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T o become a doctor in the USA. Shortage of doctors in different states. S teps that a foreign medical graduate takes before practicing:. Pass Educational Commission for Foreign Medial Graduates (ECFMG) Get matched with a medical residency program
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Steps that a foreign medical graduate takes before practicing: • Pass Educational Commission for Foreign Medial Graduates (ECFMG) • Get matched with a medical residency program • Take the United States Medical Licensing Examination (USMLE) • Apply for a medical license
Structure of USMLE • STEP 1 (understanding of the basic scientific concepts essential to understanding medicine) • STEP 2 (focuses on patient care and application of scientific principals, health promotion and disease prevention) - clinical knowledge - clinical skills • STEP 3 (assesses the individual’s readiness to practice without supervision)
Examinee Performance: International Medical Students/Graduates Taking USMLE Step 1
Examinee Performance: International Medical Students/Graduates Taking USMLE Step 2 CK
Examinee Performance: International Medical Students/Graduates Taking USMLE Step 2 CS
Examinee Performance: USMLE Step 1 and Step 2 (CK and CS) Administered to Students/Graduates of LCME- and AOA-Accredited U.S./Canadian Medical Schools/Programs and to International Medical Students/Graduates
US Medical License • Issued by state and local governments • Allows professionals to legally operate • Types very by state • Is required for both domestic and foreign students • License statuses: active, inactive, temporary, limited
The research • Purpose: to investigate the possibility of employment of foreign med graduates in the USA • Object:40 Russian doctors who have moved to the US during 1989-1992 to continue their medical activity • Hypothesis: the majority of physicians have successfully confirmed their diploma in the US are working as doctors
79% of physicians practiced the same specialty 21% had their profession changed
Conclusions • Among licensed, male to female ratio is 1:1 • 25% of doctors are employed in academic positions • Most of them regularly attend conferences in the country and abroad • Material standard for all is high