psalm128

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Is it possible to do fellowships in the US without going through the US residency program?
Do you need ECFMG certification before doing a fellowship?
Do I need to complete Step 3 at all if I am not intending to be board certified in US?
 

Shah_Patel_PT

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psalm128 said:
Is it possible to do fellowships in the US without going through the US residency program?
Do you need ECFMG certification before doing a fellowship?
Do I need to complete Step 3 at all if I am not intending to be board certified in US?
yES...........
 
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PathOne

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You cannot enter a Fellowship without having completed a ACGME-approved Residency in either the US or Canada. You might be able to secure a "Visiting Fellowship", provided you'll finance it yourself or from other external sources. You will obviously not be able to sit for US boards.

you will not be permitted to provide ANY medical care to patients, unless you have a ECFMG Cert. So if you do not have ECFMG certificate, you will not be able to touch a patient. How big an obstacle this will be is highly dependent on which field you're interested in.

For a description of a Visiting Fellowship (in Derm)
http://www.mgh.harvard.edu/dermatology/programs/itp.asp
 
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psalm128

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awesome! thanks a lot.
do you know if once I get the ECFMG certificate, is it for life?
or do I need to "use" it within a certain period of time?
 

f_w

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> Is it possible to do fellowships in the US without going
> through the US residency program?

Depends on the specialty and the fellowship. In some fields, some fellowships are not particularly competitive. At times, they will accept suitably qualified foreign trained physicians (I knew an endocrinology fellow in IM, a bunch of different fellows in radiology and some fellows in anesthesia who came directly. some did a residency after the fellowship in order to become board certified)

> Do you need ECFMG certification before doing a fellowship?

If you are not a US citizen, you need a valid ECFMG certificate whenever you enter the US 'to work as a physician' (this is part of US immigration law). At times, people get appointed to university faculty positions without having the ECFMG certification, if the university puts its weight behind it they can even get a restricted medical license. Technically, this is a violation of the law, but I don't think the immigration service has ever prosecuted anyone for this.

> Do I need to complete Step 3 at all if I am not intending to
> be board certified in US?

You need step3 for 2 things:
- to obtain an unrestricted medical license (after residency)
- to obtain certain types of visas (if you are not a US citizen)

If you intend to come here for a fellowship only, you might not need step3. However, having it shows your future employer that you have all the formal qualifications a US trained physician would have at the same point.

> do you know if once I get the ECFMG certificate, is it for life?

It used to be that you had to keep it alive by submitting a passing score in the TOEFL every 2 years. Now, you have to repeat step2cs every 3 years if I am not mistaken (the TOEFL was maybe $200, step2cs is 1k, really sucks).
 
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psalm128

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> do you know if once I get the ECFMG certificate, is it for life?

It used to be that you had to keep it alive by submitting a passing score in the TOEFL every 2 years. Now, you have to repeat step2cs every 3 years if I am not mistaken (the TOEFL was maybe $200, step2cs is 1k, really sucks).[/QUOTE]

wow are you serious?? :(
Does this apply for US graduates or only to foreign medical graduates?
 

f_w

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US grads don't need an ECFMG certificate.

By the way, it becomes permanent the moment you start a residency in the US. It just expires if you haven't started yet.
 

Faebinder

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Are you sure you guys aren't mixing up between CSA and Step 2 CS?

CSA was used before for the ECFMG certificate and at the same time TOEFL was required and since TOEFL expired in two years, ECFMG certificate required updating....

Now TOEFL is not a requirement and the Step 2 CS exam does not expire after 2 years (You still have the limit of taking Step 1, 2 and 3 within 7 years of each other or they will be invalidated.) So the certificate doesn't expire anymore. Those who need the permanent stickers are the ones who have passed the CS and TOEFL long ago and still havent gotten into residency.

If you believe I am wrong... correct me.
 

f_w

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I believe you are right. The expiration of the step2cs only caught people in the transition between CSA+TOEFL and step2cs. Looks like they have done away with that idiocy.
 
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psalm128

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Cool... so does that mean that once i get my ECFMG certificate... I have it for "life?" without need for renewing it every few years?
 

Faebinder

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psalm128 said:
Cool... so does that mean that once i get my ECFMG certificate... I have it for "life?" without need for renewing it every few years?
Step 1 and 2 I believe have 7 year expiration date (that's what I was told)... so after 7 years if you havent started residency (which means the certificate is not made permanent)... you are going to have to retake them and probably reapply to the ECFMG certificate... so it's not permanent permanent... it expires when step 1 (which I presume you took before step 2) expires.
 

f_w

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Also, different states have different rules on the 7 year issue. Some require step 1-3 to be within 7 years, even if you started the process before the 7 year rule came on a national level.
 

rice_boy

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ok, so let's just make a unifying clarification:

Once you pass Step 1, you have 7 years to complete Steps 2 & 3, after which you will become ECFMG certified for life.
 

f_w

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Actually, you become ECFMG certified after fulfilling
- step1-2cs within a 7 year period
- graduating a WHO listed medschool
- paying ungodly amounts of money to finance the palacial headquarters of ECFMG on Market St.


In order to obtain a medical license in a good number of states you also have to pass step3 within the 7 year timeframe (this requirement is independent from ECFMG). See this table for reference:
http://www.fsmb.org/usmle_eliinitial.html
 
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