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How this guide works, and who runs which part of the journey.
How this guide works
The route on the left is the order most Indian MBBS graduates follow to reach a US residency. Open a step, read it, finish its checklist, then mark it as done. Your progress stays on this device, and on your EduPath account when you sign in.
Short on time?
Read “What changed in 2026”, then “Eligibility and ECFMG”. Those two decide whether, and how, you can start.
Who does what
| Organisation | What it does for you |
|---|---|
| USMLE (FSMB and NBME) | Owns the three Step exams. Since 12 Jan 2026, IMGs register for every Step on FSMB's USMLE portal. |
| ECFMG (part of Intealth) | Decides if you are eligible, verifies your degree and transcript, runs the Pathways and issues the ECFMG Certificate. |
| MyIntealth (was OASIS) | Your ECFMG account: application, identity, documents, Pathway and certification status. |
| Prometric | Runs the test centres where you sit Step 1 and Step 2 CK, including in India. |
| OET | The English test (OET Medicine) that ECFMG accepts. |
| AAMC ERAS | Where you send residency applications to programs. |
| NRMP | Runs the Match: you rank programs, programs rank you. |
| WFME | Recognises the agencies that accredit medical schools; ECFMG requires this. |
Official sources
Fees, dates and rules change. EduPath checks these regularly, but the official site is always the final word.
Want a counsellor to plan this with you?
EduPath counsellors help Indian doctors choose a pathway, check eligibility and plan each exam around their life.
Free for doctors on the US pathway. WhatsApp opens with your request written; send it and pick a time.