No USMLE Required in this State to practice as a Physician
North Carolina IMG Pathway ; ITP Employee License (Starts Jan 1, 2026)
Requirements
•Full-time supervised job in a rural NC hospital/clinic.
•Foreign medical license (valid or expired ≤5 years).
•2.5 years ECFMG-recognized med school + 2 years training or 10 years practice.
•Pass approved exams or hold board certification (waiver possible).
•No disciplinary action, serious criminal record, or pending investigations.
•Background check from home country.
•English proficiency required.
•U.S. work authorization (can apply before it’s granted).
•Practice only at approved rural facilities.
•Eligible for full NC license after 4 years compliant practice.
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