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USMLE preparation for international medical graduates

Your USMLE goal.
A structured path forward.

Six months of intensive USMLE preparation with live evening classes, content review, question-solving strategy, continuous assessments, and personalized guidance.

Step 1focused preparation
6 monthsof preparation
10 hrsof class each week
THE PIMG PATH
USMLE Step 1High-yield contentQuestion strategyMeasurable progress
PROVEN MILESTONESSee the students who reached their next step.Explore success stories
JANUARY 2027 COHORTChoose the payment option that works for you.View payment plans
YOUR JOURNEY WITH PIMG

From enrollment to exam day.

  1. 01Enroll
  2. 02Learn
  3. 03Practice
  4. 04Assess
  5. 05Pass
  6. 06Move forward

A clear path.
One step at a time.

Build your knowledge, apply it to questions, and use feedback to guide your next step. Explore the four parts of your preparation below.

STEP 01 / 04

Master the content

Daily intensive review of high-yield USMLE concepts taught by certified physicians.

See how your week works

Your 27-week
course roadmap.

Follow a structured path from foundational sciences to organ systems, cumulative question practice, and final review.

JAN 11Tentative start
27Course weeks
20Weekend exams
JUL 16Tentative finish
  1. 01
    FoundationsWeeks 1–8 · January–March
  2. 02
    Organ systemsWeeks 9–23 · March–June
  3. 03
    Integrated reviewWeeks 24–27 · June–July
WEEKLY CLASS TOPICSExplore the schedule by month
JanuaryWeeks 01–03
01

Orientation + Biochemistry

Study strategies; DNA structure and replication.

02

Biochemistry

Molecular biology, cells and carbohydrate metabolism.

03

Biochemistry

Metabolic pathways and energy production.

FebruaryWeeks 04–07
04

Biochemistry

Amino acids, vitamins and lipid metabolism.

05

Genetics + Immunology

Inheritance, genetic disorders and immune foundations.

06

Immunology + Microbiology

Immune disease, bacteria and infection fundamentals.

07

Microbiology

Bacteria, fungi, parasites and viruses.

MarchWeeks 08–12
08

Microbiology + Pathology

Antimicrobials, cell injury, inflammation and neoplasia.

09

Pharmacology + Cardiology

Drug principles, autonomics and cardiac physiology.

10

Cardiology

Hemodynamics, ischemia, ECG and arrhythmias.

11

Cardiology

Heart failure, congenital disease, valves and shock.

12

Endocrinology

Adrenal, diabetes, reproductive hormones and thyroid.

AprilWeeks 13–16
13

Endocrinology + Gastroenterology

MEN, signaling, GI foundations and hepatobiliary disease.

14

Gastroenterology + Hematology

Pancreas, bowel disease, coagulation and anemia.

15

Hematology / Oncology + MSK

Blood cancers, cancer drugs and limb anatomy.

16

Musculoskeletal + Dermatology

Muscle, bone, arthritis and skin disorders.

MayWeeks 17–21
17

Dermatology + Neurology

Skin review, neuroanatomy and vascular disease.

18

Neurology + ENT

Seizures, headaches, ear, nose and throat.

19

Ophthalmology

Eye disease, retina, visual pathways and pupils.

20

Psychiatry + Renal

Psychiatric disorders and renal physiology.

21

Renal + Reproductive

Glomerular and urinary disease; reproductive foundations.

JuneWeeks 22–25
22

Reproductive + Pulmonary

Reproductive pathology, lungs and pulmonary function.

23

Pulmonary + Biostatistics + Review

Respiratory disease, statistics and question review.

24

Integrated Question Review

Continue cumulative questions and explanations.

25

Integrated Question Review

Consolidate systems and revisit weak areas.

JulyWeeks 26–27
26

Integrated Question Review

Mixed blocks and cumulative review.

27

Final Review + Course Wrap-up

Complete question review and individual next steps.

ASSESSMENT PATHWAY

Measure progress from the first question to the final review.

  • 120-question baselineComplete before classes begin
  • Weekly weekend examsOne exam after the corresponding classes
  • 280-question final examCompleted after the final review
View weekend exam schedule

February: Biochemistry, Genetics, Immunology

March: Microbiology, General Pathology, Pharmacology, Cardiology

April: Endocrinology, Gastroenterology, Hematology & Oncology

May: Musculoskeletal, Dermatology, Neurology, ENT, Ophthalmology

June: Psychiatry, Renal, Reproductive, Pulmonary

July: Biostatistics

Tentative schedule. Dates, class times, examination windows, and holiday breaks are subject to change.

A week designed around your progress.

MON–FRI · 8–10 PM ET

Intensive live classes

2 hours each day

Content review followed by application to USMLE-style questions
EVERY WEEK

Practice simulation

Cumulative assessment

Continuous tracking of strengths, gaps, and performance
START + FINISH

Baseline + final exam

Your progress, measured

Compare where you started with the level you reach at the end

More than classes.
A complete study system.

Learn live. Practice independently. Stay connected. Every part of your preparation has a place.

LEARN TOGETHER LIVE

Intensive live classes

Two hours each evening, Monday through Friday, led by certified physicians.

Your evening classroomMON–FRI · 8–10 PM ET
PRACTICE ANYWHERE

XMEDPRO QBank included

Apply what you learn with system-based question practice.

XMEDPRO question bank and performance dashboardXMEDPRO dark and light modes
Explore the QBank
YOUR COMMUNITY

Private study group

A focused community for questions, accountability, and support.

YOUR ROUTINE

Planning and strategy

Study scheduling, question-solving methods, and review techniques for exam day.

MTWTF
A weekly rhythm for your preparation
YOUR PROGRESS

Continuous assessments

Track your preparation from your first baseline to your final exam.

BaselineWeekly
practice
Final exam
BEYOND THE EXAM

End-to-end guidance

Monthly sessions to help you understand the next steps in your medical journey.

USMLE & ECFMGInterviewsVisa procedures

Put knowledge
into practice.

Connect your PIMG Academy classes with focused question practice and a clearer view of your progress.

Included with PIMG Academy enrollment
  • Practice with purpose

    Work through USMLE-style questions and apply the concepts you review in class.

  • See your progress

    Review correct, incorrect, and omitted answers, along with performance and percentile reports.

  • Study in your preferred mode

    Use dark and light modes for a study experience that suits you.

XMEDPRO mobile performance dashboard showing answer accuracy and percentile reporting
Performance dashboard preview. Numbers shown are an example session.
OUR QUESTION BANK PARTNER · XMEDPRO

Log in or sign up for the USMLE Question Bank.

New to XMEDPRO? Create an account to get started. Already registered? Log in to continue practicing.

Log in or create an account

Meet our founders.

Medical education with structure, rigor, and support for international medical graduates.

Dr. Rafael Ramírez, co-founder of PIMG Academy and Internal Medicine Resident
CO-FOUNDER & ACADEMIC DIRECTOR

Dr. Rafael Ramírez

Internal Medicine Resident

Dr. Sebastian Arruarana, co-founder of PIMG Academy, Internal Medicine Physician and Endocrinology Fellow
CO-FOUNDER

Dr. Sebastian Arruarana

Internal Medicine Physician
Endocrinology Fellow

Meet our faculty.

A diverse team of medical trainees and graduates who understand the discipline, uncertainty, and momentum behind the USMLE journey.

Luis Angel Esparza

Universidad Autónoma de San Luis Potosí

Mexico

Swimming · Running · Fitness

Genesis Ferrer

Universidad del Zulia

Venezuela

Fitness · Crochet · Creativity

Alejandro Vargas Silfa

Universidad Iberoamericana

Dominican Republic

Fitness · Running · Cooking

Luisa F. Gomez Montoya

Fundación Universitaria de Ciencias de la Salud

Colombia

Travel · Family · Equestrianism

Ariadna Rodriguez

Universidad Dr. Juan Ignacio Gutiérrez Sacasa

Nicaragua

Swimming · Wellness · Balance

Cesar Caro

Universidad Nuestra Señora de La Paz

Bolivia

Tennis · Music · Equestrianism

Iván Zaki González Hazoury

Universidad Iberoamericana

Dominican Republic

Tennis · History · Guitar

Fabian Reategui

Alexander Mendieta

Kevin Williams

Juan Martinez

Maria Perez

Fernando Rodriguez

OUR PARTNER

In partnership with Project IMG.

PIMG Academy is proud to partner with Project IMG, a global community of international medical students and graduates.

Visit Project IMG
Project IMG community members gathered outdoors

Success stories.
Milestones that matter.

Celebrating exam results, certification milestones, and faculty achievements shared with PIMG Academy.

PASS

PIMG Academy Student

After 15 months of studying while raising a family and working full time as a research coordinator, this student passed Step 1. She reported improving her NBME practice score from 37 to 83 and thanked PIMG Academy for supporting the final stretch of her preparation.

PASS

Miguel Eduardo Bastardo Ramos

A Step 1 milestone worth celebrating.

PASS

Gustavo Adolfo Ossa Vasquez

“Thank you to your entire team. Sending a hug from Tavo.”

Translated from Spanish.
PASS

Yoslaidy Mesa Perez

Celebrating a successful Step 1 result.

PASS

Fernando Rhadames Rodriguez Garcia

An important step in the USMLE journey.

PASS

Neyser Alexander Vasquez Saldana

Recognizing the work behind a passing result.

FINALIST

Dr. José Osoria-Velasquez

Canon Young Investigator Award finalist — a faculty achievement.

1 / 7

Swipe or use the arrows to explore more stories. Individual achievements shown here are not a guarantee of future results.

Success story

Dr. Génesis holding her ECFMG certificate, celebrating a milestone in her medical journey
Dr. Génesis celebrating her ECFMG certification.

Congratulations,
Dr. Génesis.

Once our student. Then our professor.
Now a Psychiatry Resident in Florida.

Génesis began her journey with PIMG Academy as a student and later returned as a professor, helping others prepare for their own next steps. Today, we celebrate her new chapter in psychiatry residency in Florida.

  1. Student

    Learning with PIMG Academy

  2. Professor

    Teaching the next generation

  3. Psychiatry Resident

    Her next chapter in Florida

From everyone at PIMG Academy: congratulations, Génesis. We are proud to have been part of your journey and to celebrate how far you have come.

PIMG Academy congratulating Dr. Larissa Gomez on her ECFMG certification
Celebrating Dr. Larissa Gomez’s ECFMG certification.

Congratulations,
Dr. Larissa Gomez.

Once our student.
Now a Pediatrics Resident in Florida.

Dr. Larissa Gomez was a student at PIMG Academy. Today, we celebrate her next chapter as a pediatrics resident in Florida.

  1. Student

    Learning with PIMG Academy

  2. ECFMG Certified

    A milestone in her medical journey

  3. Pediatrics Resident

    Her next chapter in Florida

From everyone at PIMG Academy: congratulations, Dr. Larissa Gomez. We are proud to celebrate your journey from our classroom to pediatrics residency.

Dr. Yandra Acosta Díaz, PIMG Academy professor, ECFMG Certified and Psychiatry Residency Applicant for 2026–2027
Dr. Yandra Acosta Díaz · PIMG Academy professor

Celebrating
Dr. Yandra Acosta Díaz.

From student to professor.
ECFMG Certified.
Psychiatry Residency Applicant · 2026–2027

Dr. Yandra Acosta Díaz began as a PIMG Academy student and became a professor. Now ECFMG Certified, she is applying to psychiatry residency for the 2026–2027 cycle.

  1. Student

    Learning with PIMG Academy

  2. Professor

    Sharing her knowledge with our students

  3. ECFMG Certified

    A milestone in her medical journey

  4. Psychiatry Residency Applicant

    2026–2027 application cycle

USMLE Step 2 CK: 251 · View score report

Congratulations, Dr. Yandra Acosta Díaz. Your PIMG Academy community celebrates your achievements and wishes you the best in the 2026–2027 psychiatry residency application cycle.

One goal.
Three ways to get started.

Choose the payment plan that works for you. All prices are in U.S. dollars (USD).

January 2027 cohort · Enrollment open

Klarna available on all payment plans in the U.S.

U.S. customers can select Klarna at checkout with any of the three plans below.

TWO INSTALLMENTS

2 payments

$350 USD per payment

$350 at enrollment + $350 next month.

Course total: $700 USD

Choose 2 payments
THREE INSTALLMENTS

3 payments

$233 USD per payment

Split the course cost into 3 payments of $233.

Course total: $699 USD

Choose 3 payments

After your payment

Send your payment receipt to PIMG Academy by WhatsApp or email. Our team will verify your payment and add you to the learning platform and the official January 2027 cohort group.

Your voice helps us teach better.

Share honest feedback about your class experience, faculty instruction, and academic support through our dedicated evaluation page.

Class experienceFaculty feedbackAcademic support

OPEN NOW Faculty evaluation · Dr. Daniel Rondón

Open anonymous evaluation

Your privacy matters. The evaluation does not require your name. Please do not include your email, phone number, or other identifying details in written responses.

Before you begin.

Who is this program designed for?

International physicians and medical students seeking structured USMLE Step 1 preparation, from strong fundamentals to integrated question practice.

How long is the program and when are classes?

The program runs for six months. Classes meet Monday through Friday, 8–10 pm Eastern Time. Enrollment is open for the January 2027 cohort; the official start date will be announced.

Are classes recorded?

Yes. Recordings remain available throughout the course for academic review.

Is a question bank included?

Yes. Enrollment includes access to the XMEDPRO QBank so you can practice and apply the content covered in class.

How is my progress measured?

Through an initial baseline exam, weekly simulations throughout the program, and a final exam measuring your overall improvement.

Who teaches the classes?

Academic content and live sessions are taught by certified physicians with experience in USMLE preparation.

JANUARY 2027 COHORT · ENROLLMENT OPEN

Your 2027 chapter starts here.

Complete the short form and continue directly to WhatsApp. Your information will be included automatically so our team can guide you.