Copyright©2004 by the Educational Commission for Foreign Medical Graduates (ECFMG®). All rights...

Copyright©2004 by the Educational Commission for Foreign Medical Graduates (ECFMG®). All rights Copyright©2004 by the Educational Commission for Foreign Medical Graduates (ECFMG®). All rights reserved.reserved. 11

ECFMG CertificationECFMG Certification

Assures residency program directors and the US public that the international medical graduate (IMG) has met minimum standards to enter US residency programsPrerequisite for all IMGs for:

Entry into ACGME-accredited GME Taking USMLE Step 3 State licensure J-1 visa sponsorship / ECFMG


Medical Education CredentialMedical Education Credential Requirements for ECFMG Requirements for ECFMG

CertificationCertificationEffective February 1, 2004Effective February 1, 2004

Complete a medical school curriculum of at least four academic years

Medical school and graduation year must be listed in the International Medical Education Directory (IMED).

Document completion of all requirements for, and receipt of, final medical diploma

Submit final medical school transcript Primary source verification of Medical

diploma and transcript by ECFMG


Examination Requirements Examination Requirements for ECFMG Certificationfor ECFMG Certification

Prior RequirementsPrior Requirements New RequirementsNew Requirements

USMLE Step 1 USMLE Step 1 Basic ScienceBasic Science

USMLE Step 1 USMLE Step 1 Basic ScienceBasic Science

USMLE Step 2 USMLE Step 2 Clinical ScienceClinical Science

USMLE Step 2 CK USMLE Step 2 CK Clinical KnowledgeClinical Knowledge

ECFMG Clinical Skills ECFMG Clinical Skills Assessment (CSA)Assessment (CSA)

USMLE Step 2 CSUSMLE Step 2 CS

Clinical SkillsClinical Skills

English language English language proficiency test proficiency test (TOEFL) (TOEFL)

Spoken English Spoken English component incorporated component incorporated into USMLE Step 2 CSinto USMLE Step 2 CS


Step 2 CS Replaces CSAStep 2 CS Replaces CSAJune 14, 2004June 14, 2004

NRMP “Match” Prerequisite ECFMG Certification USMLE Step 3 Prerequisite

Beginning July 1, 2005No expiration

CSA ended Spring 2004CSA ended Spring 2004


Visa Considerations in Visa Considerations in 20042004

IMG Applicant Prior U.S. Experience / Length of

Stay Visa history Overall educational plan

GME Program/Institution Contractual agreement Training requirements Visa policies & options

(J-1, J-2 , H-1 , O-1 )


ECFMG-SponsoredECFMG-Sponsored J-1 Exchange Visitor Visa J-1 Exchange Visitor Visa

Temporary, non-immigrant visa Full-time educational / training visa

NOT employment Two-year home residency obligation

INA §212(e) based on PL 94-484 Seven-year maximum for progressive

training Administered by the Department of

State


Partnership in Partnership in Sponsoring Sponsoring

J-1 Physicians J-1 Physicians 22CFR§62.27(b)22CFR§62.27(b)

US Host

Institution/TPL

US Department of State

J-1 Physician

ECFMG


Sponsorship Application Sponsorship Application ProcessProcess

J-1 Physician + TPL = Complete J-1 Physician + TPL = Complete ApplicationApplication

ECFMG – EVSP Regional Advisor ECFMG – EVSP Regional Advisor Evaluation and ApprovalEvaluation and Approval

SEVIS Form DS-2019 IssuedSEVIS Form DS-2019 Issued


SEVISSEVISSStudent and tudent and EExchange xchange VVisitor isitor IInformation nformation SSystemystem

• Data exchange with DHS/DOS• Tracks non-immigrant students (“F” & “M”

visas) and exchange visitors (“J” visas)• Accessed by Consulates, Embassies,

Ports-of-Entry, DHS • SEVIS Record - 30 day validity from start

date• ECFMG creates and updates SEVIS records

for J-1 physicians


Maintaining J-1 StatusMaintaining J-1 Status Full-time participation in the sponsored programFull-time participation in the sponsored program Possession of documents: DS-2019 + I-94 J-1, D/SPossession of documents: DS-2019 + I-94 J-1, D/S Health and accident insuranceHealth and accident insurance Mandatory address reporting to:Mandatory address reporting to:

ECFMG for update to SEVIS record ECFMG for update to SEVIS record (use OASIS at www.ecfmg.org)(use OASIS at www.ecfmg.org)

USCIS (all foreign nationals must submit Form USCIS (all foreign nationals must submit Form AR-11 within 10 days of moving)AR-11 within 10 days of moving)

Valid passportValid passport Visa stamp may expire. Visa stamp may expire. Annual visa renewal NOT required!Annual visa renewal NOT required!

Additional requirements may apply Additional requirements may apply (e.g., Special Registration)(e.g., Special Registration)

The US Government may impose additional requirements at The US Government may impose additional requirements at anyany timetime..


INTERNATIONAL TRAVELINTERNATIONAL TRAVELIS DISCOURAGED

DURING TRAINING PROGRAMSDURING TRAINING PROGRAMS

If travel is required- Discuss contract If travel is required- Discuss contract Conditions. Conditions. • Delayed return Delayed return • Failure to returnFailure to return

Refer to Refer to www.travel.state.gov andwww.travel.state.gov and www.uscis.gov.www.uscis.gov. Plan accordingly. Plan accordingly.

Request travel documents from ECFMG:Request travel documents from ECFMG:• Travel endorsement on Form DS-2019Travel endorsement on Form DS-2019• Letter of Good Standing Letter of Good Standing


J-1 Visa Update 2004J-1 Visa Update 2004GovernmentGovernment• J applicants given priority for visa interviewsJ applicants given priority for visa interviews• Discussion of possible multiple year J Visas Discussion of possible multiple year J Visas • SEVIS database enhancements implementedSEVIS database enhancements implemented

ECFMGECFMG • Early e-mail notification to sponsorship approval Early e-mail notification to sponsorship approval

to applicant physicianto applicant physician• Letter to consular officer to supplement DS-2019Letter to consular officer to supplement DS-2019• OASIS - On-line application payment and status OASIS - On-line application payment and status


J-1 Sponsorship J-1 Sponsorship Non-Standard Clinical TrainingNon-Standard Clinical Training

DefinitionDefinition: : Advanced clinical subspecialty disciplines Advanced clinical subspecialty disciplines for which neither ACGME‑accreditation nor for which neither ACGME‑accreditation nor ABMS‑Certification is availableABMS‑Certification is available

Independent subspecialty fellowship Independent subspecialty fellowship program operating in program operating in direct associationdirect association with an ACGME‑accredited parent programwith an ACGME‑accredited parent program


Essential Requirements Essential Requirements

Non-Standard Non-Standard ApplicationApplication

Prerequisites:Prerequisites:

1.1. ABMS-member board recognitionABMS-member board recognition

2.2. GMEC endorsement and program GMEC endorsement and program verificationverification

3.3. Detailed program descriptionDetailed program descriptionSee http://www.ecfmg.org/evsp/nonstand.htmlSee http://www.ecfmg.org/evsp/nonstand.html


Non-Standard TrainingNon-Standard Training


The American Board of Pathology is willing to endorse a J-1 visa applicant for advanced study in the fields of Pathology listed below only if the J-1 visa candidate has completed the prerequisites for primary certification and has applied for certification or is a diplomate of The American Board of Pathology. Please contact the board if there are additional questions.Autopsy pathologyAutopsy pathology

Laboratory Laboratory managementmanagement

ResearchResearch

Surgical pathologySurgical pathology

Clinical pathology:Clinical pathology:

InformaticsInformatics

ResearchResearch

Recognized Pathology Subspecialties


J-1 Physicians in J-1 Physicians in Pathology Pathology Let’s Do the Let’s Do the

NumbersNumbers Pathology 1992-2003 Pathology 1992-2003 Residents/FellowsResidents/Fellows Non-Standard Pathology Programs Non-Standard Pathology Programs Totals by State Totals by State Top NationalitiesTop Nationalities Average Number of Years Sponsored Average Number of Years Sponsored


THANK YOU!

Copyright©2004 by the Educational Commission for Foreign Medical Graduates (ECFMG®). All rights...

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