Global Physician Career · USA
Career in the USA —
all steps at a glance.
Residency is the classic route for physicians without a US licence. Those with a specialist qualification may also enter directly as an Attending Physician or via Fellowship programmes. This path always begins with ECFMG.
Your Coaching Process
The four phases — from assessment to match.
Each phase has clear objectives. No guesswork, no "let's see" — you always know where you stand and what comes next.
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1
Profile Assessment & Document Check
Every profile is different. We analyse which path fits you — and lay the foundation for everything that follows.
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2
ECFMG Status & USMLE Roadmap
Deadlines, pathway requirements and the seven-year rule are interconnected. We create your personal roadmap — before a mistake is made that cannot be undone.
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3
CV, Personal Statement & Application Strategy
A US CV is not a European CV. We build your profile so that programme directors take notice.
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4
ERAS Preparation & Interview Coaching
The match decides. We guide you through ERAS and NRMP — and prepare you in mock interviews for what truly matters.
Professionally verified
Key facts about the US path
Verified information — without glossy promises. What is stated here applies as written.
- ECFMG certification is a prerequisite for the NRMP Match and for starting any accredited residency
- USMLE Step 1 and Step 2 CK are required for ECFMG certification — the scoring logic changed fundamentally in 2022
- Step 2 CS was permanently discontinued in 2021 — the replacement pathway has its own requirements and deadlines that must fit within the ECFMG window
- ERAS (Electronic Residency Application Service) is the application system — separate from the NRMP Match process
- USCE (US Clinical Experience): programme-specific, not universally required — individual assessment necessary
- Seven-Year Rule: An early USMLE date sets a window — those who pause within it can find themselves under unexpected time pressure years later
- OET Medicine: The result must be available within the ECFMG certification window — the exact timing depends on your target Match year
Deadlines
ERAS and NRMP have their own annual deadlines — early planning is essential. Physicians who passed Step 1 early and then paused may find themselves unexpectedly close to the seven-year limit. Raise this openly in your initial consultation.
Still have questions?
Further answers on ECFMG, USMLE, OET, ERAS and NRMP — clear and to the point.
Get started
Your next step begins here.
30 minutes, no obligation. No pressure — just an honest conversation about your path.