1. Copyright©2004 by the Educational Commission for Foreign Medical Graduates (ECFMG®). All rights reserved. 1 ECFMG Certification Assures residency program directors and the US public that the international medical graduate (IMG) has met minimum standards to enter US residency programs Prerequisite for all IMGs for: Entry into ACGME-accredited GME Taking USMLE Step 3 State licensure J-1 visa sponsorship / ECFMG

2. Copyright©2004 by the Educational Commission for Foreign Medical Graduates (ECFMG®). All rights reserved. 2 Medical Education Credential Requirements for ECFMG Certification Effective 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

3. Copyright©2004 by the Educational Commission for Foreign Medical Graduates (ECFMG®). All rights reserved. 3 Examination Requirements for ECFMG Certification Prior Requirements New Requirements USMLE Step 1 Basic Science USMLE Step 2 Clinical Science USMLE Step 2 CK Clinical Knowledge ECFMG Clinical Skills Assessment (CSA) USMLE Step 2 CS Clinical Skills English language proficiency test (TOEFL) Spoken English component incorporated into USMLE Step 2 CS

4. Copyright©2004 by the Educational Commission for Foreign Medical Graduates (ECFMG®). All rights reserved. 4 Step 2 CS Replaces CSA June 14, 2004 NRMP “Match” Prerequisite ECFMG Certification USMLE Step 3 Prerequisite Beginning July 1, 2005 No expiration CSA ended Spring 2004

5. Copyright©2004 by the Educational Commission for Foreign Medical Graduates (ECFMG®). All rights reserved. 5 Visa Considerations in 2004 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 )

6. Copyright©2004 by the Educational Commission for Foreign Medical Graduates (ECFMG®). All rights reserved. 6 ECFMG-Sponsored 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

7. Copyright©2004 by the Educational Commission for Foreign Medical Graduates (ECFMG®). All rights reserved. 7 Partnership in Sponsoring J-1 Physicians 22CFR§62.27(b) US Host Institution/TPL US Department of State J-1 Physician ECFMG

8. Copyright©2004 by the Educational Commission for Foreign Medical Graduates (ECFMG®). All rights reserved. 8 Sponsorship Application Process J-1 Physician + TPL = Complete Application ECFMG – EVSP Regional Advisor Evaluation and Approval SEVIS Form DS-2019 Issued

9. Copyright©2004 by the Educational Commission for Foreign Medical Graduates (ECFMG®). All rights reserved. 9SEVIS Student and Exchange Visitor Information System 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

10. Copyright©2004 by the Educational Commission for Foreign Medical Graduates (ECFMG®). All rights reserved. 10 Maintaining J-1 Status Full-time participation in the sponsored program Full-time participation in the sponsored program Possession of documents: DS-2019 + I-94 J-1, D/S Possession of documents: DS-2019 + I-94 J-1, D/S Health and accident insurance Health and accident insurance Mandatory address reporting to: Mandatory address reporting to: ECFMG for update to SEVIS record (use OASIS at www.ecfmg.org) ECFMG for update to SEVIS record (use OASIS at www.ecfmg.org) USCIS (all foreign nationals must submit Form AR-11 within 10 days of moving) USCIS (all foreign nationals must submit Form AR-11 within 10 days of moving) Valid passport Valid 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 any time.

11. Copyright©2004 by the Educational Commission for Foreign Medical Graduates (ECFMG®). All rights reserved. 11 INTERNATIONAL TRAVEL DURING TRAINING PROGRAMS INTERNATIONAL TRAVEL IS DISCOURAGED DURING TRAINING PROGRAMS If travel is required- Discuss contract Conditions. If travel is required- Discuss contract Conditions. Delayed return Delayed return Failure to return Failure to return Refer to www.travel.state.gov and www.uscis.gov. Plan accordingly. Refer to www.travel.state.gov and www.uscis.gov. Plan accordingly. Request travel documents from ECFMG: Request travel documents from ECFMG: Travel endorsement on Form DS-2019 Travel endorsement on Form DS-2019 Letter of Good Standing Letter of Good Standing

12. Copyright©2004 by the Educational Commission for Foreign Medical Graduates (ECFMG®). All rights reserved. 12 J-1 Visa Update 2004 Government J applicants given priority for visa interviews J applicants given priority for visa interviews Discussion of possible multiple year J Visas Discussion of possible multiple year J Visas SEVIS database enhancements implemented SEVIS database enhancements implementedECFMG Early e-mail notification to sponsorship approval to applicant physician Early e-mail notification to sponsorship approval to applicant physician Letter to consular officer to supplement DS-2019 Letter to consular officer to supplement DS-2019 OASIS - On-line application payment and status OASIS - On-line application payment and status

13. Copyright©2004 by the Educational Commission for Foreign Medical Graduates (ECFMG®). All rights reserved. 13 J-1 Sponsorship Non-Standard Clinical Training Definition: Advanced clinical subspecialty disciplines for which neither ACGME ‑ accreditation nor ABMS ‑ Certification is available Independent subspecialty fellowship program operating in direct association with an ACGME ‑ accredited parent program

14. Copyright©2004 by the Educational Commission for Foreign Medical Graduates (ECFMG®). All rights reserved. 14 Essential Requirements Non-Standard Application Prerequisites: 1. ABMS-member board recognition 2. GMEC endorsement and program verification 3. Detailed program description See http://www.ecfmg.org/evsp/nonstand.html

15. Copyright©2004 by the Educational Commission for Foreign Medical Graduates (ECFMG®). All rights reserved. 15 Non-Standard Training

16. Copyright©2004 by the Educational Commission for Foreign Medical Graduates (ECFMG®). All rights reserved. 16 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 pathology Laboratory management Research Surgical pathology Clinical pathology: Informatics Research Recognized Pathology Subspecialties

17. Copyright©2004 by the Educational Commission for Foreign Medical Graduates (ECFMG®). All rights reserved. 17 J-1 Physicians in Pathology Let’s Do the Numbers  Pathology 1992-2003  Residents/Fellows  Non-Standard Pathology Programs  Totals by State  Top Nationalities  Average Number of Years Sponsored

18. Copyright©2004 by the Educational Commission for Foreign Medical Graduates (ECFMG®). All rights reserved. 18 THANK YOU!