Effective January 1, 2004, an applicant that graduated from a foreign medical school after July 1, 2003 who completed clerkships in the United States, its territories or possessions, must have done the clerkships in hospitals or schools that have programs accredited by the Accreditation Council for Graduate Medical Education (ACGME). A foreign medical school graduate who did clerkships in the United States must provide documentation regarding the clerkships. Every clerkship must be verified by submitting a completed Form #4, Verification of Clinical Clerkship (signed by the program director or instructor and impressed with the institution’s seal)