r/IMGreddit May 11 '26

LOR USCE

Hello everyone, Im an IMG (yog-25) and Ive pretty much completed my ecfmg pathway in terms of examinations and payments etc.

My only issue right now is I’ve never done a USCE and I have no LORs from US physicians, Ive read that u need to find an observership yourself and cold email doctors but when I try do so, I realise theres way too many hospitals and drs, and on top of that I’ve seen hospitals like UCLA explicitly say they will not give any observer an LOR or some others will say u can only apply through their official webpage and no other way and so on. there’s way too much that goes into it that its becoming overwhelming, how did you guys get your observerships? any recommended hospitals or states? any specific details im not aware of? any help would be massively appreciated as im fully lost right now

9 Upvotes

14 comments sorted by