceptance

J1-VISA

ERAS


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Documents

Residency programs in the USA