The Accreditation Council for Graduate Medical Education (ACGME) is responsible for the accreditation of post-MD medical residency training programs within the United States. Residency programs, i.e. Internal Medicine, Surgery and OB/GYN, for the most part utilize hospitals for their training. Some hospitals also have U.S. medical student training programs; their accreditation is governed by LCME, the Liaison Committee on Medical Education. State medical license boards do not have the resources to evaluate hospitals individually; it is easier for them to just set a policy, that is if a hospital is teaching U.S. residents or medical students, then that hospital has to meet accreditation standards and therefore, if an IMG rotates through that hospital they must be gaining sufficient training. If an IMG rotates through a residency or U.S. medical student teaching hospital, they meet the eligibility guidelines to be licensed in states which have that requirement.
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