U.S. Citizens Pursuing ECFMG Certification

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There is much interest in U.S. citizens who receive their medical education abroad. U.S. citizens accounted for 27.7% of the international medical students/graduates registered for examination in 2014. The largest numbers of U.S. citizen registrants were students/graduates of medical schools in Dominica (1,768), Grenada (1,633), Saint Kitts and Nevis (966), Sint Maarten (855), and Dominican Republic (703).

Examination performance data for U.S. citizen international medical students/graduates are provided in Exhibit 1.

In 2014, 3,137 Standard ECFMG Certificates were issued to U.S. citizens. The largest numbers of U.S. citizen certificants were graduates of medical schools in Dominica (736), Grenada (640), Sint Maarten (302), Antigua and Barbuda (231), and Saint Kitts and Nevis (196).

The 3,137 U.S. citizens certified by ECFMG in 2014 graduated from 228 medical schools located in 78 countries or territories. Nearly 80% of these medical schools report that English is one of their languages of instruction.

English was the most common native language reported by U.S. citizens certified by ECFMG in 2014 (82.2%). More than 50 other native languages were reported, including Spanish (4.1%), Urdu (1.7%), Arabic (1.6%), and Gujarati (1.2%).

Some 54% of the U.S. citizens certified by ECFMG in 2014 were men and 46% were women. Their average age at the time of certification was 29.6 years. The average time between when these certificants received their medical degree and when they were certified by ECFMG was 0.5 years.

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