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Admission Insight

Residency Advising for International Medical Graduates

You Are Not Applying to Residency.
You Are Applying to a System.

An IMG file is screened before it is ever read. Filters on visa status, year of graduation, exam attempts, and country of training decide who reaches a program director's desk. We map the route you actually qualify for in the United States or the United Kingdom, then build the application to clear each gate in order.

Two Systems, Two Different Applications

Choose the Route Before You Build the File

United States

ECFMG Certification and the NRMP Match

Entry to an ACGME-accredited residency runs through ECFMG certification, then a single annual Match cycle that you get one clean attempt at each year.

✓ Medical school listed in the World Directory with an ECFMG note
✓ USMLE Step 1, now pass or fail, and Step 2 CK, which carries the only score most programs see
✓ The ECFMG clinical and communication skills requirement
✓ US clinical experience, and the letters that come out of it
✓ MyERAS application, program signals, and geographic preferences
✓ Rank order strategy, and SOAP as a planned contingency
✓ J-1 sponsorship through ECFMG, or H-1B where a program supports it
United Kingdom

GMC Registration and Specialty Training

The UK separates the right to practise from the right to train. You register with the GMC first, then compete for a training number, and most IMGs work in the NHS in between.

✓ GMC registration with a licence to practise
✓ PLAB 1 and PLAB 2, or an accepted postgraduate qualification such as MRCP(UK) or MRCS
✓ English language evidence through IELTS or OET
✓ Clinical attachments, and NHS referees who can speak to your practice
✓ Oriel applications, self-assessment scoring, and the evidence portfolio behind every claimed point
✓ MSRA preparation where your specialty uses it
✓ Certificate of Sponsorship and the Skilled Worker visa
Diagnostic Forensics

Where IMG Applications Quietly Fail

1

Applying Into Filters You Do Not Clear

Sending a hundred US applications to programs that do not sponsor your visa, or that screen out your graduation year, buys nothing but fees. The list has to be built against what each program will actually consider.

2

Observerships Treated as the Goal

Months of watching produce a letter that says you attended. Hands-on rotations and sustained contact with one supervising physician produce a letter that says how you practise.

3

A Personal Statement Written for the Wrong Country

The US wants a specialty-specific narrative and a reason you are credible in it. UK specialty applications want scored evidence against a published person specification. The same essay cannot do both jobs.

4

Unexplained Gaps and Exam Attempts

Time away from clinical work and repeated exam attempts are read as risk unless the file answers them directly. Silence lets a screener write their own explanation.

The Work Itself

What We Do, Hour by Hour

Pathway DiagnosticYour degree, exams, visa status, and graduation year against what each system will and will not accept. This is the first hour, and it often changes the plan.
Program and Deanery ListA list built on visa sponsorship, IMG track record, and year-of-graduation tolerance in the US, or competition ratios and geography in the UK.
Exam SequencingWhen to sit Step 2 CK, when Step 3 is worth taking early for visa reasons, and where PLAB or a Royal College exam is the faster route to registration.
Personal Statement and CVLine-by-line work on the ERAS personal statement and CV, or the UK application and supporting evidence, written for the reader who screens it.
Letters and RefereesWho to ask, when to ask, and what to give them so the letter says something specific instead of something polite.
Signals and PreferencesWhere to spend program signals and how to set geographic preferences without contradicting the rest of the file.
Interview PreparationMock interviews with practising physicians, including the questions IMGs get asked about visas, gaps, and why this country.
Portfolio and Self-AssessmentAuditing UK self-assessment claims against the evidence you can actually produce, before a scorer does it for you.
Rank Order and ContingencyRanking strategy for the Match, a considered plan for SOAP, and what a second cycle should look different from the first.
Pricing

Billed Hourly. No Package Required.

Residency Advising, US and UK

Hourly Consulting

$400 /hr
$4,000 per 10-hour dedicated block

The same rate as every other hourly line we run. Buy one hour to sort out the pathway, or a block to carry a full cycle. Hours are yours to spend on whatever the application needs that week.

What an Hour Buys

✓ Live video session with a physician advisor
✓ Written work reviewed and returned, counted as time spent
✓ Program or deanery list research between sessions
✓ Mock interview with structured written feedback
✓ Email follow-up on decisions that cannot wait for the next session

Payment by Zelle, Venmo, cash, or check. A deposit starts the work. Applicants outside the United States should ask about transfer options when booking.

Getting Started

Three Steps, Starting With One Hour

1

Send the File

Your CV, exam history including attempts, graduation year, visa or immigration status, and the country you are aiming for.

2

One Diagnostic Hour

We tell you which route is open to you, what it will take, and how long it realistically runs. If the honest answer is that you do not need us yet, we will say so.

3

Buy Hours as You Need Them

Some applicants need four hours to fix a personal statement and a list. Others carry a block across a whole cycle. You are never locked into a package.

What We Do Not Do

We do not place applicants into observerships or training posts, sponsor visas, sit exams, or promise a match or a training number. Nobody honest can. We advise on strategy and we work on the application itself. Immigration questions should go to a qualified immigration lawyer, and registration questions to the ECFMG or the GMC directly.

Work Out the Route Before You Spend Another Cycle

One hour with a physician advisor is usually enough to tell whether your current plan is going to work, and what to change if it is not.

Book an IMG Pathway Consultation