To give a brief overview of the process



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To give a brief overview of the process

  • 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
  • Essentially a electronic document warehouse



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

  • Allows you to ensure that the program applied to is accredited

  • 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

  • Specialty matches occur throughout the year all have different dates

  • 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

  • Indiana Louisiana

  • 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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