to practice in the United States.

在美國執業。

Let’s discuss what these changes are and what you need to know if you’re an IMG or

讓我們討論一下這些變化是什麼，以及如果你是一名IMG或其他的人，你需要知道什麼。

FMG with dreams of practicing in the US.

夢想在美國執業的FMG。

Dr. Jubbal MedSchoolInsiders.com.

Jubbal博士MedSchoolInsiders.com。

Unless you’ve completed your medical training outside of the United States and have looked

除非你在美國以外的地方完成了你的醫學培訓，並且已經看了

into practicing medicine in the U.S., you’ve probably never heard of the Educational Commission

如果你想在美國行醫，你可能從未聽說過教育委員會。

for Foreign Medical Graduates or ECFMG.

外國醫學畢業生協會或ECFMG。

This is the agency responsible for screening foreign medical graduates to ensure they have

這是一個負責篩選外國醫學畢業生的機構，以確保他們擁有

the proper credentials to work in the U.S. as a physician.

具備在美國作為醫生工作的適當資格。

It is important to note that this is the only institution that will approve and allow foreign

值得注意的是，這是唯一一個準許和允許外國公司進入的機構。

doctors to practice in the United States.

在美國執業的醫生。

The ECFMG recently published new changes for 2024 that will change the requirements for

ECFMG最近公佈了2024年的新變化，將改變對

certification.

認證。

This will affect thousands of FMGs and IMGs and may interfere with their ability to practice

這將影響數以千計的FMG和IMG，並可能干擾他們的執業能力。

in the U.S. Let’s start by defining some terminology.

在美國，讓我們首先定義一些術語。

International medical graduates, or IMGs, are U.S. citizens who complete medical school

國際醫學畢業生，或IMGs，是完成醫學院的美國公民。

in another country and return to the U.S. to complete their residency training and practice.

在另一個國家，並返回美國完成他們的住院醫師培訓和實踐。

Foreign medical graduates, or FMGs, are non-U.S citizens who also do their medical training

外國醫學畢業生，或稱FMG，是指同時進行醫學培訓的非美國公民。

in another country and wish to migrate to the U.S. to practice.

在另一個國家並希望移民到美國執業。

Both IMGs and FMGs must obtain certification through the ECFMG before they can apply to

IMGs和FMGs都必須通過ECFMG獲得認證，然後才能申請到

U.S. residency programs and practice in the United States.

美國的住院醫師項目和在美國的實踐。

To apply for ECFMG certification currently, IMGs and FMGs must attend a medical school

目前，要申請ECFMG認證，IMG和FMG必須在一所醫學院就讀

recognized by the World Directory of Medical Schools, or WDOMS.

被世界醫學院名錄（WDOMS）所認可。

As long as their school is in this directory, they can apply for ECFMG certification.

只要他們的學校在這個目錄中，他們就可以申請ECFMG認證。

After obtaining ECFMG certification, they can sign up for the USMLE Step exams and apply

獲得ECFMG認證後，他們可以報名參加USMLE步驟考試並申請

for U.S. residency programs.

為美國的住院醫師項目。

Beginning in 2024, however, individual medical schools will no longer be recognized.

然而，從2024年開始，個別醫學院校將不再被承認。

Instead, schools must be recognized by their country’s national or regional accrediting

相反，學校必須得到本國的國家或地區認證機構的認可。

agency, which then must be recognized by the World Federation of Medical Education or WFME.

機構，然後必須得到世界醫學教育聯合會或WFME的認可。

If a country’s accrediting agency is not approved by the start of 2024, students who

如果一個國家的認證機構在2024年開始之前沒有得到準許，那麼，那些學生

attended medical school in that country will not be allowed to apply for ECFMG certification.

在該國上過醫學院的人將不允許申請ECFMG認證。

It is important to note that this change will not only affect medical students, but also

值得注意的是，這一變化不僅會影響到醫學生，也會影響到

any fully-trained doctors that graduated from that medical school prior to 2024.

任何在2024年之前從該醫學院畢業的受過充分訓練的醫生。

For example, if you graduated in 2016 and your medical school is currently recognized

例如，如果你在2016年畢業，而你的醫學院目前被認可為

by the World Directory of Medical Schools, you can apply for ECFMG certification.

通過世界醫學院校名錄，你可以申請ECFMG認證。

Starting in 2024, however, if your medical school is not accredited by a national accrediting

然而，從2024年開始，如果你的醫學院沒有得到國家認證的

agency that is recognized by the WFME, you will no longer be able to apply for ECFMG

如果您是被WFME認可的機構，您將不能再申請ECFMG的資格。

certification—even if you were able to previously.

即使你以前能夠獲得認證。

In addition, the ECFMG published a statement on October 12, 2022, stating that the accreditation

此外，ECFMG於2022年10月12日發表了一份聲明，指出認證

status of applicants’ medical schools will be submitted to ERAS, the system used to apply

申請人的醫學院狀況將被提交給ERAS，該系統用於申請

for residency, and will be viewable by program directors.

駐校生，並可由項目主任查看。

As such, many are concerned that these changes may also hurt applicants whose medical schools

是以，許多人擔心，這些變化也可能會損害那些醫學院的申請人。

are in the process of becoming accredited.

正處於認證過程中。

Although this change will affect medical graduates from various countries, one of the countries

儘管這一變化將影響來自不同國家的醫學畢業生，但其中一個國家

that people are most concerned about is the United Kingdom.

人們最關心的是英國。

On the WFME website, you can see which accrediting bodies and their corresponding countries are

在WFME網站上，你可以看到哪些認證機構和它們對應的國家是

approved or have applied for accreditation with the WFME.

準許或已申請WFME的認證。

The medical accrediting body in the United Kingdom is the General Medical Council or

英國的醫學認證機構是醫學總委員會或

GMC and, as of October 2022, the GMC has not applied for accreditation with the WFME.

截至2022年10月，GMC還沒有向WFME申請認證。

Given that the accreditation process can take anywhere between 12-18 months and programs

鑑於認證過程可能需要12-18個月的時間，而項目

will need to be accredited starting in 2024, many UK physicians are concerned that they

將需要從2024年開始獲得認證，許多英國醫生擔心他們

will no longer be able to apply for U.S. residency programs starting in 2024.

從2024年開始，將不再能夠申請美國的住院醫師項目。

There are some possible explanations for this.

對此有一些可能的解釋。

To start, some theorize that the United Kingdom is dragging their feet in an attempt to keep

首先，一些人推測，英國正在拖延時間，試圖保持其在中國的地位。

UK-trained physicians from leaving and practicing elsewhere.

英國培訓的醫生不會離開並在其他地方執業。

Much like the United States, the UK is currently facing a shortage of physicians.

與美國一樣，英國目前也面臨著醫生短缺的問題。

According to estimates, the UK is expected to face a shortage of over 10,000 general

據估計，英國預計將面臨超過10,000名普通人的短缺。

practitioners within the next decade unless they take steps to address their physician

除非他們採取措施來解決他們的醫生問題，否則在未來十年內，他們的從業人員將被淘汰。

shortage.

短缺。

Some speculate that by making it more difficult for UK-trained physicians to apply for ECFMG

一些人猜測，通過使英國培訓的醫生更難申請ECFMG

certification and practice in the United States, this will help address the UK’s growing

在美國的認證和實踐中，這將有助於解決英國日益增長的

physician shortage.

醫生短缺。

That said, others argue that this would be a poor decision for the UK as it has the potential

儘管如此，其他人認為，這對英國來說是一個糟糕的決定，因為它有可能

to disincentivize international students who wish to study in the UK but complete residency

不鼓勵希望在英國學習但完成居住的國際學生。

and practice in the United States.

和在美國的實踐。

Another theory for why the UK has not applied for accreditation with the WFME is the cost.

英國沒有申請WFME認證的另一個原因是成本問題。

According to the WFME, the cost for the full process of recognition is $60,000 USD.

根據WFME的說法，整個承認過程的費用為60,000美元。

Although this is a sizable fee, the GMC has an annual operational budget of £140 million.

雖然這是一筆不小的費用，但GMC的年度營運預算為1.4億英鎊。

As such, many feel this is less likely.

是以，許多人覺得這種可能性較小。

It should be noted that both of these theories are pure speculation and should be taken with

應該指出的是，這兩種理論都是純粹的猜測，應該以

a grain of salt.

一粒鹽。

Regardless, the reality of the situation is that UK physicians may not be able to apply

不管怎麼說，現實情況是，英國醫生可能無法申請

for ECFMG certification and practice in the U.S. starting in the year 2024.

從2024年開始在美國進行ECFMG認證和執業。

So, with these changes in mind, what should you do if you’re an IMG of FMG that wants

那麼，考慮到這些變化，如果你是一個希望獲得FMG的IMG，你應該怎麼做？

to practice in the U.S.?

在美國執業？

The first step is to check the WFME website to see if your country’s accrediting agency

第一步是檢查WFME網站，看看你的國家的認證機構是否

is recognized or in the process of becoming recognized.

被承認或正在被承認。

If it is, then you should not be affected by the 2024 changes so long as your school

如果是這樣，那麼你應該不會受到2024年變化的影響，只要你的學校

is accredited by your country’s accrediting agency.

是由你們國家的認證機構認證的。

If it isn’t in the directory or isn’t accredited, however, there are steps that

然而，如果它不在目錄中或沒有被認可，有一些步驟可以

you can take right now to ensure your ability to practice in the United States in the future.

你現在就可以採取這些措施，以確保你將來有能力在美國執業。

As it stands, if you are currently enrolled in a medical school that is recognized by

目前的情況是，如果你目前就讀於一所由美國政府承認的醫學院校，那麼你就必須在該校就讀。

the World Directory of Medical Schools, you can apply for ECFMG certification.

在世界醫學院校名錄中，你可以申請ECFMG認證。

All students or doctors registered with the ECFMG before 2024 will be grandfathered into

所有在2024年之前在ECFMG註冊的學生或醫生都將被納入。

the process.

的過程。

For example, if you are at least a first-year medical student in the UK, you can apply for

例如，如果你在英國至少是一年級的醫學學生，你可以申請

and obtain ECFMG certification right now.

並立即獲得ECFMG認證。

You are not required to take the USMLE Step Exams immediately after obtaining certification.

你不需要在獲得證書後立即參加USMLE步驟考試。

In addition, once you have taken USMLE Step 1, you have seven years to complete Step 2

此外，一旦你參加了USMLE步驟1，你有七年的時間來完成步驟2。

CK.

CK。

This means that if your country’s accrediting agency is not currently recognized by the

這意味著，如果你的國家的認證機構目前沒有得到美國政府的承認，那麼你的國家的認證機構就會被美國政府承認。

World Federation of Medical Education and you have any interest in practicing in the

世界醫學教育聯合會，並且您有興趣在中國執業。

United States, it is in your benefit to apply for ECFMG certification sooner rather than

美國，儘早申請ECFMG認證對你有好處，而不是

later.

後來。

As mentioned previously, just because you are eligible to apply right now does not mean

如前所述，你現在有資格申請並不意味著

that you will be after these changes take effect in 2024.

在這些變化於2024年生效後，你將會是這樣。

In addition to applying now, you can also get in contact with your medical school representatives,

除了現在申請外，你還可以與醫學院的代表取得聯繫。

your country’s accrediting agency, or medical board to advocate for WFME accreditation.

你的國家的認證機構，或醫學委員會，倡導WFME認證。

Applying for ECFMG certification is only one step in the process, however.

然而，申請ECFMG認證只是這個過程中的一個步驟。

You will still need to pass USMLE Step 1, get a stellar score on Step 2 CK, and craft

你仍然需要通過USMLE第1步，在第2步CK中獲得一個出色的分數，並精心設計

a compelling residency application in order to match into your desired U.S. residency

一份令人信服的居留申請，以便與你所期望的美國居留權相匹配。

program.

方案。

The unfortunate reality is that international medical graduates match into residency at

不幸的現實是，國際醫學畢業生進入住院部的匹配度很低。

significantly lower rates than U.S. medical school graduates.

顯著低於美國醫學院畢業生的比率。

According to the most recent 2022 NRMP Match, the match rate was 61% for IMGs and 58% for

根據最近的2022年NRMP比賽，IMG的匹配率為61%，58%。

FMGs.

FMG。

In comparison, 93% of U.S. MD seniors and 91% of U.S. DO seniors matched into at least

相比之下，93%的美國醫學博士畢業生和91%的美國醫學博士畢業生至少進入了以下幾個領域

one residency program.

一個住院醫師項目。

This means that as an IMG or FMG, it’s even more important to stand out on your residency

這意味著，作為IMG或FMG，在實習期內脫穎而出更為重要

application–and we’re here to help.

我們在這裡提供幫助。

At Med School Insiders, we have a variety of services to help you match into your desired

在Med School Insiders，我們有各種服務來幫助你進入你想要的學校。

residency program.

居住計劃。

From USMLE prep to residency application editing and mock interviews and everything between,

從USMLE考試準備到住院醫生申請編輯和模擬面試以及之間的一切。

we know what program directors are looking for and how to present yourself in the best

我們知道項目主管在尋找什麼，以及如何以最佳方式展示自己。

possible light.

可能的光。

That’s because our team is composed of real doctors that served on the adcoms at top residency

這是因為我們的團隊是由真正的醫生組成的，他們曾在頂級住院醫生的委員會任職。

programs.

方案。

And our results speak for themselves.

我們的結果不言自明。

We’ve become the fastest-growing company in the space with the highest satisfaction

我們已經成為該領域內發展最快、滿意度最高的公司。

ratings.

評級。

See for yourself and learn more at MedSchoolInsiders.com.

自己看，並在MedSchoolInsiders.com瞭解更多。

Thank you all so much for watching.

非常感謝大家的觀看。

If you enjoyed this video, be sure to check out How to Crush USMLE Step 2 CK or this other

如果你喜歡這段視頻，請務必查看《如何碾壓USMLE第二步CK》或其他的視頻。

video.

視頻。

Much love and I’ll see you guys there.

非常感謝，我們會在那裡見到你們。