Two years of basic sciences and pass the USMLE Step I. Two years of clinical sciences, pass the USMLE II CK (Clinical Knowledge) and USMLE II CS (Clinical Skills). You’ll be awarded a Medical Degree, also known as Titulo de Medico Cirujano. You will become Educational Commission for Foreign Medical Graduates (ECFMG) certified. Complete your Accreditation Council for Graduate Medical Education (ACGME) approved postgraduate residency program and pass USMLE 3, and you will receive your LICENSE. You will become a licensed doctor.