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International Medical Graduates


International medical graduates (IMGs) make up approximately 25% of the total U.S. physician workforce. This astounding number is expect to rise year in and year our. In order to maintain a high standard level of medical practice, certification by ECFMG is the standard for evaluating the qualifications of these physicians before they enter U.S. graduate medical education (GME). Once incorporate into graduate medical education (GME), International Medical Trainees provide supervised patient care.

Why do I need ECFMG Certification?


ECFMG Certification is a mandatory requirement for IMGs (International Medical Graduates) to enroll in the multiple steps of the United States Medical Licensing Examination (USMLE) and to obtain an unrestricted license to practice medicine in the United States. ECFMG provides assistance with the following integral steps towards practicing medicine in the United States:

1. Assist with the process of applying to Graduate Medical Education (GME) in the United States

2. Sponsor Foreign nationals for J-1 Visas

3. Verification Service allowing GME programs, medical boards, hospitals and licensing bodies to verify an Internal Medical Graduates credentials.

4. Support and Service to ECFMG-certified physicians as they being their medical careers.



ECFMG Educational Commission For Foreign Medical Graduates

The USMLE Step 2 CS (Clinical Skills) is facilitated by ECFMG in partnership with the National Board of Medical Examiners (NBME). The NBME or “Shelf” exam provides a standardized methodology of evaluating medical trainees in both knowledge and clinical skills. The USMLE Step 2 CS is a mandatory component for all International Medical Graduates (IMGs) applying to the United States. The USMLE Step 2 CS is also mandatory for Canadian medical schools wishing to be licensed in the United States and Canada. This partnership between the NBME and ECFMG ensures physicians entering the use as part of the Graduate Medical Education (GME) stream have the fundamental clinical skills necessary to effectively provide patient care under supervision.


The ECFMG founded the non-for-profit organization, FAMIER (Foundation for Advancement of International Medical Education and Research). FAIMER is responsible for the training of international medical educators supervising ECFMGs, in addition to building the research arm of ECFMG. FAIMER offers training in leadership, health professional education, medical research, physician migration and U.S. physician workforce related issues.


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Success Stories

Jess B (2018)

Accepted to UWO Medicine (MD/PhD)

I enrolled with Med Applications one month before my first interview. I had been preparing for interviews by reading books and discussing questions with friends and family, but I was still nervous and didn’t really know what to expect. I felt so much more comfortable after my session with MedApplications. My instructor was very knowledgeable and catered the session to what I needed work on (as I had both panel and MMI interviews, this was particularly beneficial). It was very useful to cover topics with someone who knew what to expect from an interview and could comment on the quality of my answers. All together the experience was extremely helpful and very reassuring; it significantly calmed my nerves during my interviews. There weren’t any questions I was surprised by in my interviews. I would definitely recommend a session for future students.

Roxana M(2018)

McGill Medicine (MD)

“MedApplications helped me with both my essay preparation which brought me to the big interview and with interview preparation. MedApplication's services provided me with not only an insight of how to tailor an application to bring out the best of my ability but it also gave me the confidence I needed to survive the MMIs.

K. Y.2018

O uf T, UBC, McMaster

"I used MedApplications mock interview service because I wanted to practice and receive feedback from a current medical student. I found the mock interview helpful in identifying weaknesses in my answers and improving on them to make them stand out. I would recommend MedApplications to anyone who wants extra preparation to gain confidence for medical school interviews."


U of A

"I went into my first MedApplications session without a clue about what MMI's were or how to prepare for them. After meeting and practising with Eric and Kent, however, I learned all of the tips and skills I needed to ace the interview. They were incredibly knowledgeable and encouraging and their help gave me that extra boost of confidence on interview day. Thanks MedApplications!"

Hana W(2018)

University of Ottawa Medicine

“I was accepted at Ottawa which was my ideal school and my only interview. Josh was absolutely wonderful and definitely part of my success! He was very helpful throughout the entire process 🙂


Mother of a High School student for a Pre-Med program

“Hi MedApplications, just to let you know that Isabelle got an offer from University of London St. George’s College. The competition this year was quite challenging. We would like to thank you and Sarah for your contribution to this achievement. Your services are excellent. Please count us among satisfied clients.”

Matthew L. (Class of 2018)

McMaster University Medicine

"I used the MedApplications seminar and mock interview services before I had my interviews at Queen's and McMaster medical schools, and I couldn't be happier with my decision. Their seminars were incredibly helpful in providing information about the interview process and ways to truly emphasize your best qualities in an interview. Their mock interview session was great as well as it gave me an opportunity to practice my interviewing style with a current medical student! If you are looking for a way to prepare for an interview as important as the ones for medical school, I would definitely recommend MedApplications."


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