An international medical graduate (IMG), earlier known as a foreign medical graduate (FMG), is a physician who has graduated from a medical school outside of the country where he or she intends to practice. The term non-local medical graduate may be similarly used in countries with distinct licensing regions within them. Generally, the medical school of graduation is one listed in the World Directory of Medical Schools (WDOM) as accredited by the Foundation for Advancement of International Medical Education and Research or the World Health Organization. Medical schools around the world vary in education standards, curricula, and evaluation methods. Many countries have their own certification program, equivalent to the ECFMG in the United States. The purpose of ECFMG Certification is to assess the readiness of international medical graduates to enter clinical specialty training programs as resident physicians and fellowship programs in the United States. License requirements by country The requirements to obtain a license to practice varies by country and often by state, province, or territory. Australia IMGs (or Overseas Trained Doctors) who wish to be licensed in Australia must apply to the Australian Medical Council (AMC) to arrange an appropriate assessment pathway. The standard pathway involves an IMG sitting a series of assessments, including an AMC MCQ Exam and an AMC clinical exam. The AMC MCQ Exam consists of 150 MCQs organized through computer adaptive scoring. For AMC clinical exam, a candidate is required to pass 12 out of 16 cases: including one compulsory case in both gynecology and pediatrics. IMGs who have passed the necessary exams and obtained AMC certification can then apply to Australian specialty training positions. Australia is in the process of establishing a national registration process for all the doctors under theMedical Board of Australia. In 2010 the Minister for Health and Ageing (Australia) launched an Inquiry process into registration and accreditation processes for international medical graduates which reported in 2012. Canada In Canada, international medical graduates include all graduates from outside Canada with the exception of graduates from United States LCME accredited medical schools For IMGs to be eligible for full licensure in every Canadian province and territory, they must hold: A medical degree from a school listed in the World Directory of Medical Schools with a Canada Sponsor Note ; OR A Doctor of Osteopathic Medicine degree from a U.S. school accredited by the AACOM; OR The candidate must also: Be a Licentiate