Residency In Canada For Foreign Medical Graduates - What is an International Medical Graduate (IMG)? Eligibility Requirements for IMGs in the US Eligibility Requirements for IMGs in Canada Steps to Standing as an IMG on Your Residency Application Guide to Preparing for Your Residency Interview
If you completed your medical education outside of Canada or the United States, but you want to practice medicine in those countries; You are considered an International Medical Graduate (IMG). As IMG seeks to qualify for residency programs in Canada or the United States, it is important to be aware of the challenges you must overcome in order to compete successfully. In this blog, Eligibility criteria for IMGs in Canada and the US; You will learn how to prepare your residency application, including your personal statement, and how to prepare for the desired residency interview.
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To compete in the USA and Canada as IMG; You must first learn how the IMG is structured in both countries. Let's start with the United States.
International medical graduates aiming to fit in America are divided into 2 main groups: US IMGs and non-US IMGs. US IMGs are US citizens who have graduated from international medical schools, while non-US IMGs are non-US citizens who have graduated from international medical schools. Non-US citizens who graduate from US or Canadian medical schools are not considered IMGs. Basically, The United States considers anyone who graduates from a non-US MD or DO school, regardless of nationality, to be an international medical graduate. That is, if you are a US citizen studying at one of the Caribbean medical schools. You are a US IMG; Students who are French citizens Let's say a medical school graduate in the US does not have an IMG. It is important to note that Canadians who graduate from one of Canada's 17 medical schools are not considered IMGs. Canadian citizens are eligible to apply for residency through CarMS and ERAS simultaneously. If you are a Canadian citizen eligible for US residency; You must apply to the Commission on Foreign Medical Graduate Education (ECFMG) and obtain a J-1 visa to practice in the US. This process will be outlined later in this blog.
On the other hand, In Canada, Your citizenship or residency status directly affects your right to participate in CaRMS. You must be a Canadian citizen or permanent resident of Canada to be eligible for the contest. Although some Canadian medical schools accept US students and international applicants; They are not eligible to participate in the event unless they are Canadian permanent residents or citizens. Otherwise, Any Canadian citizen who has graduated from an international medical school (including the US) is considered an IMG.
Now that we understand what IMG is in each country; Let's take a look at how the event works and what you can do as an IMG to increase your chances.
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First, You need to know how work fits into living. In both Canada and the United States, the same process is facilitated by the use of a computer algorithm. Each applicant submits a Rank Order List (ROL) of priority programs; Each Program Director submits the ROL of preferred candidates. The algorithm then matches the applicant's rated programs with the program director's rated candidates. In Canada, these lists are entered into the Canadian Resident Matching Service (CaRMS). CaRMS is a national organization that provides an electronic application and computer matching service for admissions and residency positions across Canada. In the United States, They participate in the National Residency Match Program (NRMP) which conducts matches. The Electronic Residency Application Service (ERAS) is used in most U.S. resident matching programs.
Before proceeding, Don't forget to assess how competitive you are for your chosen programs. To do this, Use our Residency Match Calculator to help you strategize which programs and specializations are the best fit for you.
The Match is a system used to match students to US residency programs. Not all programs use The Match, but most do. Programs that choose to participate are required to register for each position and attempt to fill it to ensure a fair process. Before IMGs begin applying for residency positions; They must meet several requirements.
As we have already discussed; US medical schools have their own definitions of international medical graduates. The location and accreditation of the medical school attended is dependent on whether the graduate is an IMG or not. It determines the citizenship of the graduate. This means that US citizens who have graduated from medical schools outside the United States and Canada are considered IMGs. Non-US citizens who graduate from medical schools in the US and Canada are not considered IMGs. The Education Commission for Foreign Medical Graduates (ECFMG) evaluates whether IMGs are ready to enter residency programs in the United States. Before you can take the USMLE or begin a graduate medical education program, you must be accredited by the ECFMG. ECFMG coordinates the ERAS application process for international medical graduates.
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Submit an application for ECFMG certification before applying for their exam. Consult the World Directory of Medical Schools to confirm the eligibility of international medical graduates from your school.
Medical education entry requirements include a physician's degree in medical school and the World Directory of Medical Schools listing two degrees; Credit awarded for at least four years of medical school; Includes documentation of completion of all credits and receipt of a final medical degree at a recent medical school. Transcripts.
The accreditation process begins when you apply to ECFMG for a USMLE/ECFMG identification number. Once you receive this number, you can use it to complete the application for the ECFMG certificate. Once you have submitted your application for certification, you can apply for the exam. Because one of the requirements of the certification is the verification of your medical school diploma; You cannot complete the entire certification process until you graduate. With this said, you can apply for the required exams once you qualify the exam. All required exams are offered throughout the year.
You don't want to waste your time and money applying to countries that have limited practice permits or that don't recognize international medical schools rather than the full World Medical School Directory, so be sure to check their website beforehand. It is important to check your eligibility with each US state and program before applying.
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Each medical specialty has specific information regarding general or special application requirements, including whether IMGs are admitted. Application deadlines vary between programs. Be sure to confirm your schedule deadline.
Program requirements for each residency position are usually listed on their websites. They include two years of medical school graduation; The types of visas accepted or the number of USMLE attempts allowed. Make sure you understand your program's residency requirements before applying.
The Federation of State Medical Boards (FSMB) updates state-by-state information for residencies. You can use this site to find out if you can get a license in a particular state while you live there. Some states, such as California, have a list of accredited international medical schools that are eligible for in-state licensure. Some states have limits on the number of USMLE attempts.
To participate in US graduate medical programs; Non-citizen international medical graduates must obtain the appropriate visa. The two most common visas are the H1-B (Temporary Worker) or the J-1 (Exchange Visitor). Some organizations provide visas for residents of residency programs, so it would be wise to check your program.
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ECFMG is also authorized by the US State Department to sponsor foreign doctors for J-1 visas. your residency program; Learn more about your visa application process from the U.S. Embassy or Consulate in your country of residence or from U.S. Citizenship and Immigration Services.
The Medical Council of Canada (MCC) provides requirements for the residency matching process. Be sure to check these requirements on their website before starting your applications. If you are an IMG who wants to apply for residency in Canada; These criteria are as follows.
You can take the NAC exam and MCCQE Part I in the program of your choice. Also, don't forget to write the exams before the program's due date. Please check when you need to submit test results and plan your tests accordingly with your program. You can find important schedule information for your application cycle on the MCC website. Please note that the US Medical Licensing Examination (USMLE) does not replace these exams.
The above list contains only the basic requirements that allow IMGs.
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