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Medical Training in the states

Medical Training in the states? - USMLE?

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Medical Training in the states? - USMLE? Hi! To train to be a dr in the states, I understand you graduate school (?17y.o?) have to do 4 years pre-med (like a science degree?) then a further four years medical training... Is this correct? Where does the USMIL step1,2,3 fit into it? Also upon graduation, one does intership, residency then specializes with on the job training? - but if one want to be a family dr/gp is further training still required?

Best Answer - Chosen by Asker

You're close to understanding the process. Here's a quick time line:

1. Graduate high school
2. Attend a university and complete the prerequisite courses
3. Take the MCAT exam
4. Apply to a medical school before graduating from the university
5. Attend the first two years of medical school
6. Take the USMLE Step 1
7. Attend the second two years of medical school
8. You can take the Step 2 exams when you want...up to 7 years after completing med school. There are two parts to the Step 2, Clinical Skills and Clinical Knowledge. Most students schedule the Step 2 Clinical Skills after the third year and do the Clinical Knowledge after the fourth year.
9. Apply to a residency program. The term Intern or Internship references the first year of any residency program. Among new grads, the reference is usually Post-Grad Year 1(PGY1), Post-Grad Year 2 (PGY2), etc.

Residency can be viewed as on-the-job training. As a PGY-1 you will be instructed by all senior physicians that may be PGY2 and above. After your first year (PGY-1) you will continue to be instructed by senior physicians, but you will also have the responsibility of helping to instruct the new grads.

Here's a link to a web site that provides a better explanation than the one I gave:

The term General Practitioner is now known as Family Medicine (or Family Practice). The duration of the residency is 3 years.


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