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Old 10-01-2011
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Question The difference between Medical License and Step 3 Eligibility

I applied for Step 3 today choosing Maryland state board. My friends are telling me that Connecticut was a better choice for me as a non-US citizen IMG. I've read in the FSMB website that the only difference between the 2 is that Maryland state boards require postgraduate training ONLY IF you fail multiple time in the steps. Otherwise, no postgraduate training is necessary before you take the exam. However, my friends are linking me to this table which I have no clue about. Isn't "INITIAL MEDICAL LICENSURE" totally different from Step 3 application?

Please tell me if Maryland was a wise choice for me or not.

Thank you,
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Old 10-01-2011
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There's a difference between eligibility for State Medical License which this table here lists the state requirements
http://www.fsmb.org/usmle_eliinitial.html

From eligibility for USMLE Step 3 Exam which this table here list the state requirements
http://www.fsmb.org/usmle_requirementschart.html

In the second table (which is what you need to care about at this point), you can see there's no difference between Maryland and Connecticut, both of them has no postgraduate training requirement to be able to sit the USMLE Step 3 Exam.

Initial Medical Licensure means (medical license to practice), they call it initial because there's also subsequent maintenance of licensure by taking CME credit or passing board exams ...etc

The medical license is something you need when you start working as a physician in any State in USA. This is after you finish your residency training, nobody can work in USA without first finishing accredited residency training.

Also have a look here
http://www.usmle-forums.com/usmle-st...residency.html

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Dear Sabio,

Thanks a lot for your reply. So it seems my understanding was correct. However, I still have one point I'd like to confirm. The initial license is provided from the medical board of the state in which you've completed the residency, or not?

For e.g. if I complete my residency in New York, my initial license will be provided from that state's medical board, not Maryland's, right?
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It does not matter where you finish your residency.

You can finish residency in Alaska and then come to apply for Medical License in Florida or any other state.

All you need is to meet the requirements posted in this table
http://www.fsmb.org/usmle_eliinitial.html

You can see in that table that the main difference lies in the number of postgraduate training required before your apply. In order to be on the safe side, you need to finish three years of postgraduate training (accredited residency in USA) so that then you can be eligible to work in any place in America.

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