IMG Path to Ortho — Start Here

A clear, realistic route for International Medical Graduates aiming for US Orthopaedic Surgery residency.This guide complements our Path to Ortho pages by filling IMG-specific gaps such as:

Timeline planningObtaining U.S. clinical and research experienceNavigating application challenges including visa requirements

Built by IMGs who’ve been in your shoes.

Quick expectation check

  • •Ortho is highly competitive; IMGs usually need exceptional scores, CV, and LORs.
  • •Time commitment is often 18–36 months (varies by starting point).

The route map

Work through these in order. Each step links to a deeper page with templates, examples, and checklists.

Step 1: Define your starting point + timeline

Be honest about where you are today and how much time you can commit. Most IMG pathways take 18–36 months.

Step 2: Exams + ECFMG certification

Build an exam plan that matches your timeline and visa situation. Get your ECFMG pathway squared away early.

Step 3: Build a VERY strong CV

Matching at a US orthopaedic program is an uphill battle and you need a CV that truly sets you apart.

Step 4: Secure US experiences (research + clinical)

This is the most common “unlock” step: research output, mentorship, and credible letters.

Step 5: Network + mentorship

Get guidance from people who’ve matched IMGs before. Your mentors help you avoid wasted months.

Step 6: Apply smart

Once you have determined that orthopaedic surgery is a realistic target, careful program research is essential. Luckily, the ERAS application and NRMP Match process are the same for IMG and U.S. medical graduates.

Step 7: Understand Logistics (Visas etc.)

Know what programs can sponsor and what paperwork looks like so there are no late surprises.
Pick a lane

Choose your track

Select the starting point that matches you. Each track links to a First 90 Days checklist.

Track A: Current medical student

Best for students who still have flexibility for US electives, research time, and early exam planning.

Track B: Graduate / working doctor

Best if you have already graduated and need a focused plan to build US signals efficiently.

Track C: Already in US research / observership

Best if you are already in the US and want to turn current exposure into output, letters, and a strategy.
Note

A realistic mindset (that keeps you moving)

The goal is to reduce wasted effort and help you stack credible signals.

The big picture

A competitive IMG application usually looks like: strong Step 2 + consistent US orthopaedic research output + strong US letters + a clear story that explains your path.

Friendly disclaimer

This content is educational and not official legal or immigration advice. Program requirements and visa policies vary and can change.