Opinion article Challenges in acquiring United States Clinical Experience (USCE) by International Medical Graduates (IMGs)

Abstract

International medical graduates (IMGs) from all other countries play a crucial role in the United States healthcare system. However, the path to becoming a licensed practicing physician in the United States is filled with unique challenges at each stage for the IMGs. Every year, there has been an increasing trend in the number of candidates applying for residency positions through the Electronic Residency Application Service (ERAS). Institutions have begun to adopt a holistic approach to selecting candidates from this large pool of applicants. In addition to the United States Medical Licensing Exam (USMLE) scores, several other aspects of the application have been given importance lately. One such aspect that has gained importance and has become quite challenging for IMGs is the United States Clinical Experience (USCE). This article reviews the various aspects of those challenges and discusses potential USCE opportunities for IMGs.