Rank | Education and Experience | Examination | Continuing Education | Fees | Reciprocity or Endorsement | ||||||||||||||
State | Average Rank | Residency Training | Examination | Fees | Continuing Education | Reciprocity | Graduation from an Accredited School of Medicine | U.S. Graduate Residency Training (years) | Foreign Graduate Documentation | Foreign Graduate Residency Training (years) | National Exam | Continuing Education Hours per Year | Initial License | Renewal per year | Total | Lic Period (yr(s)) | Reciprocity or Endorsement | Years Licensed | Additional Fees |
Connecticut | 2 | 3 | N/A | 1 | 2 | 1 | Yes | 2 | ECFMG, 5th Pathway | 2 | Yes | 25 | $450.00 | $450.00 | $900.00 | 1 | |||
Maine | 2 | 2 | N/A | 1 | 3 | 1 | Yes | 3 | ECFMG, WHO | 3 | Yes | 20 | $700.00 | $200.00 | $900.00 | 2 | |||
Texas | 2 | 3 | N/A | 1 | 2 | 1 | Yes | 1 | ECFMG, 5th Pathway | 3 | Yes | 24 | $1,559.00 | $375.00 | $1,934.00 | 2 | |||
Washington | 2 | 3 | N/A | 3 | 1 | 1 | Yes | 2 | ECFMG, 5th Pathway | 2 | Yes | 50 | $325.00 | $155.00 | $480.00 | 2 | |||
Wyoming | 2 | 3 | N/A | 3 | 1 | 1 | Yes | 1 | ECFMG, 5th Pathway | 3 | Yes | 60 | $350.00 | $200.00 | $550.00 | 1 | |||
California | 2 | 5 | N/A | 1 | 2 | 1 | Yes | 0.33 | ECFMG | 0.33 | Yes | 25 | $1,105.00 | $395.00 | $1,500.00 | 2 | |||
New Hampshire | 2 | 3 | N/A | 4 | 1 | 1 | Yes | 2 | ECFMG | 2 | Yes | 50 | $250.00 | $150.00 | $400.00 | 2 | |||
Alaska | 3 | 2 | N/A | 1 | 2 | 5 | Yes | 2 | ECFMG, WHO | 3 | Yes | 25 | $840.00 | $295.00 | $1,135.00 | 2 | Yes | ||
Illinois | 3 | 4 | N/A | 4 | 1 | 1 | Yes | 1 | ECFMG, 5th Pathway | 1 | Yes | 50 | $300.00 | $100.00 | $400.00 | 3 | |||
Iowa | 3 | 4 | N/A | 2 | 3 | 1 | Yes | 1 | ECFMG, 5th Pathway | 1 | Yes | 20 | $496.00 | $200.00 | $696.00 | 2 | |||
New Jersey | 3 | 2 | N/A | 2 | 1 | 5 | Yes | 3 | ECFMG, 5th Pathway | 3 | Yes | 50 | $665.00 | $170.00 | $835.00 | 2 | Yes | ||
Tennessee | 3 | 3 | N/A | 3 | 3 | 1 | Yes | 1 | ECFMG, WHO, | 3 | Yes | 20 | $410.00 | $117.50 | $527.50 | 2 | |||
Georgia | 3 | 3 | N/A | 4 | 3 | 1 | Yes | 1 | WHO, 5th Pathway, ECFMG | 3 | Yes | 20 | $400.00 | $75.00 | $475.00 | 2 | |||
Nevada | 3 | 2 | N/A | 1 | 3 | 5 | Yes | 3 | ECFMG | 3 | Yes | 20 | $1,075.00 | $300.00 | $1,375.00 | 2 | Yes | $200.00 | |
Virginia | 3 | 4 | N/A | 4 | 2 | 1 | Yes | 1 | ECFMG | 2 | Yes | 30 | $302.00 | $168.50 | $470.50 | 2 | |||
Arkansas | 3 | 2 | N/A | 2 | 3 | 5 | Yes | 3 | ECFMG | 3 | Yes | 20 | $500.00 | $200.00 | $700.00 | 1 | Yes | ||
Colorado | 3 | 3 | N/A | 3 | 5 | 1 | Yes | 1 | ECFMG | 3 | Yes | 0 | $425.00 | $155.00 | $580.00 | 2 | |||
Hawai‘i | 3 | 4 | N/A | 4 | 3 | 1 | Yes | 1 | ECFMG | 2 | Yes | 20 | $290.00 | $120.00 | $410.00 | 2 | |||
Maryland | 3 | 4 | N/A | 1 | 2 | 5 | Yes | 1 | ECFMG, 5th Pathway | 2 | Yes | 25 | $817.00 | $256.50 | $1,073.50 | 2 | Yes | 10 | |
Massachusetts | 3 | 4 | N/A | 2 | 1 | 5 | Yes | 1 | ECFMG, WHO | 2 | Yes | 50 | $600.00 | $200.00 | $800.00 | 2 | Yes | ||
Pennsylvania | 3 | 1 | N/A | 5 | 1 | 5 | Yes | 2 | ECFMG, 5th Pathway | 3.4 | Yes | 50 | $35.00 | $180.00 | $215.00 | 2 | Yes | ||
Rhode Island | 3 | 2 | N/A | 2 | 3 | 5 | Yes | 2 | ECFMG, WHO, 5th Pathway | 3 | Yes | 20 | $537.50 | $268.75 | $806.25 | 2 | Yes | ||
Arizona | 3 | 4 | N/A | 1 | 3 | 5 | Yes | 1 | ECFMG | 2 | Yes | 20 | $950.00 | $225.00 | $1,175.00 | 2 | Yes | ||
Florida | 3 | 4 | N/A | 1 | 3 | 5 | Yes | 1 | ECFMG | 2 | Yes | 20 | $1,192.00 | $227.00 | $1,419.00 | 2 | Yes | ||
Kansas | 3 | 4 | N/A | 3 | 1 | 5 | Yes | 1 | 5th Pathway | 2 | Yes | 50 | $300.00 | $222.50 | $522.50 | 1 | Yes | ||
Louisiana | 3 | 3 | N/A | 2 | 3 | 5 | Yes | 1 | ECFMG, WHO | 3 | Yes | 20 | $282.00 | $332.00 | $614.00 | 1 | Yes | $100.00 | |
Michigan | 3 | 3 | N/A | 4 | 1 | 5 | Yes | 2 | ECFMG, 5th Pathway | 2 | Yes | 50 | $235.00 | $173.33 | $408.33 | 3 | Yes | 10 | |
Minnesota | 3 | 4 | N/A | 2 | 2 | 5 | Yes | 1 | ECFMG | 2 | Yes | 25 | $392.00 | $192.00 | $584.00 | 1 | Yes | ||
Mississippi | 3 | 3 | N/A | 2 | 3 | 5 | Yes | 1 | ECFMG | 3 | Yes | 20 | $500.00 | $175.00 | $675.00 | 1 | Yes | ||
New Mexico | 3 | 3 | N/A | 3 | 2 | 5 | Yes | 2 | 2 | Yes | 25 | $400.00 | $133.33 | $533.33 | 3 | Yes | 3 | ||
North Carolina | 3 | 3 | N/A | 4 | 1 | 5 | Yes | 1 | ECFMG, 5th Pathway | 3 | Yes | 50 | $288.00 | $175.00 | $463.00 | 1 | Yes | ||
South Carolina | 3 | 3 | N/A | 2 | 3 | 5 | Yes | 1 | ECFMG, 5th Pathway | 3 | Yes | 20 | $600.00 | $115.00 | $715.00 | 2 | Yes | ||
Idaho | 4 | 3 | N/A | 3 | 3 | 5 | Yes | 1 | ECFMG | 3 | Yes | 20 | $300.00 | $200.00 | $500.00 | 1 | Yes | $100.00 | |
Missouri | 4 | 3 | N/A | 4 | 2 | 5 | Yes | 1 | ECFMG, 5th Pathway | 3 | Yes | 25 | $300.00 | $100.00 | $400.00 | 2 | Yes | ||
New York | 4 | 3 | N/A | 1 | 5 | 5 | Yes | 1 | ECFMG, 5th Pathway | 3 | Yes | 0 | $735.00 | $300.00 | $1,035.00 | 2 | Yes | ||
West Virginia | 4 | 3 | N/A | 4 | 2 | 5 | Yes | 1 | ECFMG, 5th Pathway | 3 | Yes | 25 | $300.00 | $150.00 | $450.00 | 2 | Yes | ||
Montana | 4 | 2 | N/A | 3 | 5 | 5 | Yes | 2 | ECFMG, 5th Pathway | 3 | Yes | 0 | $325.00 | $200.00 | $525.00 | 1 | Yes | ||
Nebraska | 4 | 3 | N/A | 5 | 2 | 5 | Yes | 1 | ECFMG, 5th Pathway | 3 | Yes | 25 | $202.00 | $38.50 | $240.50 | 2 | Yes | 1 | |
Ohio | 4 | 4 | N/A | 5 | 1 | 5 | Yes | 1 | ECFMG, 5th Pathway | 2 | Yes | 50 | $300.00 | $25.00 | $325.00 | 2 | Yes | ||
Oklahoma | 4 | 4 | N/A | 3 | 3 | 5 | Yes | 1 | ECFMG | 2 | Yes | 20 | $400.00 | $150.00 | $550.00 | 1 | Yes | ||
Vermont | 4 | 3 | N/A | 2 | 5 | 5 | Yes | 1 | ECFMG, 5th Pathway | 3 | Yes | 0 | $450.00 | $200.00 | $650.00 | 2 | Yes | ||
Delaware | 4 | 3 | N/A | 5 | 3 | 5 | Yes | 1 | ECFMG | 3 | Yes | 20 | $206.00 | $117.50 | $323.50 | 2 | Yes | $150.00 | |
Kentucky | 4 | 3 | N/A | 5 | 3 | 5 | Yes | 2 | WHO, ECFMG | 2 | Yes | 20 | $250.00 | $125.00 | $375.00 | 1 | Yes | ||
North Dakota | 4 | 3 | N/A | 5 | 3 | 5 | Yes | 1 | ECFMG, 5th Pathway | 3 | Yes | 20 | $200.00 | $150.00 | $350.00 | 1 | Yes | ||
Oregon | 4 | 3 | N/A | 3 | 5 | 5 | Yes | 1 | ECFMG, 5th Pathway | 3 | Yes | 0 | $350.00 | $210.00 | $560.00 | 2 | Yes | ||
Alabama | 4 | 3 | N/A | 5 | 4 | 5 | Yes | 1 | ECFMG, WHO, 5th Pathway | 3 | Yes | 12 | $175.00 | $200.00 | $375.00 | 1 | Yes | ||
South Dakota | 4 | 3 | N/A | 4 | 5 | 5 | Yes | 2 | ECFMG | 2 | Yes | 0 | $200.00 | $200.00 | $400.00 | 1 | Yes | ||
Utah | 4 | 4 | N/A | 5 | 3 | 5 | Yes | 1 | ECFMG | 2 | Yes | 20 | $200.00 | $91.50 | $291.50 | 2 | Yes | 3 | |
Wisconsin | 5 | 4 | N/A | 5 | 4 | 5 | Yes | 1 | 1 | Yes | 15 | $110.00 | $53.00 | $163.00 | 2 | Yes | $53.00 | ||
Indiana | 5 | 4 | N/A | 5 | 5 | 5 | Yes | 1 | ECFMG | 2 | Yes | 0 | $250.00 | $100.00 | $350.00 | 2 | Yes |