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List of Universities for International Medical Students(Pak/Ind in particular)

by Usman Sattar

 1-University of rochecter.(good toefl scores-24 min. on speaking mandatory,max.of 3 rotations,F-1 required but expensive 375$/week and competitive plus NYSED requirements but of the few univeristy programmes that don't require step1 as yet.   http://www.urmc.rochester.edu/education/md/prospective-students/cached/information-application.cfm )

2-NIH (needs to get exceptional scores on TOEFL even 26-speaking would not
guarantee any spot+apply very early and have brilliant academic
career-said by Vicki Malick in 2010 P.S=if your scores are in %,write it as it is in gpa/pass & write in grading system pass/fail, This institute have become one of the most toughest to get into purely due to number of good applicants it attracts, but you never know.    https://www2.cc.nih.gov/apps/publicForms/cep/forms/cepApp.aspx )

3-Yale (Very good coordinators to say the least but requires lots of
money+ IMG friendly offer H1-B as well , overall really expensive 2500$ tuition fee per month+1000$-for furnished accomodations per month in campus, step1 & toefl still not mandatory if you are competent enough in "american language".....kidding...."English"     http://medicine.yale.edu/globalhealth/international/index.aspx  )

4-Harvard (needs to be lucky,brainy and rich to go there,100$/elective processing fees & 3700$ fees per elective effective from sept. 2011 as fees increase every sept. so be quick lest they should hit 4000 bucks next year but provides its own malpractice ins. and doesn't always except but as you know,top institution,Toefl is not as such mandatory but is plus if you provide but still would have to undergo telephonic interview like weill cornell irrespective. They have some additional docs like letter from dean/registrar stating that you have completed all requisites reaching that particular elective and criminal record form which u will have fun filling !!!! http://www.hms.harvard.edu/registrar/app.html   )

5-Emory (step1 become mandatory as of 2010,requirements for each elective rotation is different so check out their catalog before applying and they have mostly 1 spot for each month,so hurry up and good luck.also offers H1-B for match   https://emorymed.emory.edu/Public/CurriculumPublicPages/CourseInformation.aspx   )

6-University of Wisconsin ("cheese state"-have very wierd requirements
like "u must have 1 month of prior US experience+evaluation before
applying & faculty sponsor from ur own home school& from uni of
wisc-for surgery only, also every dept has different requirements.plus its been long time since i ve heard that they take intl med students,probably not taking anymore.so
good luck if u find them   http://www.med.wisc.edu/education/visiting-students/eligibility-requirements-international/379  )

7-Weill Cornell (need to apply atleast 10 months ago bcz spots are 1
or 2 every month and competition is extremely fierce thesedays,I know
bcz i lost my 100$ once for applying 7 months before plus they alot
electives as applications roll in but thesedays processing fees have gone upto 200$ & 2000$ tuition fees and same NYSED requirements for state of NY + good letter of intent and academic
record is vital http://med.cornell.edu/international/for_int_stu/index.html?name1=International+Health+Interest+Group&type1=2Active  )

8-Northwestern ( brilliant personal statement, LOR from faculty and
Toefl scores of 84 with 24 on speaking & max of 8 weeks are offered,processing fees of 125$ for one application and 225$ for two applications i.e;two electives -see all requirements from site,its pretty staight
farward   http://www.feinberg.northwestern.edu/AWOME/visiting-students/  )

9-NYU (key is your application should reach on very first day of application reception,i did the same & my  courier reached at 9am on 12th april 2010 but they replied via letter that they are unable to accommodate in my choices i;e cardio,gastro and onco......probably they were very competitive and already filled by american students who were scheduled first. From 2011 onwards,they will offer only one elective spot for IMG's ....good luck   http://www.med.nyu.edu/registrar/electives/requirements_non_lcme.html  )

10-Uni of Massacheusttes (first find out if your school has affiliation
with them or not bcz they offer rotations to affiliated schools,KEMU has affiliation for sure,rest of you should find out http://www.umassmed.edu/studentaffairs/electives/international.aspx?linkidentifier=id&itemid=107122  )

11-Uni of Cincinnati ( requires departmental approval before you apply
and dept will forward application to registrar,reasonable fees of 250 bucks and step1 is waived for german,jordan and singapore students   http://www.med.uc.edu/medical/MedEd/Visiting/index.cfm  )

12-Brown Alpert,Rhode Island (as already said offers only to few med schools from
india and pakistan and dean needs to contact their dean for electives !! plus super expensive like Harvard   http://med.brown.edu/students/international/  )

13-Uni of Louisville,Kentucky (only to Agha khan and Dow in pak and various
other colleges from india,egypt etc see their site but requires j-1
which is very tricky...   http://medicalstudentaffairs.louisville.edu/visiting-student-clerkships  )

14-Sunny Downstate (used to be my first preference as some of seniors
did electives in gastro,endo&hemo there in early 2009 without toefl and
step1 and when i saw it in 2009 fall,it said no IM rotations are
offered there, but still u can get EM,Pediatrics,Derma,OB/GYN and
Ortho rotations there plus "they require step1 & toefl as of 2010"-no exceptions   http://sls.downstate.edu/registrar/visiting/international/index.html  )

15-Mount Sinai (processing fees has shot upto 1000 bucks(300$ previously) effective Jan1 2012 and fees per month
is 2000$(500$ previously),separate dean's letter for step1 exemption
plus require 22-30 on each toefl category ...+ Ms.Persaud is extremely busy often
replies late,so be patient.I ve heard that some students from pak got there on b1/b2 but you need to have I-20 and all F-1 docs plus discuss with kyoko tirado but i think now there are no exceptions to F-1 visa   http://www.mssm.edu/education/student-resources/registrar/electives/foreign-visiting-students  )

16-Baylor college of medicine (key is e-mail/fax them with your
particulars(listed on website) very early to get your registration
no. as there is specific quota to every country,their fee was
500$/month in 2009 but has doubled it effective 2010 but advantage is
that it gives its own malpractice ins. 25$,i think & disadvantage is
hafty health ins 228$/month and F-1 just for one month   http://www.bcm.edu/registrar/?pmid=7504  )

17-Duke, North Carolina ( great place but expensive,step1 mandatory   http://medschool.duke.edu/modules/som_registrar/index.php?id=4  )

18-Case western resrve Uni (step1 mandatory, great place and not very
expensive as well plus offers H1-B to IMG's esp st.vincent charity and
metrohealth programs   http://casemed.case.edu/registrar/applications/index.cfm  )

19-Cleveland clinic Foundation (step1 mandatory- all branches are good places,florida branch has
tough requirement that your Dean should contact directly medical board
of florida prior to applying . Offers both electives and observerships to med students so be sure what are you applying for.  http://my.clevelandclinic.org/florida/education/medical_students_elective_rotation_program.aspx  )

20-Mayo (step1 mandatory with good marks ,another great place + all 3
place are great but florida branch has same requisite as mentioned for
clevelend,   http://www.mayo.edu/msgme/clerkships.html  )

21-Uni of Alabama (its website can distract you(look like some cheerleaders' training camp..kidding) but you should contact
program coordinator of school of medicine,when i contacted her in 2010,she
said that u need to have a strong faculty sponsor for that specific
elective,need step1 plus "tricky J-1 Visa  http://medicine.uab.edu/education/48419/  )

22-Albert Einstein college of medicine (step1 mandatory,100 bucks per elective-max. of 3 rotations, F-1 visa is mandatory and offers only to 5 affiliate institutions, no Pak or Ind school is eligible   http://www.einstein.yu.edu/registrar/page.aspx?ID=3890&ekmensel=412_submenu_2042_btnlink  )

23-Wayne state uni (step1 mandatory,max of 3 electives  http://www.med.wayne.edu/student_affairs/records_registration/electives/2010_pdfs/Instructions%20for%20International%20Students.pdf  )

24-Albany (good for some affiliated schools in India but no Pakistani
school is affiliated and i think currenty they are taking no visiting med students   http://www.amc.edu/academic/undergraduate/VisitingStudents.html  )

25-Tufts (expensive,tough but great offers H1-B for the residency   http://www.tufts.edu/med/about/offices/osa/visitingstudentinfo.html  )

26-Thomas Jefferson University (application material and requirements
are not given on site, u should request them from student
coordiantor/registrar,i got the application but i didn't apply there....great
place with managable expenses i.e;75$ processing 750$/month  http://www.jefferson.edu/oies/rotations_electives.cfm  )

27-Memorial sloan ketring cancer center (step1 mandatory as of
2010.....no exception as i talked to the coordinator plus apply very
early bcz of online application process,american students can occupy all spots.Its good for surgical specialities mostly.  http://www.mskcc.org/mskcc/html/2638.cfm  )

28-Uni of pennsylvania (as stated in old list,accepts students from selected med schools   http://www.med.upenn.edu/globalhealth/intl_students.shtml  )

29-Southwestern medical center (its requirements are tough & step1 mandatory plus "just look at depts that
don't take international students"good if you can find dept other than them) P.S=uni of texas Dallas and southwestern med center is same thing  http://www.utsouthwestern.edu/utsw/cda/dept20676/files/397167.html  .

30-East Carolina Uni (i m not sure but carolinas haven't been friendly
for offering rotations to IMS so this one also requires step1 and
various other super-requirements that i don't personally like for IMG
friendly institutions but good luck if u meet them plus they aren't taking IMG's for 2011-12 electives,better luck in 2012-13  http://www.ecu.edu/cs-dhs/bsomstudentaffairs/BSOM_Visiting-Students.cfm  )

31-Uni of Texas Medical Branch-UTMB (requires F-1 visa and 100$ per elective is required, you have to ask about your eligilbilty from the coordinator.....i and my friend in QAMC asked in 2009 and we were turned down but i think some egyptian students got in...... http://www.utmb.edu/enrollmentservices/prospect/index.html   )

32-Uni of Missouri-kansas city SOM  (only some rotations are offered to international med students, check out their site and send application with immunization form to see if you qualify   http://www.med.umkc.edu/electives/visiting.shtml  ) 

33-Uni of Kansas SOM,Wichita  (max.of 8 weeks electives are offered there,F-1 visa will be sponsored,,Step 1 is required but can be exempted and only 40$ per rotation is charged   http://wichita.kumc.edu/asa/forms/Visiting_Student_App.pdf  )

34-Uni of washington,Seattle (max.of 12 weeks rotations are offered only to affiliated international med school students-see their website,F-1 Visa is required,Toefl,malpractice and health insurance are required, Electives are given only on spaces availability basis   http://uwmedicine.washington.edu/Education/MD-Program/visiting-students/International-Students/Pages/default.aspx  )

35- Uni of New Mexico SOM (needs a faculty sponsor and send acceptance letter from sponsor in application package,Toefl,First 4 weeks are not charged any tuition fee but for next week or so charged 1749.50$/4 weeks payable 60 days prior to start date,some depts require step1 as mandatory and other specific requirements but the most funniest requisite is that you must be a resident of state of new mexico in order to be considered......so,good luck   http://hsc.unm.edu/som/oss/Visiting_Students.shtml  )

NOTE= Information about above mentioned institutes is again updated on 2nd July,2011 and their accurate links are also attached ,any suggestion or mistake correction would always be welcome by me , research and canadian institutions are not included here.


 Personal comments/experiences about the hosp/unis that i excluded

1-Maimonodes Medical college (i applied through online application in fall of 2009 there,my first-ever elective application,in cardio,gastro and radio but Ms.Marshall replied after a month that they don't take international med students anymore plus its explicitly states on their website that they take LCME,AOA and NYSED affiliated schools (handful of foriegn and carribean schools) But "Umar Bhai told me that they do take foriegn students if spot is available but they don't actually claim it....so,choice and luck is entirely yours!  http://www.maimonidesmed.org/Main/ElectiveRotations.aspx  )

2-Henry Ford ( I called student coodinator jan 2010 and she told that they are not taking international students anymore .But still to satisfy my curiosity, i contacted each member of various depts and only few of the replied they too said that they can't sponsor you without Head of Dept.& registrar approval ",anyway,you may try your luck if you want  http://www.henryford.com/body_program.cfm?id=37384  )

3-North Shore/LIJ ( I contacted and sent applications all dept coordinators last year and they were themselves not sure about the policy regarding foriegn students but in 2010 they finally released clerkship list with dept policy yes/No to foriegn students and they only allow you to take electives in Peds,OB/GYN, Ophthamology and PM&R-(my first acceptance came from there but i denied it) and this year Ms.Glenda Cohen,peds coordinator told me that even though they accept intl students now they can't guarentee anything and if accepted an intl student would only be scheduled for one month elective In peds specialities ".New peds coordinator Ms.Camellieri also told me that they now require step1 scores too from July 2011.Moreover, all the applications are processed 5 months before,so, you are actually competing with american students for same spot   http://www.northshorelij.com/NSLIJ/NSLIJ+Elective+Clerkship+Application  )

4-UCSF-radio (Umar bhai said that they take students with greencards only in 2010...which was by far the most difficult requirement for an IMG,anyways, they no longer international med students regardless of their nationalities   http://medschool.ucsf.edu/visitingstudents/departments/radiology.aspx  )

5-UCSD,Davis AND UC Irvine ( few students from germany are reported to go there P.S= california and carolinas have become THE most toughest places for IMG to get electives esp poeple from subcontinent but impossible is nothing ! Plus they have some specific requirements related to depts or institutes,so see for yourself  http://meded.ucsd.edu/ugme/visiting_students/foreign_schools/basic_information/ , http://www.ucdmc.ucdavis.edu/surgery/education/medstudent.html & http://www.som.uci.edu/  respectively)

6-Uni of Chicago Pritzker School of medicine & Rosalind Franklin Uni( told me explicitly in 2009 fall that they would not be able to extend the oppurtunity to foriegn med students to meet the needs of their own med students, so, i guess no more electives in chicago as well  http://pritzker.uchicago.edu/current/students/visiting/process.shtml &  http://www.rosalindfranklin.edu/DNN/home/CMS/MedicalCurriculum/tabid/865/Default.aspx  respectively )

7-Georgetown Uni (" I have seen poeple talking about Georgetown uni but my
junior's elder brother is there in Radiology and he is sponsoring him bcz
he has blood relation,if u have that kind of sponsor then fine plus u
can only work in sponsors dept with sponsor not with any other person plus sponsor would be responsible for any adversity that sponsored person might create and had to get dept approval as well.Recently,i ve seen they aren't taking International students at all  http://som.georgetown.edu/70216.html  )

8-Louisiana state uni and Tulane (no longer takes international med students so i guess no more electives in New Orleans ,http://www.medschool.lsuhsc.edu/student_affairs/electives.aspx &  http://tulane.edu/som/StudentAffairs/visiting-students.cfm  respectively)

9- Vermont ( doesn't take international,carribbean or even osteopathic med students regardless of their affiliation   http://www.med.uvm.edu/StudentAffairs/TB1+RL.asp?SiteAreaID=555  )

10-Uni of Virginia (Doesn't take any international med student but if someone wants to sponsor a student then he/she has to ask the student affairs him/herself and only then your case would be considered.......but chances are very limited but good luck if someone can do it for you .100$ per elective  http://www.med-ed.virginia.edu/handbook/electives/visiting/   )

11-Ochsner Clinic Foundation (for the past year or so many of med students have asked about that,let me tell you explicitly that they are no longer taking any international medical students including canadian/carribbean/peurto rican due to their affiliation to both Tulane university & LSU plus University of Queensland,Australia students ,also they have only one spot for each rotation and you would have complete responsibilty of your patient like interns unlike other institutes where they alow even 4-5 students in one rotation  http://academics.ochsner.org/electives.aspx?id=1514  )

12-Univeristy of Pittsburgh,PA (accepts students from certain England,German and some east asian countries, check out if you are from those places plus very expensive   http://www.medschool.pitt.edu/somsa/AboutInter.html  )

    Hope this updated list would help you further.

  Best Of Luck to all aspirants............Usman Sattar.

Usman Sattar (not verified)

Fri, 11/26/2010 - 14:08

Hi Guys,

        I have posted this list based on my personal research and experience specifically for pakistani & indian med students. If you find any discrepency, feel free to post your comment here........

        Good luck........

thnx for puttin up an updated list dude!... really helpful..

wanted 2 ask u 1 thng.. does oschner clinic require step-1? and do they accept B-1 visa?

also it'l b great if u let me know whether this 'clean background check', 'clean drug screen', BLS card requirements are applicable to International students as well..

regards,

dr_andy

Usman Sattar (not verified)

Fri, 11/26/2010 - 17:36

Thanx dr_andy for appreciation......I havent taken step1 as yet......i asked Mr.Scott Peters about that and he said you can send copies of previous result cards showing basic course grades.....thats it....As for visa, Ms.Audra Detillier,current student coordinator, she said "we don't have any visa requirement as long as you come in US legally, we would let you have your rotations".....

       At Ochsner , you have free hand.......hope it would help

Usman Sattar (not verified)

Fri, 11/26/2010 - 17:44

All the requirements are applicable on every student esp.clean background check and drug screen.....but BLS certification can be exempted on request, i think.

i mailed mrs. detillier regarding policy for international visiting students and she replied that they do not accept students from non-LCME schools! :( :(

Sorry folks for the late reply, well, as i said the spots are very limited and you are only considered if LSU AND Tulane students are not holding the spot for particular electives.Therefore, early application was mandatory when i applied(esp for competitive specialities like cardio). OR there might be a change in policy regarding international students.....But when i contacted Mr.Scott Peters,previous coordinator,he really helped me out every step of the way.

 You might wana go over the link once more to get an better idea.         http://academics.ochsner.org/electives.aspx?id=1514       Read under the headline of visiting students,it says spots for students from non-affiliated schools are limited.

 Moreover,i sent my application this july for next year's april and may plus i sent LOR'S from cardio and gastro depts and had couple of researches in cardio as well.........this might give you and idea.

       Good Luck.

Sabeeh (not verified)

Sun, 12/12/2010 - 19:21

I applied to Mt.Siani for september 2011 along with a couple of friends and as far as i remember Mt. Sinai has a TOEFL requirement of 22 in EVERY CATEGORY. Do u have any documentation to prove that they require 24? I'm concerned coz i had 22 and my friend had 23 in speaking but otherwise i had 30,25,29 and he had a similar score. I checked all their requirements before applying  and i could only find the 22 requirement.

Yeh, you are right , it requires scores 22-30......couple of months back i read somewhere that they need 24 which turns out to be wrong......Thanx for reminding me ........ good luck !!!!

Sabeeh (not verified)

Wed, 12/15/2010 - 13:56

In reply to by usman1

I think that they changed their policies this september or october. Btw, i sent them a printed copy of my online TOEFL score as i still havent recieved my TOEFL score card by mail and its been almost two months :S Is that okay? Mrs Persaud just said a copy of TOEFL results when i talked to her on the phone, she didnt actually mention WHICH copy :P

Any idea of what the chances are of getting an elective at Mt.Sinai for august?

Yeh,lots of new changes were done effective september this year but i think if you have send them some sort of toefl proof , its fine...... did you put mount sinai in list of institutions where ETS send free copies to ? if yes,even better.......chances of getting electives depends upon the specialities you applied for and no. of studens taken each months for that ? Like Gastro takes only 2 students but Cardiac surgery can manage upto 15 students each month. But as i always says"do your best and leave the rest".........Good Luck!

Actually i wanted to send them the result by ETS but when i called Ms Persaud she said that the a copy of  RESULT HAS TO BE SENT WITH THE APPLICATION and if you send it by ETS we will not accept it. I guess because they have a large number of applicants they like to get the documents of each applicant all at once rather than get them at different times to save themselves the trouble of organizing them or something. Any ideas on when NYU applications open up for July/August 2011?


Btw, Great compilation, when i did my search for electives i spent a lot of time to get all the info that you have pasted here as the old list is pretty outdated. This will help a lot of people by saving their time :)

so, you have done your part...you have send them some sort of copy with application and even ETS would send them the copy as well.....thats it, nothing to worry about now and hopefully,get prepare for the next step,f-1 visa docs........as for NYU as i already said in my comments it depends on the speciality you are applying in and time when your application arrives. I opted for competitive ones but couldn't get them....but thats just me...you should apply in such a way that your courier reaches on very first day of given day.......you can expect to see the dates for next academic year at the end of Jan next year at NYU site or call Maureen Doran!!!!

       thanx for the appreciation of my contribution.

Visitor (not verified)

Mon, 12/20/2010 - 18:34

hi usama and umar

this is really wonderful place to get info about everything related to usmle and electives

i have a question

im gonna take step 1 in June and i want to get electives from august till November  and i wonder which unis could accept to give me a primary acceptance before i take step1 so i can run the application early for visa and things and then i show them my score as soon as i get it before i go there

thx a lot

hi there,

     i dont know such programme either. As you are egyptian student, you might wana contact Uni of texas medical branch bcz they have somesort of affiliation with your schools so, might be able to extend the favour.

        my advice would be apply asap in other places as well bcz spaces fill out like pieces of cakes...........

           good luck.......

usman1

Sat, 12/25/2010 - 05:01

In reply to by Storm (not verified)

all i know SIUH is that it is a another good place and its electives are scheduled through NS LIJ health system and i am not sure whether or not they are allowing international med students do electives at their place !!!! If you have any more info please share.......

i am really sorry,i picked you for an egyptian student. Anyway,irrespective of your origin,apply early to the places that suit you because regardless of their usmle requirements,all that matters is that they are offering you electives and most of them are great places......good luck

abr (not verified)

Mon, 12/27/2010 - 16:46

This is A reply  that miss audura the cordinator sent me

We appreciate your interest in our academic program.  However, as our website clearly states, we only accept students from LCME or AOA accredited schools.  I am sorry that we will not be able to meet this need for you.

 so Mr Sattar colud you  pleaqse clarify wht is goin on? thanks

 

hi abr, there is great confusion creeping in as far as Ochsner electives are concerned. Well,if Ms.Detillier replied that than i have absolutely no idea whether or not they have changed their policy towards intl. Med student. when i applied,Mr.scott peters was the coordinator(transferred to tulane in oct) so the same Ms.detillier(when she took over) contacted me to confirm me again about cardio and gastro and we had discussion about visa and housing issues and she was no less helpful than Mr.peters. I dont know whether i would be the only img doing electives there or not, but i have got their seperate letters of gastro and cardio consultative service and i have got my visa as well...hope it would clarify doubts......good luck

thanx for the reply sattar bhai! but the confusion lingers.if there had been  a change in policy then mybe she would have replied so! but her reply was categorical! so Aastalavista Oschener!! 

And which othr places are you goin to?Nice to have u update  the university list..was thinkin of doin it my self ! Excellent wrk!

regards     Abr

you are welcome.....yeh,policies can change over nite,you might know if you follow their policies very closely....as i described about sunny downstate(my seniors did there without toefl and step1 in gastro,onco and endo but few months later same year they had posted no to imgs to various specialities including IM) similarly NSLIJ ELECTIVES......mostlY new cordinator dont know about previous policies.....but anyhow, there are numerous other great places to choose frm.....i have also applied at mount sinai for cardio,endo and cardiac surg electivesbut yet to get their response...... Good luck

Storm (not verified)

Sun, 01/23/2011 - 16:41

Is there any possibility of getting an elective at Harvards having no clinical or research elective before...is it worth applying?

coz people say you rarely get an elective at harvards so a guy like me who has never done elective before and i'm an average student, can score an elective over there?

Aaron (not verified)

Thu, 02/10/2011 - 13:57

How many months in advance should i apply to yale, im in my third year of medicine now. I'm thinking about going just before 4th year begins. Is it very hard to get in?

usman1

Sat, 02/12/2011 - 09:48

In reply to by Aaron (not verified)

9 months to be on safe side and if you are going for tougher specialities.......if you are willing to pay that much,they would definetly have you, but do get your passport made , you gona have to mention it on application also, take toefl if you haven't taken step1 as yet.........good luck.....usman

But after having paid so and done the elective do you think, it will give me a definitive advantage or in other words is it actually helpful to do it yale

Visitor (not verified)

Sat, 02/12/2011 - 16:50

Usman bhai, Regarding your cardiology experience at MSSM, could you shed some light on it and tell us about the experience. The attendees and the environment. Really looking forward to it

usman1

Mon, 02/14/2011 - 14:16

In reply to by Visitor (not verified)

i haven't taken that rotation as yet and i am facing problem with dates that are overlapping with cardio at ochsner......but i ll definetly post my experience at each med school in US seperatly after im done with them......

Visitor (not verified)

Wed, 03/02/2011 - 18:28

i am a fourth medical student and getting realy desperate!!many universities are demanding step 1 and the list is getting smaller and smaller please guide me i am panicking!i  cant find any university to apply to

First of all , don't panic at all. You need to make up your mind which speciality you are going for and then search good residency programs/colleges......as i have listed some institutions that don't require step1 or can exempt that, go apply there like mount sinai(can exempt you),weill cornell and yale etc. and lot more........good luck.

thankyou bhai its really appreciated to get some kind of support from elders brothers!i have started the process of collecting documents!i wanted to ask where to get the dollar draft in lahore?i have heard american express?do u knw whr it is?i think near china chowk?

Thanx for the appreciation, i got my draft made through the bank but had my account there. You can go to bank and ask them to make it for you(more reliable) OR go to different moey exchange offices and get the info.........I m sorry, i ve no solid info other than bank !!!

First of all , don't panic at all. You need to make up your mind which speciality you are going for and then search good residency programs/colleges......as i have listed some institutions that don't require step1 or can exempt that, go apply there like mount sinai(can exempt you),weill cornell and yale etc. and lot more........good luck.

jay (not verified)

Fri, 03/04/2011 - 21:13

hi i m doin my internship in india n i want to do clerk ship in january-february...right now i am busy with my internship schedule so i can give toefl exam in may and after that i can apply for the clerk ship,,so in which colleges i can apply in june please name tha colleges or name other colleges which do not require toefl score..and note that i didnt give step 1,so name colleges which must not require step 1 for clerk ship....plz do inform as well as possible..

Hello Jay

The information that you are looking for is very specific, as to which programs require toefl and which do or not require step-1 scores. Now there are hundreds of programs available in various universities in the US so its difficult to give a composite list. There is no one website can give you information in this way. You will have to do an extensive research by yourself. You might want to read the elective application guidance by Akshay or the article written by me, which will help to know how to go about this research. I hope you can understand. Elective application requires a lot of research and time for the same, which you will have to invest by yourself. Plan systematically. If after the research you have more queries come back and seek help here and we shall try to help you the best we can.


my requirements are the same, i  haven't given my step 1 and toefl.... would you help me where could i find elective application guidance by akshay....

Hi Jay, without step1 and toefl and with such less time to go ,i m afraid the list of institutes is not long......plus competition is very strong thesedays.......for that i would recommend , apply widely to different places that don't have strict requirement of step1 or toefl and wait for your luck bcz at the end of the day, its luck game........go over your priorities and speciality and then read about the whole list here to make a decision !

sufyan (not verified)

Tue, 03/08/2011 - 15:38

Salam Usman Bhai

                           Bhai i am  in 4th year and wants to apply for elective at North Shore......plz guide me on  i mailed to the student coordinators of departments of obs/gyn,neurology,ped and PM&R and asked them that i am interested to do elective at North shore but no one reply.......plz tell me that i should send them my CV and application directly thn thy will reply or nt....

Regards


Sufyan 

well, that has been the hallmark problem for NSLIJ system but carry on and neurology no longer takes IMG's but rest f them do ....... Victoria Ruiz of PM&R was very regular with e-mail responses last year but i don't know now and Glenda Cohen of peds has been changed this year so that's y there is delay.........but yeah you can send them your CV and application directly as well.

well, that has been the hallmark problem for NSLIJ system but carry on and neurology no longer takes IMG's but rest f them do ....... Victoria Ruiz of PM&R was very regular with e-mail responses last year but i don't know now and Glenda Cohen of peds has been changed this year so that's y there is delay.........but yeah you can send them application and CV and wait for their response. Best of luck !

well, then go ahead........get them make and inform the coordinator that you will send them after sometime,if they are not already available............best of luck!!!

anum gul (not verified)

Wed, 03/09/2011 - 17:53


hey usman .. i found the site very helping .. can u please tell me that NsLIJ easily accepts pakistani students or not ?? its just the online application process .. is there any fees for the application ?? or tution fee ?? cuz i dint find it on the website ..please reply

usman1

Sat, 03/12/2011 - 01:03

In reply to by anum gul (not verified)

the application is only online and there is no tuition/processing fee but you have to pay 30 bucks after your acceptance for the "new york letter of eligibility". It does take international med students from all over the world including Pakistan but for the past couple of years,due to huge demand of their own and affiliate med students,the chances for foriegn med students have gone down. It also has to do with the online application that americans apply earlier.....but good luck there.

Hey usman bhai, congratz on ur mount sinnai elective and passing out final year. Bhai there is an option in letter of eligibility about the infectious control training. What to do abt that? Coz you must have submitted letter of eligibility for Mount Sinnai so did u give the infection control training? Is it required to give or they can ignore it?

I (not verified)

Sat, 03/12/2011 - 17:54


hey can u please tel me one more thing that i havent not done anythinglike research and all and my cv is very smpl ..please can u tell me that do they consider a good cv as a imp thing or i still hav a chance on a very simple cv

A good CV does make a difference in some programs but if you apply in programs that take students as their applications roll with appropriate other documents......you have a very good chance of getting one......

Visitor (not verified)

Thu, 03/17/2011 - 23:19

Hey

I have got Mt. Sinai for the month of April (11th April) - cardio elective. But the problem is they have just informed me and i have only 20 days left before the elective starts to get a F1 visa. i already have B1/B2. Do you think if i request Mt Sinai will exempt F1 for me. Another option I have is  to go for emergency medicine elective at Lincoln Hospital (affiliated to Cornell). Both the electives overlap so i can only attend one. What do you suggest?

Please reply asap

Thank you

Mount Sinai is exempting F1 to Pakistani students, my friends just did their electives at Mount Sinai on B-1 but you still have to go through the whole F-1 process including sevis fee and I-20 form. The embassy isn't issuing F-1 to Pakistanis for some reason, they give a B-1 instead :S

mohsin (not verified)

Sat, 04/02/2011 - 13:18

salam.

i want to apply at NYU, do i need to attach health and malpractice insurance with elective request form?

mohsin (not verified)

Sat, 04/02/2011 - 13:24

salam,

i want to apply at NYU,do i need to attach malpractice& health insurance with the initial elective request form?

Ved05 (not verified)

Wed, 04/06/2011 - 04:37

hi,

as given on the NYU elective request form, they have asked about the dates of core clerkships completed by the time of application.

but as our clerkships are divided in 2nd 3rd n final year which dates should we write there?

will appreciate the help.

thanks in advance 

Visitor (not verified)

Fri, 04/08/2011 - 02:11

i want to apply for the nyu..and it asks

THE DATES STUDENT WILL HAVE COMPLETED THE 

FOLLOWING CORE CLERKSHIPS AT THE TIME OF THE ELECTIVE ARE INDICATED BELOW:

MEDICINE:_______________________     SURGERY:______________________         OB/GYN:_________________________

PEDIATRICS:_____________________     PSYCHIATRY:  ___________________                 NEUROLOGY:  ____________________

what dates are we supposed to write

write all the dates......it requires some skill to write them but do write all the dates, afterwards they gona require your transcript or clerkship certificate to confirm that so, no problem !!!!

gargya (not verified)

Fri, 04/08/2011 - 11:54

Pls all, someone reply...im new to this website.I have given my toefl amd got a score of 105 with apeaking 26(r-29,w-25,l-25). I have sorted out a list of universities but im not able to make out how to apply..wat does vsas mean..wat does lcme mean. what am I supposed to do to know whether I can apply fot the clerkships for specific universities or not...Pls help me as people are warning mw that im gettin lat, as my internship ends in September,2011


Ok, first, don't freak out. Second, just make list of the uni's that take students without step1(i m assuming u haven't taken that) and then apply in most of the uni's as your time is close,so you would definetly wana make sure you get into any program......that's it, LCME in simple words means american,peurto rican or canadian students and vsas is the system through lcme-accredited students get their rotations,its not for IMG's....just go over this list again,mark the suitable ones and note down their requirements and send them your documents asap......then hope for the best !!!!

Visitor (not verified)

Sat, 04/09/2011 - 13:40

Hi,

I wanted to add some info to the forums.

Regarding an elective at Louisiana State University,Shreveport.

Students who are accepted there, the elective coordinator gives the Invitation Letter on the application form which we have filled earlier, and students(who are unaware of what an invitation letter looks like) take that letter to the consulate for the interview, where they dont find it convincing and may deny the visa.

So ask Sandra Ward the invitation letter on a letter head and ask her to courier it, else get it couriered from one of your friends who are doing an elective out there.

Guess this will of some help,

Cheers!


thanx for the up dates,it would definetly help those who are applying for shreveport,LA....appreciate that !!!!!!!!!! Also,if you have any other details about that ,please share with us.


did u get accepted at LSU shreveport ? im probably applying for that, can u leave ur email please i wanna ask you about some stuff ,would be of great help, thanks alot.

Ved05 (not verified)

Mon, 04/11/2011 - 06:11

Hi,

as given info on the website of tufts

Enrollment opportunities for International Medical Students are very limited and granted on a space available basis to highly qualified students from schools where we have an existing relationship

does that mean only specific colleges can apply there?

also does it require step 1?

Dr. N (not verified)

Tue, 04/12/2011 - 04:19

In reply to by Ved05 (not verified)

yes it means only schools tht have an affiliation with TUFTS can only apply..dun think it requires step one! still confirm

usman1

Fri, 04/15/2011 - 14:33

In reply to by Ved05 (not verified)

 Yes and ,i think, tufts has made step1 mandatory !!!!!  please confirm the latest with their coordinator .... best of luck.

EKTA (not verified)

Tue, 04/12/2011 - 22:34

hello sir

 m an intern in India.my expected date of completion of internship is 31 dec 2010..but i will take extension fr few months to extend my internship. i am applying fr clerkship at mount sinai in the month of jan feb march 2011...and the transcripts which i have got made have  my expected date of completion of graduation as 31 dec 2010...wht should i do?

do u reply to the queries at ur website only or do u also mail all the answers askd by anyone?

i think if you have taken extension already then you should ask your student clerks to correct the date of graduation as soon as possible. Also its april already,how can you apply for jan feb 2011 !!!!!! anyway, i post replies to the queries on this website only !!!!!  best of luck.


Cleveland Clinic Ohio offers clinical electives only for international students who have done their USMLE Step 1 examination. Cleveland Clinic Florida would require your medical school to contact the Florida state government for registration. Refer to their website.

garry (not verified)

Sun, 04/17/2011 - 17:52

hey hi ..i applied to weill cornell for the months of oct,nov,dec 2011...i applied in feb and one of my friends have applied in start of april and he has received a email for a telephonic interview from the coordinator ...but i didn't....so i was wondering by which criteria they choose whom to call first...my toefl score is a bit lower than him ...but my overall resume is much better than him

and what should i do about it now..should i call them about this..because they have not replied to any of my emails..

thankyou

regards

garry 

visitor (not verified)

Sat, 04/23/2011 - 20:50

hey bro can we use the LOR we received from prior US rotation instead of evaluation report ,since i didn't receive from one from my prior elective, for applying to wisconsin ..

thanks


I think yes,you can use LOR from prior US experience....I think,all they want is some sort of previous US  reference. Moreover,you can confirm from them as well to inquire about their current policy.

Visitor (not verified)

Sun, 04/24/2011 - 16:21

can some one suggest how much important is clerkship as far as getting residency is concerned.... like it increases the chance by 20%...etc. also is it enough to stat the immunisation procedure especially varicella which needs min 4 wk interval... i am now in my final year...does final year means i hav to be doing house surgency(internship) .. i am now in my 9th sem..... also pls advice about the universal precaution course mentioned in some programes which is also a requirement also we didnt hav separate nuerology posting which was asked in some clerkships sorry for the large load of questions ... its coz i am really late now have nt begun the processing of application ...pls help

we can't denote any number to the importance to clerkships as in every case it can differ but it is becoming important factor in residency now-a-days. If you have undergo varicella vaccination,then you can mention it instead of titers.....if that what u mean.

       universal precaution requirement varies from institution to institution,some require before some require after acceptance....its a simple test that u can take online. If you ve covered neurology in internal medicine,mention IM dates.......good luck!!


The only realistic significance of clinical electives is the network of contacts you develop. There's no other importance in terms of actual US clinical experience. These are the words of a residency programme director.

It's upto you how you can manage this contacts network. This can range from landing you a direct spot in residency, to even making it unfavourable for you!

Visitor (not verified)

Wed, 04/27/2011 - 21:06

hi i am an img from india... now i am in my final year ...ie going to take med surgery gynec exams ... after that i have one more year of internship(house surgency) am i eligible to apply.. they say u should be in 6 th year of of a 6 year programme... pls help...

2. should we type the application for electives or write it by hand..... 

3.they have asked for my rank in the class(to be filled  by our dean )...now in our school there is no system of ranking

4. someof them asks about taking menigococal vaccine if staying in campus... is it better to stay outside?

pls help.. and sorry for so much bulk of questions... AND GREAT JOB GUYS ....ITS THE WORLDS BEST USMLE PREP WEBSITE

Yes,you are eligible to apply to most programs but some programs would also mention that internship year students don't count, you better confirm their policy with them before applying. I prefered to type the application coz you have to type the name,its upon ur discretion.

        You have to send mennigococcal vaccination if you are gona live in their residence but they tend to be little expansive but then you don't have to worry about the security,transport and maintaince.So,you decide what you gona do.

           And thanx for the appreciation,we are just trying our bit. 

ved05 (not verified)

Wed, 05/04/2011 - 13:57

Hello,

thank you everyone on this site for providing the guidance to many aspirants like me...

I sent the request form for applying for electives at NYU n my courier reached very first day...

I was wondering when should I expect the reply from them?

also, I have sent the application to Yale n it reached 20 days back, I want to contact the elective coordinator to confirm the receipt... but the phone no. provided on the site is always on answering machine... I also emailed them regarding this but I didn't get any reply... what should I do.. how should I contact them?

Will appreciate any help..thank you  

DR EXXXXXXX (not verified)

Sat, 05/07/2011 - 03:17

In reply to by ved05 (not verified)

hello. Well NYU usually replies by the end of june maybe as they have to schedule thier own students till then! good luck


Nyu normally responds in the end of next month when you send them application by letter of rejection/acceptance alongwith origional application,so no need to ask them about your application as yet. Yale,usually have much better coordinators compared to other places but its still early to ask them and e-mail is best way to get around them. Best of luck........

amit (not verified)

Mon, 03/11/2013 - 18:21

In reply to by ved05 (not verified)

 can you please tell me how to get elective information about NYU...theres nothing on the site

thanks

sp (not verified)

Tue, 05/24/2011 - 21:32

hey bro,i am a final year student from india.Just  got my toefl scores(23,23,23,25) total 94,which is too low,can u tell me where can i apply for electives.I have very few options, rather 1 or 2 universities,should i give toefl again????...pls help...pls


Yes you can try giving the exam again but not all universities have stringent requirements for the TOEFL score. They may require TOEFL but may not care too much about the score, with obvious exceptions in NIH, Northwestern etc.

Try asking the respective coordinators from the universities at which you intend to apply.

Sabeeh (not verified)

Mon, 06/06/2011 - 17:28

In reply to by sp (not verified)

Cornell, Mt.Sinai and Thomas Jefferson would be good choices in my opinion! My friend had a similar score and got into Mount Sinai for Cardio! Best of luck

ved05 (not verified)

Thu, 05/26/2011 - 17:28

Hey thank you for replying for my previous msg.

How can we send the TOEFL score to Mt. Sinai ? directly by ETS or we can attach a copy of score report with our application..?

Will appreciate your help..


Ask the coordinator. Usually they do accept photocopies of your original scorecard. Some like NWU need you to directly send them through ETS.

Sabeeh (not verified)

Mon, 05/30/2011 - 02:30

In reply to by ved05 (not verified)

You can send a copy of your score report along with your application! You can even print out the online copy of it and send that along (which is what me and my friends did). They just need some sort of proof that you have attained the minimum score! DON'T send them a copy through ETS as Jeanneth Persaud (their coordinator) clearly told me on the phone not to send it through ETS! 

addi (not verified)

Sun, 06/05/2011 - 11:53

hello bhai 

i really need some help regarding electives and observeship/ paid externship i m currently doing internship frm india havent given step 1 as well as toefl yet but m plannin to give toefl end of this month if i start my applyin procedure by august do i stand a chance of getting electives in a mnth of jan , feb or march as i m really busy with my internship i hardly get time for step 1 preparation so giving toefl for me will be time consuming so i was wondering which is better doing electives now or doing observeship/ paid externship latter plz help me


Don't get into any complications; just give your TOEFL and as soon as you get the result, start sending the applications immediately. After your TOEFL exam, have your documents such as immunizations, titres, transcripts etc prepared so that you can send in the applications when your result is announced online.

Just do electives if you are confused. It's not worth worrying so much about electives or observerships debate.

Ved05 (not verified)

Thu, 06/09/2011 - 07:00

Hi,

In the application form of Mt. Sinai what should we write in

 I am currently a ............year student in a ........ year program

As we have 4 and half years course plus 1 year internship before graduation in India so should I write 5.5 or 4.5 years?


Thanks. will appreciate the help.


i thought, in india,they have 6 years overall and 1 year of internship is included in grad program......i think,make it simple and round them off....make it like 5 th yr student in 6 yr program........They don't wana count exact months and all they wana know that you would be enrolled in med school at that time......thats it, everything else, your transcript would tell them........


i thought, in india,they have 6 years overall and 1 year of internship is included in grad program......i think,make it simple and round them off....make it like 5 th yr student in 6 yr program........They don't wana count exact months and all they wana know that you would be enrolled in med school at that time......thats it, everything else, your transcript would tell them........

Visitor (not verified)

Sat, 06/11/2011 - 08:34

usman bhai most of the universities mentioned in their sites that u should complete all the core clerkships before u start applying.......do they mean we have to submit all the transcripts including final year? i m currently in final year and want to apply for electives now.....i have not taken the final exam yet and dont have the transcript of final year.....pls enlighten me in this issue......

Yes you need the final year transcript as well as the transcripts of your previous years. Whatever rotations you were on in your previous years must have had the core clerkships attended.


I have figured over the years that "All core clerkships" means basic core clerkships like int. med,surg,psych,ob/gyn,peds & neurology and it doesn't imply on the clerkships that your school require to graduate coz in later scenario,you are already a grad.........In my med school,we ve one transcript with all the up-to-date details of grades,classes attended etc. alongwith things to come. Plus,i have seen many 4th year med students from pakistan attending electives here and certainly they have fulfilled all the requirements of core clerks for their graduation but only the above mentioned basic ones that we do in 3rd and 4th year..........so, if i were you,i would ve applied with whatever the latest i had and wait for the best !!!!!

Visitor (not verified)

Sun, 06/12/2011 - 06:55

usman bhai   umar bhai has previously said we can apply just with a trancript having upto 3rd year,,,...bhai i have passed final year but been waiting for my certificate to come,.....in our college it will take a minimum of 3 months to get the certificate,,,,,,,but i want to apply as early as possible,,,,pls help me.......  ......,,,,,,,,,,,,,,pls read the following post..................

 question : Sir, i shall receive my final yr results in feb end. So u suggest that i should wait for my results or get my transcript ending with my 7th sem marks?

 Answer by Umar bhai :  Either way, its fine!














Yes, either way is fine,but considering the competition for electives now a days, i would say, apply with whatever the latest transcript that you have right now because if you have done your clerkships previously,they dont care what your 7th sem marks look like........remember,applications are processed by coordinators(mostly by coordinator's assistant) and they just follow the basic requirements like your school's name,clerkships done etc. ,they dont delve into complexity ......So,if you ask me,i would say apply early with that transcript and even if some clerkship is missing at that time or still going on, write on transcript that you would ve done it by the time of electives !!!!  hope it helps....

Sumeet (not verified)

Mon, 06/13/2011 - 03:22

Hello friends!

Thank you for the good work! I am a medical undergraduate from India. I am applying for the CaseWRU. I need to pay the application fees by money order. Is there a way to send a money order from India to US? If anyone has any small information regarding the same, I would be grateful if you could share it.


Yes you can send the fees from India by bank DD.

You can go for SBI but you need to have a bank account in SBI.

You can also try HDFC which doesn't need account, or Axis bank... All of them generally charge about 200-600 Rs. per DD. just go to the main branch of that bank in your city and ask them for DD in US dollars, you need to fill up some forms.. it's one day procedure..  

Thank you Ved05! I am aware of the procedure of making a dd. The institue specifically asks for Money Order which is different from a demand draft.

I have searched a lot on the internet, called up western union money transfer, inquired with indian post as well US postal service. But i could not find any information about a Money Order. 

Thanks for your kind reply!

Sabeeh (not verified)

Wed, 06/15/2011 - 12:47

A lot of Pakistani students have been confused regarding the Mt.Sinai F1/B1 issue, well i'll try to explain in detail here what it is.

1. Mount Sinai Clearly states that "if you are accepted to complete an elective at Mount Sinai, please note you must obtain an F-1 Short
Term Visa to participate in the program. Other institutions in the United States may allow you to participate
under a different visa status. Unfortunately, there are no exceptions in the Mount Sinai program. You must
obtain an F-1 visa to participate"

 So once accepted at Mt Sinai we apply for an I-20 form (which takes about 10 - 14 days) Pay the Sevis fee and fulfill all other F-1 requirements. After you get to the embassy and get to your visa officer, EVERY visa officer will REFUSE to give you an F-1 visa for Mt.Sinai. Instead, they will ask you to opt for the B1/B2 there and then without the hassle of returning to another visa application and depositing the fee all over again. The smart thing to do here would be to thank them and take the B1/B2 option and walk out of there a happy person.

 Then after you get your passport back you will have to contact Ms. Kyoko Tirado at Mt.Sinai and tell her that you were not issued a F-1 and instead got the B1/B2 and she'll tell you that its okay to come on a B1/B2 since they know that the America embassy in Islamabad does NOT issue F-1 for the purpose of medical electives.

 Why this is so ? I'm not really sure maybe its because we are not getting any academic credit for the electives thus they offer us a B1/B2 but look on the bright side, its probably going to be a 5 years visa so i guess it all works out for the best!

another thing, now the embassy in Islamabad is not issuing the F-1 to anyone going for medical electives so confirm with your coordinators if you are going to a place that only accepts F-1. As far as mount sinai is concerned, they don't care whether its the B 1/2  or the F-1 visa for PAKISTANI students.

Ved05 (not verified)

Wed, 06/22/2011 - 04:18

Hello,

I was interested in applying at Mt. Sinai for April 2012, but when i called Ms. Persaud she said they are not accepting applications for next year till Dec 2011, & if we send it before dec. they will not accept it & return it back, though its written on website that application should be sent 8-9 months earlier.

Also the application fees has shoot up to 1000$ from 500$ (effective from Jan 1, 2012) !!!! thats insane.... :(

If anyone can confirm that or can provide more details... I would be really thankful.

also, does UTSW needs step 1 for electives as they have not mentioned it anywhere..!!

Thanks in advance..  

hamza (not verified)

Fri, 07/01/2011 - 20:09

In reply to by Ved05 (not verified)

Hey Ved. Yes it indeed is true that the application fee has been raised to 1000 $ and to my surprise they even have raised their tuition fee to 2000 $. Checked it from their website.

sp (not verified)

Tue, 07/05/2011 - 20:02

In reply to by Ved05 (not verified)

hey ved,i called up Ms.Persaud today and she said that they will start accepting applications from december and its no where mentioned on the site.This means no electives for till may 2012 for FMGs at mount sinai.


 

Sabeeh (not verified)

Sat, 07/09/2011 - 22:48

In reply to by Ved05 (not verified)

yup Mount Sinai has gone crazy :/ 1000$ + 2000$ is just too expensive! Add the Sevis fee and NY letter and Medical fee and other miscellaneuos fees and this goes up to3400 $ :/ and that's without the housing :P Better to apply to other places like Cornell and NWU.

Usman (not verified)

Fri, 07/08/2011 - 21:55

Hi..

Really helpful forum. I read through the posts but I wasn't still sure about this thing..

1) about Johns Hopkins research electives..do you really need to find a sponsor from faculty and then apply for the research elective? ( because the website does not encourage students contacting the faculty)..So i m still confused on that.

2) About NIH...I read you did you electives from there..I would like to know in a nutshell how you got in..as in what scores you had for Toefl and anything else that you think it crucial for getting a place there..

Thankyou.


1- Website might not be saying that but thats how it works......few people that i know got there by contacting the faculty member.....that way,you are almost sure about your rotation.....but it can be done either way as well but then it depends on discretion of the researcher and coordinator.....so,take your pick .

2- well,i think your second question is directed towards Umar bhai coz i didn't do anything at NIH.........so,wait for thier response.

Sumeet (not verified)

Tue, 07/12/2011 - 21:30

Hello Umar, Ayaz, Usman, Viraat and others who have contributed on umartariq.com! Thank you so much for your help. I have been accepted for electives at Cleveland Clinic and I owe a big thanks to all of you!

Rohit (not verified)

Mon, 08/15/2011 - 16:53

Dear Usman!, Brother, You have given the SAME link for Yale and NIH by mistake,, Please Rectify!!! And one more thing!,, your information and its format is awesome, quite informative and very very useful,, thanks a lot!! :)

Visitor (not verified)

Tue, 08/23/2011 - 02:49

hi, this was my first visit and i found this a great place for new one. please kindly if you can list the name of universities allow for electives without Step1 ?

Thank You.

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