For some international medical graduates (IMGs), becom- ing an American Board of Medicine Diplomate (ABIM) may sound extremely hard or perhaps impossible. Those who think this way forget the obvious fact that almost 25 percent of the medical workforce in the United States started exactly like them as international medical graduates. It may also come to everyone’s surprise that the number of non-US citizens IMGs continues to grow, and has been the highest ever last year based on the latest National Resi- dency Matching Program Report. Moreover, the match rate for non-U.S. citizen IMGs continues to grow to reach 50.5% in 2016, up from 49.4% in 2015.In this paper, we reflect on our own journey from being in- ternational medical graduates preparing for the United States Medical Licensing Exams (USMLEs) to American board certified physicians and will take you a step further through the initial steps of fellowship. We hope this will help guide other IMG’s to make their dream, one day, come true.