Fifth Pathway Certificate
The Fifth Pathway was a pathway by which certain students who completed four years at a foreign medical school were able to complete their supervised clinical work at a U.S. medical school, become eligible for entry to U.S. residency training, and ultimately obtain a license to practice in the United States.
To indicate that you participated in a Fifth Pathway program, you need to enter “Fifth Pathway” as your school of graduation on page 3 of the MyERAS application. Otherwise, programs may wonder why you do not have an ECFMG Certificate.
You must include the Fifth Pathway Certificate as one of your LoRs in your applications to programs. As a result, you can assign up to three LoRs and the Fifth Pathway Certificate to any program. List the certificate as one of your LoRs by entering “Fifth Pathway Certificate” instead of a letter writer’s name. Then send to ERAS Support Services a copy of the certificate, accompanied by a completed DSF.
