What is U.S. Clinical Experience (USCE)?

U.S. Clinical Experience (USCE) refers to clinical exposure gained in U.S. hospitals, clinics, or medical institutions. For International Medical Graduates (IMGs), USCE helps familiarize them with U.S. medical practices and improve their residency application.

Why do IMGs need USCE for U.S. residency match?

IMGs need USCE to boost their residency match chances. It strengthens their ERAS application, provides strong Letters of Recommendation (LoRs), and ensures familiarity with U.S. healthcare systems and patient care protocols.

What types of USCE are available for IMGs?

There are several types of USCE: externships (hands-on clinical rotations), clerkships (for medical students), observerships (shadowing U.S. physicians), research fellowships, and telemedicine rotations.

What are the costs of USCE for IMGs?

The cost of USCE varies. Observerships range from $500 to $3,000 per month, externships and clerkships cost between $1,500 and $5,000 per month, while some research fellowships are free or offer stipends.

usa clinical experience | IMG Rotations

eras experiences for residency match application

ERAS Application Experiences Section and How to Complete It

For the 2026 match cycle, eras has a 10 entry limit for the Experiences section. Additionally, the updated format allows for more detailed categorization of each entry. Applicants can now specify the type of experience, as well as optional fields such as primary focus and key characteristic to highlight the core subject matter and takeaways of each role.