The AMA will discontinue the Fifth Pathway Program after July 1, 2009. The Fifth Pathway allowed students at a foreign medical school to complete their clinical work at a U.S. institution, with eligibility for U.S. residency training and licensure.
The Fifth Pathway certificate, not a U.S. medical diploma serves as the credential for students under this program. The January 2009 entering class will be the last class recognized under the program.
The following four pathways will still be recognized for entry into residency training in U.S. medical schools:
1. Graduation from a U.S. medical school
2. Certification by the Educational Commission for Foreign Medical Graduates (ECFMG)
3. Full and unrestricted licensure by a U.S. licensing jurisdiction
4. Passing the Spanish language licensing examination in Puerto Rico.