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Physician Training

supplemental resources: U.S. Medical Schools, State Medical Boards

Physicians and surgeons have demanding education and training requirements. Almost all physicians complete at least 4 years of undergraduate school, 4 years of medical school, and 3 to 8 years in internship and residency programs, depending on their specialty. 

Most applicants to medical school have at least a bachelor's degree, and many have advanced degrees. While a specific major is not required, all students must complete undergraduate work in biology, chemistry, physics, mathematics, and English. Students also take courses in the humanities and social sciences. Some students volunteer at local hospitals or clinics to gain experience in a healthcare setting.

Medical schools are highly competitive. Most applicants must submit transcripts, scores from the Medical College Admission Test (MCAT), and letters of recommendation. Schools also consider an applicant’s personality, leadership qualities, and participation in extracurricular activities. Most schools require applicants to interview with members of the admissions committee.

A few medical schools offer combined undergraduate and medical school programs that last 6 or 7 years.

Students spend most of the first 2 years of medical school in laboratories and classrooms, taking courses such as anatomy, biochemistry, pharmacology, psychology, medical ethics, and the laws governing medicine. They also gain practical skills, learning to take medical histories, examine patients, and diagnose illnesses.

During their last 2 years, medical students work with patients under the supervision of experienced physicians in hospitals and clinics. Through rotations in internal medicine, family practice, obstetrics and gynecology, pediatrics, psychiatry, and surgery, they gain experience in diagnosing and treating illnesses in a variety of areas.

Physician education is very expensive. According to the Association of American Medical Colleges, 88 percent of public medical school graduates and 85 percent of private medical school graduates were in debt for educational expenses in 2010.

After medical school, almost all graduates enter a residency program in the specialty they are interested in. A residency usually takes place in a hospital and varies in duration, usually lasting from 3 to 8 years, depending on the specialty.

All states require physicians and surgeons to be licensed; requirements vary by state. To qualify for a license, candidates must graduate from an accredited medical school, complete residency training in their specialty, and pass written and practical exams.

All physicians and surgeons must pass a standardized national licensure examination.  M.D.s take the U.S. Medical Licensing Examination (USMLE). D.O.s take the Comprehensive Osteopathic Medical Licensing Examination (COMLEX-USA). For specific state information about licensing, contact your state’s medical board.

Source: U.S. Department of Labor, Occupational Outlook Handbook, 2012-13 Edition

Physician Duties
Physician Work Conditions
Physician Employment
Physician Training
Physician Job Outlook
Physician Earnings


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