Initial Certification for Radiation Oncology

International Medical Graduates Alternate Pathway

Last verified on October 22, 2018
An international medical graduate (IMG) is defined as an individual trained in radiation oncology programs outside the U.S., its territories, or Canada.


As an IMG, you must demonstrate the following to be considered as a candidate for certification by the American Board of Radiology:
  • You have satisfied medical school training requirements.
  • You have had a clinical year of non-radiation oncology training in general medicine, surgery, transitional internship, or its equivalent. One year of credit for clinical training may be received.
  • You have completed at least three years of radiation oncology training in a residency program outside the U.S. or Canada.
  • You have submitted a four-year plan that has been approved by the ABR and have completed four years of full-time, continuous faculty and/or fellowship experience in ONE ACGME- or RCPSC-approved program.
The Board will assess your status relative to ABR policies and alternative pathways toward Board certification (see policyonly after receipt of the following documents:
  • Detailed curriculum vitae with dates of all training
  • Verification of medical school training
  • Verification of foreign clinical year of training
  • Verification of foreign radiation oncology residency training
  • Note: The board accepts copies of diplomas or letters from training institutions as verification.If original documents are in a language other than English, English translation must accompany them.
  • Verification of radiation oncology training appointment in an institution that has an Accreditation Council for Graduate Medical Education (ACGME)-approved or Royal College of Physicians and Surgeons of Canada (RCPSC)-approved radiation oncology residency training program and/or
  • Verification of four consecutive years serving as a fellow and/or full-time faculty appointment in a single institution that has an ACGME- or RCPSC-approved radiation oncology residency training program
    • Sponsoring department agreement, including your four-year plan
      • NOTE: The required four years of full-time, continuous faculty/fellowship experience must be completed in one ACGME- or RCPSC-accredited program.
    • Your department chair must complete and submit annual verification forms.
  • Copy of Educational Commission for Foreign Medical Graduates (ECFMG) certificate or Licentiate of the Medical Council of Canada (LMCC) certificate
  • Copies of United States Medical Licensing Examination (USMLE) Steps 1-3 Score Reports
  • Payment of a one-time nonrefundable administration fee to be included with the completed application form
All documentation should be mailed to:
American Board of Radiology
5441 East Williams Circle
Tucson, AZ 85711-7412
or faxed to:
(520) 790-3200
Attn: IMG Alternate Pathway


Radiation Oncology IMG Application Form
Radiation Oncology IMG Sponsoring Department Agreement  

Annual Program Fees

Four-Year Plan Appointment Fee
2016 Administration Fee* $765
2016 Annual Fee $1165
*Administration fee is a one-time, nonrefundable fee due at the time of submission of documents for approval to the IMG Alternate Pathway for Initial Certification. You will be sent your annual invoice in July of each year as long as you are in the certification process. The fee amount is subject to adjustment by the ABR each year. All fees are nonrefundable.

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