Can foreign medical graduates do residency in the US?
By Stephen Leggitt July 8, 2025
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Can foreign medical graduates do residency in the US?
For many foreign medical graduates, the dream of practicing medicine in the United States is within reach—but does involve overcoming several hurdles, including securing a physician visa and gaining admission to a residency program.
One of the key steps in this journey is identifying the best residency programs for foreign medical graduates, which can be highly competitive. If you’re an international medical graduate (IMG) contemplating residency in the US, you may be asking: Can foreign medical graduates do residency in the US? The answer is yes, but it requires thorough preparation, understanding the application process and meeting the necessary requirements to succeed in this highly sought-after field.
Can foreign medical graduates do residency in the US?
Foreign medical graduates can absolutely do residency in the United States. However, getting accepted into a residency program requires meeting several critical qualifications. International medical graduates must meet the eligibility criteria set by the Educational Commission for Foreign Medical Graduates (ECFMG) to participate in residency programs. This process involves ensuring that your medical school is recognized, completing exams and meeting language proficiency requirements.
Residency programs in the US are highly competitive, and foreign medical graduates often face additional challenges. This includes securing a physician visa and proving proficiency in English. To succeed, it’s essential to research the best medical residency programs for international students, as some programs are more open to international applicants than others.
The path to a US medical residency for foreign graduates involves several steps:
- Pass the USMLE exams: The United States Medical Licensing Examination (USMLE) tests your medical knowledge and clinical skills.
- Obtain ECFMG certification: The ECFMG ensures your foreign medical degree meets US standards.
- Apply to residency programs: Foreign medical graduates use the Electronic Residency Application Service (ERAS) to apply for residency spots.
It’s important to note that while foreign medical graduates can apply for most residency programs in the US, certain specialties, such as dermatology and plastic surgery, are more difficult to enter due to their competitive nature.
Can you work as a doctor in the US with a foreign degree?
After completing a residency program, foreign medical graduates can indeed work as doctors in the United States. However, before you can begin practicing, there are several hurdles to clear.
The first is obtaining a physician visa, which is essential for foreign doctors who want to work in the US. The J-1 visa and H-1B visa are two of the most common visas used by foreign medical graduates pursuing residency programs in the US. The J-1 visa is typically a temporary, non-immigrant visa, while the H-1B is a longer-term work visa.
Once residency is complete, foreign medical graduates must also pass the USMLE Step 3 exam and obtain licensure in the state where they plan to practice. This is where the best residency programs for foreign medical graduates come into play, as attending a program that provides good networking opportunities and prepares you for the licensing process can make a significant difference.
How can foreign medical graduates practice in the USA?
To practice in the US, foreign medical graduates need to complete a residency program and meet the licensing requirements in their chosen state. Residency programs in the USA for international students are numerous, but they can be difficult to secure due to the high competition. It’s crucial to identify programs that not only accept international applicants but also provide the best training for your specific career goals.
Here’s a basic outline of the process foreign medical graduates need to follow to practice in the US:
- Complete a US residency program: The residency provides the clinical training necessary to practice medicine in the US.
- Pass all required exams: This includes passing all parts of the USMLE and obtaining ECFMG certification.
- Obtain a state medical license: Each state has its own requirements, so it’s essential to check with the state medical board for specifics.
What is the new law for foreign doctors in the US?
In recent years, several changes have been made to laws governing foreign medical graduates in the US. The most significant of these changes involve visa regulations and residency program allocations. There are ongoing efforts to increase the number of residency spots available to IMGs, especially in underserved areas.
One of the latest legal updates allows for the expansion of medical residency in USA requirements to help foreign doctors better integrate into the healthcare system. This includes funding for residency slots specifically for international medical graduates, especially in primary care fields. These legal changes are aimed at addressing shortages in the US healthcare system and increasing the diversity of medical professionals in the country.
Foreign doctors interested in practicing in the US should stay informed about these evolving regulations to ensure they meet all current requirements.
Foreign medical graduates can absolutely pursue residency in the United States, but the process can be complex and highly competitive. By securing the appropriate physician visa, passing required exams and obtaining ECFMG certification, international medical graduates can join the ranks of medical professionals in the US.
If you’re ready to start your journey towards a US residency, explore more information in our Resource Center, such as the blog post titled “Program types for international medical students and graduates.”