´ÙÀ½Àº ¿ø¼ÀÛ¼º ¹æ¹ý ÀÔ´Ï´Ù.
Item 1. ECFMG Examination History
¿¹Àü¿¡ ½ÃÇèÀ» º» ÀûÀÌ ÀÖ´ÂÁö¸¦ ¹¯´Â Ç׸ñÀÔ´Ï´Ù.
ECFMG¿¡ ¼·ù¸¦ Á¦ÃâÇÑ °æÇèÀÌ ÀÖ´Ù¸é ¡°Yes¡± ¿É¼ÇÀ» ¼±ÅÃÇϽðí, Á¦ÃâÇÑ °æÇèÀÌ ¾ø´Ù¸é
¡°No¡± ¿É¼ÇÀ» ¼±ÅÃÇÕ´Ï´Ù.
ECFMG¿¡ Áö±Ý±îÁö ¾î¶² ¼·ùµµ Á¦ÃâÇÑ °æÇèÀÌ ¾øÀ¸¸ç, NBME ¾ÆÀÌµð ¹øÈ£¸¦ ºÎ¿© ¹ÞÀº
ÀûÀÌ ¾ø´Ù¸é, ¸¶Áö¸· Ç׸ñ (No, I have never
submitted an application to ECFMG.)¿¡ üũ ÇϽøé
µË´Ï´Ù.
Item 2. Select an Exam
¾î¶² ½ÃÇè¿¡ ÀÀ½ÃÇÏ´ÂÁö¸¦ ¹¯´Â Ç׸ñÀÔ´Ï´Ù. ÀÀ½ÃÇϰíÀÚ ÇÏ´Â ½ÃÇèÀ» ¼±ÅÃÇÏ½Ã¸é µË´Ï´Ù.
Item 3. Eligibility Period (Step 1 and Step
2 CK only)
½ÃÇè ÀÀ½Ã ½Ã±â¸¦ Á¤ÇÏ´Â Ç׸ñÀÔ´Ï´Ù. Á¦½ÃµÇ´Â ±â°£ Áß ¿øÇϽô ±â°£À» ¼±ÅÃÇÏ½Ã¸é µË´Ï´Ù.
½ÃÇ賯¥¸¦ Á¤ÇÒ ¼ö ÀÖ´Â ±â°£°ú ¿ø¼¸¶°¨ÀÏÀÌ Ç¥½ÃµÇ¾î ÀÖ½À´Ï´Ù.
¼±ÅÃÇÑ ±â°£ ³»¿¡¼ ½ÃÇ賯¥ ¼±Á¤ÀÌ °¡´ÉÇÕ´Ï´Ù. ÀÌ Ç׸ñÀº Step 1°ú Step 2 CK
½ÃÇè¿¡ ÇØ´çµË´Ï´Ù.
(ÀÛ¼º ½Ã ȸé À§¿¡
Application ID Code¿Í Exam TypeÀÌ ¶å´Ï´Ù. À̶§ Application
ID Code¸¦ ¸Þ¸ðÇØ ³õÀ¸¸é, ¿ø¼ÀÛ¼º Áß ÄÄÇ»ÅͰ¡ ²¨Áö°Å³ª, ÀÛ¼º ½Ã°£ÀÌ Áö³ª ´Ù½Ã ½ÃÀÛÇϰÔ
µÉ ¶§ Æí¸®ÇÏ°Ô ÀÌ¿ëÇÏ½Ç ¼ö ÀÖ½À´Ï´Ù. ȸ鿡 Áö½Ã´ë·Î Application ID Code¸¦
Àû°í Continue¸¦ ´©¸£¸é ÀÛ¼ºÇϽг»¿ëÀÌ ÀúÀåµÇ¾î ÀÖ¾î¼, º»ÀÎÀÌ ÀÛ¼ºÇÑ ´ÙÀ½ Ç׸ñºÎÅÍ
ÀÛ¼ºÇÏ½Ç ¼ö ÀÖ½À´Ï´Ù.)
3.1 Eligibility Period (Step 2 CS only)
½ÅûÇÑ ÈÄ 1³â ±â°£³»¿¡ ½ÃÇè¿¡ ÀÀ½ÃÇØ¾ß ÇÑ´Ù´Â ³»¿ëÀ̸ç, ÀÚ¼¼ÇÑ ±â°£Àº Step 2 CS
scheduling permit¿¡ Àû¾î¼ º¸³»Áشٴ ³»¿ëÀÔ´Ï´Ù.
3.2 Clinical Skills Evaluation Centers (Step
2 CS only)
Step 2 CS ½ÃÇè Àå¼Ò ¾È³» ÀÔ´Ï´Ù. Atlanta, Georgia; Chicago,
Illinois; Houston, Texas; Los Angeles, California;
Philadelphia, Pennsylvania¿¡ ÀÖ½À´Ï´Ù.
3.3 Preferred Test Center (Step 2 CS only)
½ÃÇ躸°íÀÚ ÇÏ´Â Àå¼Ò¸¦ °í¸£´Â Ç׸ñÀÔ´Ï´Ù. À̶§ ¿øÇÏ´Â Àå¼Ò¿¡ ¹Ýµå½Ã ¹èÁ¤µÇ´Â °ÍÀº ¾Æ´Õ´Ï´Ù.
3.4 Preferred Testing Month (Step 2 CS only)
½ÃÇ躸°íÀÚ ÇÏ´Â ³âµµ¿Í ¿ùÀ» ÁöÁ¤ÇÏ´Â Ç׸ñÀÔ´Ï´Ù. À̶§ ¿øÇÏ´Â ÀÏÁ¤¿¡ ¹Ýµå½Ã ¹èÁ¤µÇ´Â °ÍÀº
¾Æ´Õ´Ï´Ù.
3.5 Visa Letter (Step 2 CS only)
ºñÀÚ ·¹Å͸¦ ¹ÞÀ» °ÍÀÎÁö¸¦ ¹¯´Â Ç׸ñÀÔ´Ï´Ù.
3.6 Scheduling Permit (Step 2 CS only)
Scheduling PermitÀ» À̸ÞÀÏ·Î º¸³»ÁÖ¸ç, ÁÖÀÇ»çÇ× µîÀÌ ÀûÇôÀÖ´Ù´Â ³»¿ëÀÔ´Ï´Ù.
Item 4. Testing Region and International
Test Delivery Surcharge (Step 1 and Step 2 CK only)
½ÃÇ躸°íÀÚ ÇÏ´Â Àå¼Ò¸¦ ÁöÁ¤ÇÏ´Â Ç׸ñÀÔ´Ï´Ù. Çѱ¹¿¡¼ º¸½Ç ºÐµéÀº ¹Ýµå½Ã Korea¸¦ ¼±ÅÃÇϼžß
ÇÕ´Ï´Ù. (Asia ¼±ÅÃÇÏ½Ã¸é ¾ÈµË´Ï´Ù. $150ÀÇ surcharge°¡ Ãß°¡µË´Ï´Ù.)
Item 5. Examinees with Documented Disabilities
½ÃÇè º¼ ¶§ Ưº°ÇÑ Àå¾Ö, Áï, ±ÛÀ» ÀÐÁö ¸øÇؼ µµ¿òÀÌ ÇÊ¿äÇÑÁö¸¦ ¹¯´Â Ç׸ñÀÔ´Ï´Ù. No¿¡
üũ ÇÏ½Ã¸é µË´Ï´Ù.
Item 6. Other Examination History and Applicant
Numbers
NBME ȤÀº FLEX ½ÃÇè µîÀ» º» ÀûÀÌ ÀÖ´ÂÁö¸¦ ¹¯´Â Ç׸ñÀÔ´Ï´Ù. ¾øÀ¸½Ã¸é Next ¹öư
´©¸£½Ã¸é µË´Ï´Ù.
Item 7. The ECFMG¢ç Reporter
À̸ÞÀÏ·Î Á¦°øµÇ´Â Á¤º¸ÀÎ The ECFMG¢ç Reporter¸¦ ¹ÞÀ» °ÍÀÎÁö¸¦ ¹¯´Â Ç׸ñÀÔ´Ï´Ù.
¹Þ°í½ÍÁö ¾Ê´Ù¸é üũÇϽðí, ¹Þ°í ½Í´Ù¸é ±×³É ³Ñ¾î°¡½Ã¸é µË´Ï´Ù.
Item 8. Name of Applicant
ÀÀ½ÃÀÚÀÇ À̸§À» Àû´Â Ç׸ñÀÔ´Ï´Ù. À̸§Àº Form 186(ÇöÀç µî·ÏÇÏ´Â ¿ø¼), HAKSA
Diploma, EIC/¿©±ÇÀÇ À̸§ÀÌ ¸ðµÎ ÀÏÄ¡ÇØ¾ß ÇÕ´Ï´Ù. À̶§ ´ë¼Ò¹®ÀÚ¿¡µµ ÁÖÀÇÇϽñâ
¹Ù¶ø´Ï´Ù.
À̸§ÀÌ È«±æµ¿À̶ó¸é, ¾Æ·¡¿Í °°ÀÌ ÀûÀ¸½Ã¸é µË´Ï´Ù.
First Name : KIL DONG
Middle Name :
Last Name : HONG
Generational Suffix :
Item 9. Contact Information
ÁÖ¼Ò, ÀüȹøÈ£, ÆÑ½º¹øÈ£, À̸ÞÀÏ ÁÖ¼Ò¸¦ Àû´Â Ç׸ñÀÔ´Ï´Ù. ECFMG¿¡¼ ¿¬¶ôÀ» ÇÏ´Â ¼ö´ÜÀÌ´Ï
Á¤È®ÇÏ°Ô ±âÀÔÇÏ¼Å¾ß ÇÕ´Ï´Ù.
Country´Â South Korea¸¦ ¼±ÅÃÇÕ´Ï´Ù.
Address´Â Çѱ¹Ç¥±âÀÇ ¹Ý´ë·Î ÀÛ¼ºÇÏ¼Å¾ß ÇÕ´Ï´Ù. ¿¹¸¦ µé¾î ÁÖ¼Ò°¡ ¡®°³²±¸ ¿ª»ïµ¿ 825¹øÁö
¹ÌÁøÇöóÀÚ 17Ãþ¡¯À̶ó¸é, ¡®17F Mijin Plaza 825 Yeoksam-dong Gangnam-gu¡¯À̶ó°í
ÀûÀ¸½Ã¸é µË´Ï´Ù. City´Â Seoul À̶ó°í ÀûÀ¸½Ã¸é µË´Ï´Ù. ZipÀº ¿ìÆí¹øÈ£¸¦ ÀûÀ¸½Ã¸é µË´Ï´Ù.
Telephone Number´Â ±¹°¡¹øÈ£(Çѱ¹ 82), Áö¿ª¹øÈ£(¼¿ï 2, °æ±âµµ 31),
ÀüȹøÈ£ ¼øÀ¸·Î ÀûÀ¸½Ã¸é µË´Ï´Ù. À̶§ Áö¿ª¹øÈ£ ¾Õ 0Àº »©°í ÀûÀ¸¼Å¾ß ÇÕ´Ï´Ù. ¿¹¸¦ µé¾î,
¼¿ï 3444-1230À̶ó¸é, 82-2-3444-1230À¸·Î ÀûÀ¸½Ã¸é µË´Ï´Ù.
Fax Number´Â ¾øÀ¸½Ã¸é ¾È ÀûÀ¸¼Åµµ µË´Ï´Ù. E-Mail ÁÖ¼Ò´Â ECFMG¿¡¼ º¸³»ÁÖ´Â ¸ÞÀÏÀ» ¹Þ´Â ¼ö´ÜÀÌ µÇ¹Ç·Î Á¤È®ÇÏ°Ô ±âÀÔÇϼžß
µË´Ï´Ù.
Item 10. U.S. Social Security Number and/or
National Identification Number
¹Ì±¹»çȸº¸Àå¹øÈ£³ª Áֹεî·Ï¹øÈ£¸¦ ÀÔ·ÂÇÏ´Â Ç׸ñÀÔ´Ï´Ù.
U.S. Social Security Number°¡ ÀÖÀ¸½Å ºÐµéÀº ¹øÈ£¸¦ ÀûÀ¸½Ã¸é µË´Ï´Ù.
Çѱ¹ºÐÀÌ¾î¼ ¹Ì±¹ »çȸº¸Àå¹øÈ£°¡ ¾ø´Ù¸é, National Identification #¿¡
Áֹεî·Ï¹øÈ£¸¦ ÀÔ·ÂÇϽðí, National ID Country¿¡ South Korea¸¦ ¼±ÅÃÇϽøé
µË´Ï´Ù.
Item 11. Date and Place of Birth
»ý³â¿ùÀϰú ÅÂ¾î³ °÷À» Àû´Â Ç׸ñÀÔ´Ï´Ù. Date of Birth´Â ÀÏ/¿ù/³âµµ ¼øÀ¸·Î ÀÔ·ÂÇϽðí,
Birth City´Â ÅÂ¾î³ µµ½Ã¸¦ ÀÔ·ÂÇÏ½Ã¸é µË´Ï´Ù. Birth State/Province´Â
ÇØ´çÇÏÁö ¾Ê´Â ºÐµéÀº °ø¶õÀ¸·Î ³²°Ü³õÀ¸½Ã¸é µË´Ï´Ù. Birth Country´Â Çѱ¹¿¡¼ ž½Å
ºÐµéÀº South Korea¸¦ ¼±ÅÃÇÏ½Ã¸é µË´Ï´Ù.
Item 12. Gender
¼ºº°À» ¹¯´Â Ç׸ñÀÔ´Ï´Ù. ³²¼ºÀ̸é Male, ¿©¼ºÀ̸é FemaleÀ» ¼±ÅÃÇÏ½Ã¸é µË´Ï´Ù.
Item 13. Native Language
¸ð±¹¾î¸¦ ¹¯´Â Ç׸ñÀÔ´Ï´Ù. Çѱ¹ºÐ À̽öó¸é, Other ¼±ÅÃÇϽðí Korean À̶ó°í ÀûÀ¸¸é
µË´Ï´Ù.
Item 14. Other Languages Spoken
´Ù¸¥ ¾ð¾î¸¦ ±¸»çÇÒ ¼ö ÀÖ´ÂÁö¸¦ ¹¯´Â Áú¹®ÀÔ´Ï´Ù.
Item 15. Citizenship
±¹ÀûÀ» ¹¯´Â Ç׸ñÀÔ´Ï´Ù. ÅÂ¾î³ ±¹°¡¿Í ÀǴ븦 ³ª¿Â ±¹°¡, ÇöÀç ±¹°¡¸¦ ¼±ÅÃÇÏ½Ã¸é µË´Ï´Ù.
Çѱ¹¿¡¼ ³ª¼ ÀÚ¶ó°í, ÀÇ´ëµµ Çѱ¹¿¡¼ ³ª¿À¼Ì´Ù¸é, ¸ðµÎ South Korea¸¦ ¼±ÅÃÇϽøé
µË´Ï´Ù.
Item 16. Ethnicity
¹ÎÁ·¼ºÀ» ¹¯´Â ¹®Ç×ÀÔ´Ï´Ù. Asian¿¡ üũÇϽðųª, ´äº¯ÇÏ°í ½ÍÁö ¾ÊÀ¸½Ã¸é Do not
wish to respond¿¡ üũÇÏ½Ã¸é µË´Ï´Ù.
Item 17. Medical School Information
ÀÇ´ë Á¤º¸¸¦ ÀÔ·ÂÇÏ´Â Ç׸ñÀÔ´Ï´Ù. Çб³À̸§°ú ÁÖ¼Ò¸¦ ÀÔ·ÂÇÕ´Ï´Ù. À̶§ Çб³À̸§Àº ¹Ýµå½Ã Á¤È®ÇÑ
¸íĪÀ» Àû¾î¾ß ÇÕ´Ï´Ù. Á¤È®ÇÑ Çб³ À̸§Àº http://imed.ecfmg.org/search.asp
¿¡¼ È®ÀÎÇÏ½Ç ¼ö ÀÖ½À´Ï´Ù.
ÀÔÇгâ/¿ù°ú Á¹¾÷³â/¿ùÀ» Àû¾î³Ö½À´Ï´Ù. ÀçÇбⰣÀº 6³âÀ» ÀûÀ¸½Ã¸é µË´Ï´Ù. Graduation
Date/Expected Date of Graduation°ú Date Medical Diploma
Issued/Expected to be Issued Ç׸ñÀº ¸ðµÎ Á¹¾÷³â/¿ùÀ» ÀÔ·ÂÇÏ¸é µË´Ï´Ù.
Title of Medical Degree´Â ¹Ýµå½Ã HAKSA DIPLOMA¶ó°í Àû¾î ³Ö¾î¾ß
ÇÕ´Ï´Ù.
InternshipÀº Çѱ¹¿¡¼ ÀǴ븦 Á¹¾÷ÇϽŠºÐµé¿¡°Ô´Â ÇØ´çµÇÁö ¾ÊÀ¸´Ï No¿¡ üũÇϽøé
µË´Ï´Ù.
Item 18. Other Medical School(s) Attended
´Ù¸¥ ÀÇ´ë¿¡ ÀçÇÐÇÑ ÀûÀÌ ÀÖ´ÂÁö¸¦ ¹¯´Â ¹®Ç×ÀÔ´Ï´Ù. ¾ø´Ù¸é Next ¹öư ´©¸£½Ã¸é µË´Ï´Ù.
Item 19. Transfer Credits
´Ù¸¥ Çб³¿¡¼ ÀÇ´ë·Î ÇÐÁ¡À» ¿Å±ä ÀûÀÌ ÀÖ´ÂÁö¸¦ ¹¯´Â ¹®Ç×ÀÔ´Ï´Ù. ¾ø´Ù¸é Next ¹öư ´©¸£½Ã¸é
µË´Ï´Ù.
Item 20. Clinical Clerkships
ÀÇ´ë¿¡¼ ½Ç½À ¹Þ¾Ò´ø ³»¿ëÀ» Àû´Â Ç׸ñÀÔ´Ï´Ù. Á¹¾÷ÇÑ ÀÇ´ë¿¡¼ ½Ç½ÀÀÏÁ¤Ç¥¸¦ ¹ÞÀ¸½Ç ¼ö ÀÖÀ¸¸ç,
±× ³»¿ëÀ» ¸ðµÎ Àû¾î ³ÖÀ¸½Ã¸é µË´Ï´Ù.
Item 21. Present Employment
ÇöÀç ±Ù¹«ÇÏ´Â °÷À» Àû´Â Ç׸ñÀÔ´Ï´Ù. ¾ø´Ù¸é ¡®No, I am not employed¡¯¸¦
¼±ÅÃÇÏ½Ã¸é µË´Ï´Ù.
Item 22. Status of Medical School Student
(for Medical School Students)
ÀçÇлý¿¡°Ô Á¹¾÷Àå¿¡ °üÇÑ »óȲÀ» ¹¯´Â Ç׸ñÀÔ´Ï´Ù. º»ÀÎÀÌ ÇØ´çµÇ´Â ¶õ¿¡ Ç¥±â ÇÏ½Ã¸é µË´Ï´Ù. ÀÌ Ç׸ñ ¾Æ·¡¿¡ Á¹¾÷Àå¿¡ Ç¥±âµÈ À̸§À» ¹¯´Â Ç׸ñÀÌ ÀÖ½À´Ï´Ù.
Item 22. Medical Diploma (for Medical School
Graduates)
Á¹¾÷»ý¿¡°Ô Á¹¾÷Àå¿¡ °üÇÑ »óȲÀ» ¹¯´Â ¹®Ç×ÀÔ´Ï´Ù. º»ÀÎÀÌ ÇØ´çµÇ´Â ¶õ¿¡ Ç¥±â ÇÏ½Ã¸é µË´Ï´Ù. ÀÌ Ç׸ñ ¾Æ·¡¿¡ Á¹¾÷Àå¿¡ Ç¥±âµÈ À̸§À» ¹¯´Â Ç׸ñÀÌ ÀÖ½À´Ï´Ù.
´Ù¸¥ ½ÃÇèÀ» ´õ ½ÅûÇϽ÷Á¸é ADD ¹öưÀ» ´©¸£½Ã°í, ¸¶Ä¡½Ã·Á¸é NEXT ¹öưÀ»
´©¸£½Ã¸é µË´Ï´Ù.
|