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.
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.
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.
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.
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.
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.
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 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.
Payment by Zelle, Venmo, cash, or check. A deposit starts the work. Applicants outside the United States should ask about transfer options when booking.
Your CV, exam history including attempts, graduation year, visa or immigration status, and the country you are aiming for.
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.
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.
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.
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