US Medical Route (Pre-Med → MCAT → MD → Residency)
Regulator: AAMC / ECFMG / NRMP / state medical boards
There is no direct 'MBBS' entry. You need a bachelor's degree with pre-med courses, the MCAT, then 4 years of MD and residency. Very few US MD schools accept international applicants, so many Indian doctors instead enter residency as International Medical Graduates after an Indian MBBS.
| Stage | What happens |
|---|---|
| 1. Pre-med bachelor's (4 yrs) | Any major plus biology, general and organic chemistry, physics, biochemistry and English. Build clinical, research and volunteering experience. |
| 2. MCAT | Scored 472–528. Needed for MD (AAMC) and DO schools. Take it 12+ months before you plan to matriculate. |
| 3. Apply via AMCAS | Apply to MD schools through AMCAS (DO via AACOMAS). Check that each school accepts international applicants and requires funding proof. |
| 4. MD (4 yrs) | 2 years pre-clinical + 2 years clinical rotations. USMLE Step 1 (pass/fail) and Step 2 CK are taken during school. |
| 5. Residency via the Match | 3–7 years of residency in your specialty, applied through ERAS and matched through NRMP. IMGs also need ECFMG certification. |
| 6. USMLE Step 3 + state licence | Step 3 during residency, then a full unrestricted licence from the state medical board. Work visa is usually J-1 or H-1B. |
Official source: AAMC: Medical school admissions