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MITSKI / YOUR PAGE GUIDE
Medicine & clinical research / India · United States

USMLE and US Residency Route Overview

Carry a medical foundation into the US examination, certification and residency process.

Draft map
Evidence detailsLast verified: not yet · source checked 2026-09-05Report outdated information
Make a private plan for this road ↗

Open the step-by-step blueprint ↗

Shares this public guide. Your private plan and evidence are excluded.

Your starting conditions

An eligible medical school and ECFMG requirements are essential. This route starts with an Indian medical degree.

A potential US residency and subsequent applicable state licensing.

The milestone chain

Months are relative to the template’s school-entry planning point. Your private map can start at your current stage. Dependencies and duration are planning assumptions, not exam bookings.

  1. Month 0

    Your starting point

    Read the current bulletin and check subject, qualification and category requirements. Record your own target cycle.

    0 months · decision

    Source linked · review pending
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  2. Month 1

    NEET-UG and counselling

    Prepare, apply, sit the examination and use the appropriate counselling authority. Verify college recognition, fee schedule and any service bond.

    11 months · exam · after Your starting point

    Source linked · review pending
    Evidence detailsLast verified: not yet · source checked 2026-09-05Report outdated information
  3. Month 12

    Build your medical foundation

    The template allows 54 academic months. Replace dates with the timetable and progression requirements of your recognised programme.

    54 months · training · after NEET-UG and counselling

    Source linked · review pending
    Evidence detailsLast verified: not yet · source checked 2026-09-05Report outdated information
  4. Month 66

    Supervised internship

    Allow 12 months in this template and verify the applicable compulsory rotating internship and registration requirements.

    12 months · training · after Build your medical foundation

    Source linked · review pending
    Evidence detailsLast verified: not yet · source checked 2026-09-05Report outdated information
  5. Month 36

    Check ECFMG eligibility

    Check your school’s ECFMG Sponsor Note and eligible graduation years, then the current identity and certification requirements before paying fees.

    1 months · admin

    Source linked · review pending
    Evidence detailsLast verified: not yet · source checked 2026-09-05Report outdated information
  6. Month 42

    USMLE Step 1

    Plan the applicable eligibility period and testing region. The date here is your target, not an exam booking.

    1 months · exam · after Check ECFMG eligibility

    Source linked · review pending
    Evidence detailsLast verified: not yet · source checked 2026-09-05Report outdated information
  7. Month 65

    USMLE Step 2 CK

    Prepare clinical knowledge and a booking plan. Programme eligibility and school certification requirements still apply.

    1 months · exam · after USMLE Step 1

    Source linked · review pending
    Evidence detailsLast verified: not yet · source checked 2026-09-05Report outdated information
  8. Month 78

    ECFMG certification requirements

    Complete the applicable credential and clinical/communication requirements for your cycle. Do not assume prior-year Pathways remain valid.

    6 months · application · after Supervised internship, USMLE Step 2 CK

    Source linked · review pending
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  9. Month 84

    Residency applications and Match

    Prepare documents and references, apply to suitable programmes and assess costs. This six-month window is an assumption; verify the actual cycle.

    6 months · application · after ECFMG certification requirements

    Source linked · review pending
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  10. Month 90

    Residency training

    A 36-month example; actual training duration varies by specialty. Selection, visa and programme completion are separate requirements.

    36 months · training · after Residency applications and Match

    Source linked · review pending
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  11. Month 102

    USMLE Step 3 and licensing

    Check ECFMG certification eligibility, state-board requirements and the current fee before applying. USMLE currently lists USD 955 for the 2026/2027 Step 3 application; travel and other charges are separate.

    1 months · exam · after ECFMG certification requirements

    Source linked · review pending
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  12. Month 126

    State licensing and next practice

    Verify the relevant state requirements and complete the applicable examinations and training.

    3 months · admin · after Residency training, USMLE Step 3 and licensing

    Source linked · review pending
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The cost notebook

Original currencies and fee sources stay attached. A missing quote is unresolved, not free. Confirm taxes, waivers, payment timing and your institution’s actual fee schedule.

CostNative amountBasis and conditionsSource
Medical programme tuition
₹300–₹35,00,000estimated rangeINR · annual · as of 2026-09-05

Estimated range: annual Indian MBBS tuition planning envelope from highly subsidised public to expensive private/quota seats; institution and quota determine the amount; internship tuition excluded.

Context source; range is an assumption
annualObtain the exact institution and quota fee schedule. Internship tuition is not assumed.
Source linked · review pending
Evidence detailsLast verified: not yet · source checked 2026-09-05Report outdated information
Accommodation and living
₹8,000–₹3,00,000estimated rangeINR · monthly · as of 2026-09-05

Estimated range: monthly personal budget for India foundation study through shared housing in a US city, food and local transport; choose the actual city and stage, excluding dependants and tuition.

Context source; range is an assumption
monthlyYour budget estimate; include food, transport and local accommodation.
Source linked · review pending
Evidence detailsLast verified: not yet · source checked 2026-09-05Report outdated information
Documents, verification and insurance
₹5,000–₹50,000estimated rangeINR · one-off · as of 2026-09-05

Estimated range: one-off allowance for copies, translations, courier, background/health documents and initial basic insurance; exclude credential services and clinical insurance already itemised elsewhere.

Context source; range is an assumption
one-offRequest itemized quotes. Record applicable taxes, translations and insurance.
Source linked · review pending
Evidence detailsLast verified: not yet · source checked 2026-09-05Report outdated information
Travel, relocation and visa-related costs
₹1,20,000–₹4,00,000estimated rangeINR · one-off · as of 2026-09-05

Estimated range: one-off planning allowance for India–US exam/relocation travel, baggage, initial local transfers and applicable visa application costs; ticket dates and immigration route require quotes.

Context source; range is an assumption
one-offObtain official application fees and current travel quotes. Immigration rules require separate checking.
Source linked · review pending
Evidence detailsLast verified: not yet · source checked 2026-09-05Report outdated information
Step 1 base examination fee
US$695sourcedUSD · one-off · as of 2026-09-05

Official 2026/2027 base fee for one Step 1 sitting; region surcharge, India tax and card charges are separate.

Amount source; human review pending
one-offPublished fee reviewed 2026-09-05; region surcharge and applicable tax are additional.
Source linked · review pending
Evidence detailsLast verified: not yet · source checked 2026-09-05Report outdated information
Step 1 region surcharge
US$210sourcedUSD · one-off · as of 2026-09-05

Official surcharge for one Step 1 sitting outside the US/Canada; confirm test region and tax.

Amount source; human review pending
one-offOutside US/Canada region; verify country applicability and tax.
Source linked · review pending
Evidence detailsLast verified: not yet · source checked 2026-09-05Report outdated information
Step 2 CK base examination fee
US$695sourcedUSD · one-off · as of 2026-09-05

Official 2026/2027 base fee for one Step 2 CK sitting; region surcharge, India tax and card charges are separate.

Amount source; human review pending
one-offRegion surcharge and applicable tax are additional.
Source linked · review pending
Evidence detailsLast verified: not yet · source checked 2026-09-05Report outdated information
Step 2 CK region surcharge
US$235sourcedUSD · one-off · as of 2026-09-05

Official surcharge for one Step 2 CK sitting outside the US/Canada; confirm test region and tax.

Amount source; human review pending
one-offOutside US/Canada; India GST may apply. Not a complete payable quote.
Source linked · review pending
Evidence detailsLast verified: not yet · source checked 2026-09-05Report outdated information
ECFMG certification application
US$580sourcedUSD · one-off · as of 2026-09-05

Official ECFMG application fee; account, credential verification and Pathway fees remain separate.

Amount source; human review pending
one-offSeparate MyIntealth, credential verification and current Pathway fees may apply.
Source linked · review pending
Evidence detailsLast verified: not yet · source checked 2026-09-05Report outdated information
MyIntealth account establishment
US$110sourcedUSD · one-off · as of 2026-09-05

Official account-establishment fee, including its stated online notarisation charge; do not pay again if already established.

Amount source; human review pending
one-offVerify whether already paid before adding to your budget.
Source linked · review pending
Evidence detailsLast verified: not yet · source checked 2026-09-05Report outdated information
Diploma and transcript verification
US$220sourcedUSD · one-off · as of 2026-09-05

Official combined fee for final diploma and transcript verification; confirm both documents apply.

Amount source; human review pending
one-offFees and applicable documents depend on the application.
Source linked · review pending
Evidence detailsLast verified: not yet · source checked 2026-09-05Report outdated information
ECFMG Pathway application
US$945sourcedUSD · one-off · as of 2026-09-05

Official Pathway application fee; communication test and cycle eligibility are separate.

Amount source; human review pending
one-offCycle-specific; English/communication tests, tax and application services may be additional.
Source linked · review pending
Evidence detailsLast verified: not yet · source checked 2026-09-05Report outdated information
Step 3 fee
US$955sourcedUSD · one-off · as of 2026-09-05

Official USMLE and FSMB fee pages now agree on USD 955 for 2026/2027; one sitting, with US travel separate.

Amount source; human review pending
one-off2026 Step 3 application amount recorded from USMLE/FSMB. Travel, accommodation, eligibility and later-year pricing are separate. Human review pending.
Source linked · review pending
Evidence detailsLast verified: not yet · source checked 2026-09-05Report outdated information
Indian MBBS foundation admission/application costs — only before admission
₹1,000–₹15,000estimated rangeINR · one-off · as of 2026-09-05

Estimated range: one admission cycle of entrance and non-refundable application/counselling charges in India; category and number of applications vary; refundable seat deposits excluded.

Context source; range is an assumption
one-offOptional foundation-only planning range. Excluded by default for admitted students and graduates; this is not a USMLE examination or US residency application fee. Enable only for a separate unfinished Indian admission cycle.
Source linked · review pending
Evidence detailsLast verified: not yet · source checked 2026-09-05Report outdated information
USMLE preparation resources and study equipment reserve
₹80,000–₹3,00,000estimated rangeINR · one-off · as of 2026-09-05

Authored allowance for optional question banks, practice assessments, reference materials and equipment over a multi-exam preparation period; provider choices vary.

Context source; range is an assumption
one-offAdd the applicable official fee or your estimate. If not applicable, record zero with the reason. Never assume an unknown cost is free.
Source linked · review pending
Evidence detailsLast verified: not yet · source checked 2026-09-05Report outdated information
Institution-specific tuition or service-bond liability — verify selected contract
unknown — verifyunknown — verifyINR · one-off · as of 2026-09-05

No named institution or contract has been selected; an amount or currency-specific range would be indefensible.

Amount source; human review pending
one-offUnknown — verify. Any unfinished degree tuition, elective charge or service-bond obligation depends on the actual institution and signed contract. No universal USMLE tuition or bond fee exists.
Source linked · review pending
Evidence detailsLast verified: not yet · source checked 2026-09-05Report outdated information
US route emergency or repeat-attempt contingency reserve
₹1,00,000–₹4,00,000estimated rangeINR · one-off · as of 2026-09-05

Authored optional reserve for disrupted travel, rescheduling or repeat preparation; not a verified fee or prediction that a repeat is necessary.

Context source; range is an assumption
one-offAdd the applicable official fee or your estimate. If not applicable, record zero with the reason. Never assume an unknown cost is free.
Source linked · review pending
Evidence detailsLast verified: not yet · source checked 2026-09-05Report outdated information
OET or applicable communication assessment
₹38,000–₹47,000estimated rangeINR · one-off · as of 2026-09-05

Estimated range: one full OET sitting: provider lists AUD 587; INR planning uses AUD/INR 65–75 plus payment allowance, not an official INR quote.

Context source; range is an assumption
one-offAdd the applicable official fee or your estimate. If not applicable, record zero with the reason. Never assume an unknown cost is free.
Source linked · review pending
Evidence detailsLast verified: not yet · source checked 2026-09-05Report outdated information
ERAS and programme application charges
₹55,000–₹4,00,000estimated rangeINR · one-off · as of 2026-09-05

Estimated range: one ERAS season, assumed 30–120 programmes in one specialty plus token/transcript allowance; published per-programme rates with INR/USD 90–100 planning FX.

Context source; range is an assumption
one-offAdd the applicable official fee or your estimate. If not applicable, record zero with the reason. Never assume an unknown cost is free.
Source linked · review pending
Evidence detailsLast verified: not yet · source checked 2026-09-05Report outdated information
NRMP registration
₹8,000–₹21,000estimated rangeINR · one-off · as of 2026-09-05

Estimated range: one NRMP cycle: USD 85 standard fee plus possible late/couples charges, at INR/USD 90–100 planning FX; more than 20 ranks costs extra.

Context source; range is an assumption
one-offAdd the applicable official fee or your estimate. If not applicable, record zero with the reason. Never assume an unknown cost is free.
Source linked · review pending
Evidence detailsLast verified: not yet · source checked 2026-09-05Report outdated information
Applicable USMLE India testing tax (confirm taxable base)
₹22,000–₹36,000estimated rangeINR · one-off · as of 2026-09-05

Estimated range: two India sittings: budget 18% on the USD 1,390 base fees up to USD 1,835 including region fees, using INR/USD 90–100; confirm invoice tax base.

Context source; range is an assumption
one-offAdd the applicable official fee or your estimate. If not applicable, record zero with the reason. Never assume an unknown cost is free.
Source linked · review pending
Evidence detailsLast verified: not yet · source checked 2026-09-05Report outdated information
US clinical experience and insurance
₹2,00,000–₹9,00,000estimated rangeINR · one-off · as of 2026-09-05

Estimated range: one to three months of US clinical experience: assumed placement charges and required clinical insurance; flights, accommodation and visa counted in their own rows.

Context source; range is an assumption
one-offAdd the applicable official fee or your estimate. If not applicable, record zero with the reason. Never assume an unknown cost is free.
Source linked · review pending
Evidence detailsLast verified: not yet · source checked 2026-09-05Report outdated information

Funding leads to investigate

These programmes are discovery leads. Confirm nationality, qualification, subject exclusions and current call dates. A listed award must cover the exact health discipline and study purpose; eligibility for this qualification is not established by this list.

The life around the training

Geographical moves, applications, match uncertainty and specialty-dependent schedules need a personal plan.

Exam retakes, certification conditions and an unmatched cycle can add time and significant costs.

Residency may be paid; no job, match, visa or salary is assumed.

Draft map
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Medicine / United States

Step-by-step preparation guide

resident physician in an accepted training programme

11 of 11 guide actions await human review. Sources checked 2026-09-05. Your own qualification, branch and eligibility still need an authority decision.

Qualification, cohort and actual experience come before exam bookings.

Does school, degree, campus and graduation year meet ECFMG eligibility?

  • school record
  • Sponsor Note for graduation year
  • transfer-credit history

Gaps to investigate

  • An eligible medical qualification remains necessary; school aspirants first use the Indian foundation branch.
  • Assess clinical knowledge against official Step outlines and recent supervised clinical feedback.
  • Check OET under the selected Pathways cycle; English-medium MBBS is not a Pathways exemption.
  • Separate programme-specific experience/references from regulator-wide requirements.

Turn this page into your next action

Keep the source, your unanswered questions and one personal target together. This blank worksheet downloads to your device; it does not submit an application or copy your private plan.

Prepare for this exam in Study OS

Use Future for the whole route and Study for today’s practice. Study activity does not establish eligibility or predict an exam result.

The USMLE countdown journal

Keep the wider decision in view

Explore other roads in this health field. Similarity does not establish eligibility or make their costs interchangeable.

Data provenance & rigour

Public preview — facts under human review. A source link shows where a claim came from; it does not mean a reviewer has certified it. A certified record must name its reviewer and review date. Fees, deadlines and eligibility may change; missing amounts stay unknown.

21 route templates · 33 funding programmes · 6 official gateways. Catalogue counted 2026-09-09. A gateway is a place to search, not an award.

Your timeline and money are editable planning assumptions. Stage-derived completion reflects what you told us, not verified credentials. No admission, registration, employment, income or exam result is promised. AI wording is a draft and requires separate consent.