To give a brief overview of the process
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To give a brief overview of the process Give you a start on how to collect information Disclaimer: Primarily based on my own experience in the Colorectal Surgery Match The process can be confusing Best advice I can give is to start early
Need to determine fellowship of interest and determine eligibility Need to determine fellowship of interest and determine eligibility Need to complete applications as soon as deadline as some programs will stop accepting applications Majority of programs will have a co-coordinator / secretary whom can be contacted for details Some fellowships begin matching in R4 year
Fellowship applicants contact the EFDO to get an electronic token to access the ERAS system Fellowship applicants contact the EFDO to get an electronic token to access the ERAS system Easy application process need just a SSN or SIN to apply EFDO token just allows you access to the ERAS site It is the first step in the electronic application process
A service that transmits A service that transmits Fellowship applications Letters of recommendation Performance evaluations Medical school transcripts USMLE/COMLEX transcripts
All application information is done through ERAS electronically All application information is done through ERAS electronically Applications are transmitted to program directors via ERAS Need EDFO (ERAS Fellowships document office) token to apply to ERAS EDFO Token application July 1 usually
Example for 2008 cycle Example for 2008 cycle June 2007 EDFO tokens generated July 1 2007 ERAS opens for application production and supporting documents July 15 2007 Open to programs to transmit documents http://www.aamc.org/students/eras/start.htm
ACGME is responsible for the Accreditation of post-MD medical training programs within the United States ACGME is responsible for the Accreditation of post-MD medical training programs within the United States Accreditation is accomplished through a peer review process and is based upon established standards and guidelines Used to track duties hours and log cases Need to apply so that your institution that you have trained in is accredited Canadian schools are accredited
FREIDA lists information for all the graduate medical education programs accredited in the U.S. FREIDA lists information for all the graduate medical education programs accredited in the U.S. Program data are collected by the AMA and the Association of American Medical Colleges FREIDA displays aggregate training program statistics for each specialty and subspecialty Information on recent graduates of training programs is also available on FREIDA Data about the programs and applicants from past years Need to apply to FRIEDA so you can be recognized for the NRMP http://www.ama-assn.org/ama/pub/category/2997.html
Program of certification for international medical graduates Program of certification for international medical graduates ECFMG issues the Standard ECFMG Certificate to applicants who meet all of the examination and medical education credential requirements Students completing their medical education in schools outside the United States and Canada are considered international medical graduates Non-U.S. citizens who have graduated from medical schools in the U.S. and Canada are not considered international medical graduates Canadian Graduates can obtain ECFMG # without USMLE exams
Applicants for ECFMG Certification must satisfy both the medical science examination and clinical skills requirements Applicants for ECFMG Certification must satisfy both the medical science examination and clinical skills requirements Applicants must pass Step 1 and Step 2 of the United States Medical Licensing Examination (USMLE) Canadian graduates can obtain ECFMG # without USMLE exams but require: Medical degree Transcripts Letter from dean of medical school MCCQE exams http://www.ecfmg.org/
Use a system similar to CaRMS for matching Use a system similar to CaRMS for matching Not All fellowships are through the NRMP so check early Each requires its own registration process with the NRMP NRMP allows ranking of programs and a matching algorithm similar to CaRMS www.nrmp.org
Applicants interested in fellowships apply to the NRMP in order to be involved in the ranking and matching process Applicants interested in fellowships apply to the NRMP in order to be involved in the ranking and matching process Registration requires: USMLE ID #, ECFMG # Enrolment in ERAS Electronic Residency Application Service ACGME accreditation Accreditation Center for Graduate Medical education FRIEDA enrollment Fellowship and Residency Electronic International Data Base
ECFMG is authorized by the U.S. Department of State to sponsor foreign national physicians as J-1 Exchange Visitors ECFMG is authorized by the U.S. Department of State to sponsor foreign national physicians as J-1 Exchange Visitors J-1 is for resident alien in programs of graduate medical education and training The duration of stay for a J-1 Exchange Visitor physician is limited to the time to complete the advanced medical education program J1 visa is the easiest to obtain Need to apply through U.S. Citizenship and immigration services www.uscis.gov
At a minimum, applicants must: At a minimum, applicants must: Register with SEVIS (Student and Exchange Visitor Information System) Have passed USMLE Step 1 and Step 2 or an acceptable combination thereof ( Canadian Graduates exempt ) Standard ECFMG Certificate Contract or an official letter of offer for a position in a program Provide a statement of need from the Ministry of Health of the country of most recent legal permanent residence Federal and Provincial letters required Statement must provide written assurance that The country needs specialists in the area in which the Exchange Visitor will receive training Confirm the physician’s commitment to return to that country upon completion of training in the United States
SEVIS is an Internet-based system that provides tracking and monitoring of nonimmigrant students (F and M visa) and exchange visitors (J visa), and their dependents (F-2, M-2, and J-2) SEVIS is an Internet-based system that provides tracking and monitoring of nonimmigrant students (F and M visa) and exchange visitors (J visa), and their dependents (F-2, M-2, and J-2) SEVIS application is done through the Department of Homeland Security Must Pay SEVIS fee to have valid visa
J1 – Exchange visitor J1 – Exchange visitor F1 – Academic student (need enrollment in University) H1b – Temporary specialty worker
Each medical licensing authority sets its own rules and regulations Each medical licensing authority sets its own rules and regulations The USMLE provides them with a common evaluation system for applicants for initial medical licensure 3 Steps required Not essential in all States Needed to obtain medical license in majority of US states
Can obtain a educational license in most states for the purpose of fellowship training Can obtain a educational license in most states for the purpose of fellowship training Can not moon light with an educational license Need to ensure that programs do not base your salary on shadow billing or assist billing Most ACGME programs have a straight salary
Several States require USMLE 1 and 2 for licensure: Several States require USMLE 1 and 2 for licensure: California Colorado Delaware Idaho Maine Massachusetts Mississippi Montana New Hampshire Oklahoma Pennsylvania South Dakota Tennessee Federation of State Medical Boards publishes all the requirements for license http://www.fsmb.org/
EDFO token application charge $ 75 EDFO token application charge $ 75 ERAS (up to 10 programs) $ 60 USMLE transcript fees $ 50 COMPLEX fee $ 50 International medical Graduates fee $ 75 NRMP $ 40 ECFMG sponsorship of J1 Visa $ 200 SEVIS fee $ 100 J1 Visa application Fee $ 100 USMLE 1,2,3 $ 1715 Total $ 2465
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