Those doctors thinking about practising medicine in the United States would have definitely heard about the USMLE. International Medical Graduates (IMGs) from all parts of the world flock to the United States to build their medical career. The United States is home to a top-notch healthcare industry and has made several groundbreaking discoveries in the field of medicine.
Apart from the vast scope and great career potential in the United States, global doctors are also attracted to several factors like educational opportunities, global recognition, research and innovation, and so on.
Let us learn more about what it takes to become a licensed doctor in the United States.
The United States Medical Licensing Examination (USMLE) is a 3-step examination that is the gateway to medical licensure in the United States. This exam is formulated in such a way that the competence of the International Medical Graduates is thoroughly assessed. Apart from theoretical knowledge, the candidate’s application of medical concepts in real work scenarios, clinical reasoning, patient interaction, and the ability to make informed decisions, are put to test.
Clearing the USMLE indicates that you are eligible to provide safe and effective care in the United States.
There are certain requirements that need to be met by the International Medical Graduate to be eligible to appear for the USMLE. As mentioned before, the USMLE is a 3-step examination.
Let us understand the eligibility requirements for each step.
The candidate should meet any one of the following eligibility criteria.
To register for the USMLE exam, this pathway should be followed by international medical graduates and students.
Go to the website and initiate the process to request a USMLE/ECFMG identification number. Upon initiation, you will be redirected to a new window featuring a form where you can input your details and submit the necessary information. Expect to receive your ECFMG ID and password, which can be changed according to your preferences, approximately two weeks after submission.
Sign in to your ECFMG account and choose the application tab. Complete the form, providing accurate details, and make the necessary payment for the USMLE exam fee. Additionally, carefully select your eligibility period, keeping in mind that you have a three-month window to schedule your test.
Once the payment of the USMLE exam fee is done, you'll get a link for Form 183 within the same window. Complete the form, obtaining the required signature and stamp from your medical school's Dean. It is crucial to verify that the Dean's signature aligns with the one on your ECFMG records. Clearly communicate this requirement to your medical school's office staff, as any disparities in signatures may result in the rejection of your form.
This should be posted to the address given below.
3624 Market Street
Philadelphia, PA 19104-2685
Approximately 2-3 weeks after sending Form 183 by mail, ECFMG will email you your scheduling permit. This document is crucial and must be brought with you on your exam day. Take the time to carefully review the permit, ensuring that all the details mentioned in it are accurate.
Head to the Prometric website, the authorised testing service for all USMLE exams. Choose USMLE, specify your testing location, and select your preferred exam date within your eligibility period. Finalise the booking process by entering the details specified in the scheduling permit.
The decision for IMGs to migrate to the US is arrived at with various factors, encompassing educational, professional, economic, and personal considerations. The US healthcare system's reputation, opportunities for career advancement, and the overall environment make it an attractive destination for many international medical professionals.The skill assessment process before the USMLE exams is a multifaceted journey that goes beyond testing theoretical knowledge. It's a dynamic exploration of a candidate's clinical competence, communication skills, and overall readiness for the responsibilities that come with being a medical professional. Aspiring doctors who embrace and excel in this process lay a solid foundation for success in the USMLE and, ultimately, in their medical careers.
Q. Can Indian doctors work in the US?
Ans. Yes. Indian doctors can work in the US if they qualify the USMLE exam and meet the eligibility criteria.
Q. How many steps are there in the USMLE?
Ans. The USMLE consists of three steps: Step 1, Step 2 (which includes Clinical Knowledge and Clinical Skills), and Step 3.
Q. Can I retake a USMLE exam if I don't pass?
Ans. Yes, you can retake USMLE exams; however, there are limitations on the number of attempts allowed and specific waiting periods between attempts. Check the USMLE policies for detailed information on retaking exams.
Q. How is Step 2 divided, and what is the Clinical Skills component?
Ans. Step 2 is divided into Clinical Knowledge (CK) and Clinical Skills (CS). The CS component assesses the ability to gather information from patients, perform physical exams, and communicate findings to patients and colleagues.
Q. What is the purpose of each USMLE step?
Ans. Step 1 assesses foundational medical knowledge, Step 2 assesses clinical skills and knowledge, and Step 3 evaluates a physician's ability to apply medical knowledge and understanding of biomedical and clinical science.
Dr. Akram Ahmad is a clinical pharmacist and lecturer with over 10 years of teaching and research experience across various subjects of medicine in India, Malaysia and Australia. He is an educationist and a medpreneur with extensive knowledge of the global healthcare diaspora. Through his articles, videos and engaging sessions, he always aims to impart unexplored knowledge about the healthcare world to interested students and professionals.