How a foreign medical graduate, can practice in U.S as a U.S licensed medical doctor? Following are steps to follow in order to find the answer of this question:
USMLE to Qualify for Residency Program
The primary and foremost step in this regard is to acquire a recognized medical degree in your home country prior to coming to U.S. In order to apply for any of the residency program in U.S., you must pass the USMLE (United States Medical Licensing Exam) Step I and Step II in your home country. You have to pass this exam in your home country, if you don’t have a U.S valid visa to go and take exams in the U.S.
The passing marks for the exam are 75 percentile. However, if you are aspiring to apply for any residency program in Surgery, then you should get a grade of 80 percentile. This grade is mandatory; else U.S. will not consider your application, if your grade is less than 80 percentile
Review Courses

Certain review programs have also been offered, but most accepted one is the Kaplan Review Courses. In order to apply for a residency, you also have to pass CSA (Clinical Skills Assessment) after clearing USMLE Step I and Step II.
Valid Visa for U.S.
You are exceptionally fortunate, if you hold a valid U.S visa, like a permanent residence visa or green card. Nonetheless, if you don’t have a legitimate visa to U.S, you can then make an application for a tourist or visitor visa at the U.S consulate in your home country. Once you get the visa, you will be able to physically appear for the residency program interviews before the Residency Program Directors in the U.S.
Exchange Visitor or J-1 Visa
Once you have been offered residency position by any of ACGME (Accredited Residency Programs in the U.S.) that you have applied for, you can then acquire an Exchange Visitor or J-1 visa through the ECFMG (Educational Commission of Foreign Medical Graduates).
You have to pass the USMLE Step III after the completion of your residency training. Passing of this exam will enable you to apply for a Medical License to practice medicine or surgery in the U.S.; if you would like to continue to stay and practice in the U.S.
The J-I visa issue is conditional, as you have to return to your home country after the completion of your U.S. training, else you can waive off this clause by working in a professionally undeserved area in the U.S for the minimum period of three years
H-1B Visa
These HPSAs (Health Professional Shortage Areas) are generally situated in the Appalachians, Agricultural or Rural areas. In these areas, U.S born medical graduates are not available. Now, you will be liable to obtain H-1B or a non-immigrant working visa. By acquiring this visa, you can legally stay in the U.S.
Applying for Green Card
After getting your H-1B visa, you can apply for a Green Card or Permanent residence Visa in concurrence with your H-1B visa petition. In order to file your case, it is essential to hire an immigration lawyer in U.S. After being a Green Card Holder for five years, you can also apply for your citizenship.
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