Practice In the United States WITHOUT U.S Residency! | New State Laws

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What about US-IMG?

Hello sir,
I am an IMG from india.
What exactly my doubt is that if we complete our steps and get ECFMG certified,according to US,in view of licensing exam,they told that the scores are valid for 7 years only.If we get ECFMG certified after completing steps and apply after 7 to 8 yrs,are they going to consider our ECFMG certification(usmle scores).Can I get a proper explanation regarding this.

Must you be residing in the USA before taking this route?

Getting a job offer is indeed the most challenging

In my career I have cleared both UK exams(MRCP UK +Neurology SCE- all First attempt) and finished all parts of USMLE(Step1+Step2+Step3- First attempt). I will say there is a vast difference in study approach and both are unique in so many ways. Especially Step3 USMLE is heavy biostatistics based exam on day 1 and PACES is a pure clinical skill exam on real patients with active illness. MRCP-UK according to me the best Internal Medicine exam in the world which is adequately standardized to the level of PG IM Training however USMLE is overall the toughest exam in the world due to the sheer intensity of exam stipulation such as number of questions in each single hour section of the exam as well as the length of clinical vignettes hence time plays a key role in solving a USMLE question. USMLE feels quite tough to pass or score high per se especially at later stages of career when one is already at a level of a resident or registrar as it is difficult to conceptualise other specialties like OBGY/Gynae or Peds whereas MRCP-UK can still be cleared if an individual has a very good knowledge of internal medicine specialties. I hope some basic facts could help vloggers and bloggers reading my comment post and best of luck to anyone endeavouring the hard journey of medicine.

Are there any provisional licenses for unmatched US grads?

Is ophthalmology included in that?

Dr. Asaad we don't have a CT surgery residency in Italy and it is only cardiac surgery for 5 years, what would happen if a surgeon from Italy decides to do fellowships and then start practicing with state license? Because he has to apply for CT but he is only a cardiac surgeon and does not have thoracic experience! I would appreciate if you could let me know about this rare issue!

Btw honestly it sounds like slavery to me working as much as your colleagues and get paid only half amount as them and that would be like that forever, because you will never become a primary surgeon and you will be always working next to a board certified guy, and god knows how much of your salary will be spent for insurance if you are lucky enough to find a company. And for me in CT it means you will never have the chance to get board certified after because you need to complete 150 surgeries in the last 3 years of your practice as the primary surgeon, let alone the oral and the written exams and the fact that you have to become an associate prof to do that. So all in all it is good maybe for someone that sacrifices lots of his nerves just to be in the US! LOL

Hey Malke, how is residency going on so far? I'm starting my third year of IM tomorrow but deep in my heart I thought that training in the US was different. As an IMG, do you feel the same?

Thank you for good news and information. Doctor, can you please give some information about alternative pathway in field of Radiology? Thank you!🎉

How can i get a job offer? Is it possible after coming to US take the usmles there?

If u clear step 3 than life time. Otherwise expire in after 7 year

Hello, Can a Non-us IMG after completing IM residency in USA, can work in canada as IM doctor? Or he have to give mccqe exam and repeat residency again.
Please let me know in detail
Thank you.

What is the main difference between the board certified physician and obtaining full licence? Can we do private practice? Are they considered as consultants? Or in a different role?

I am a non US Img. ECFMG CERTIFIED.I didn't do residency. But I have extensive practice as a general practitioner. Would this apply to me?

Are they providing visa as well?

What a stupid law to pass , the international doctors will rush in and desimate the job market for everyone including the US doctor and the IMG who completed thier residency. South east asians did that to the IT world and now they'll do the same to the medical field by working for pennies and growling at the feet of people as they do

Dr malke i have few questions actually i will be thank full if you help me

1) Is is a must to pass both usmle step 1 and 2 ck ? In all states and is there any different pathaways than that

2)can i become a board licensed surgeon after a period of time (like some years ) meaning i become a primary surgeon or i will only remian as a licensed but not a board certified ?

3) if for example i did CT-surgery residency in my country for like 5 years And i come to america (specific state) will i also be practicing in CT-surgery again with out any competition to get into it and can i change my specialty


Like for example if i want to do plastic surgery in usa i need high mark on usmle step 1 and w ck and i need alot of research and publications and etc things like that. Soo it becomes very competitive


By this question i mean If i came to us and i am a board certified ct surgery in my country can i do ct surgery as a doctor and will i get board certified after many years of doing ct surgery in us (in that specific state that accepts me ) what is the difference between being licensed and being board certified


In the video you said once you are licensed by a state it does not limit you to the specialty that u have. ?( how could i be certified in pediatric and came to america to do plastic surgery can u plz explain that ? If i get a license i can doo any specialty that i want ?

Thank u r help i dont know much about the process

What is the difference between being licensed but practicing under supervision of a full licensed dr. and being full licensed dr itself. Interms of practicing and payoff and getting into sub specialties and etc…..



How to become a full licensed dr from the (licensed but under supervision of a full licensed dr)

Thank you for the video!

Does "home country" mean it has to be the country of your citizenship ?
I'm doing residency and plan to practice in a country in which I'm not a citizen

Could you please elaborate on this point ?

Thank you

Hi m an obgyn consultant practicing in Pakistan. Hiw can i do practice in USA?
I will have to take USMLE but what about fellowships?? is it important to just pass the exam or to get a high score?plz reply

There is states that we can work withiut passing USMLE?

What about kansas

So do the doctors who follow this path get board certified??

All specialties are eligible?
Cardiology for an example