In order to established eligibility, a physician must have successfully completed ACGME or AOA accredited graduate medical education.  Generally, this means that the GME was completed at an institution located in the United States or its territories.  There are ACGME or AOA accredited GME programs outside of the United States, but that must be confirmed with your program prior to applying to use the compact process.  Additionally, confirm that the program was accredited at the TIME you were in attendance. This situation most often impacts physicians who attend GME in Canada.  Although those programs are accepted by many member boards and qualify for board certification, unless they are ACGME or AOA certified, they do not qualify for participation with the Compact.