Obtaining Surgical Assistant Certification in the US for Foreign Medical Graduates
- Apr 7
- 3 min read
Updated: Jun 25
For foreign medical graduates (FMGs) seeking to leverage their medical expertise in the United States, becoming a certified Surgical Assistant (SA) can be a viable and rewarding career path. While the path may seem complex, it's achievable with careful planning and dedication. This article outlines the key steps and considerations for FMGs aiming to obtain SA certification in the US.
Understanding the Landscape:
It's crucial to understand that SA certification in the US is distinct from medical licensure. While your foreign medical degree is valuable, it doesn't automatically qualify you for SA certification. You'll need to meet specific US educational and certification requirements.

Key Steps to Certification:
Educational Evaluation:
Begin by having your foreign medical credentials evaluated by a reputable agency, such as the World Education Services (WES) or Educational Commission for Foreign Medical Graduates (ECFMG). This evaluation will determine the US equivalency of your education.
Formal Education (If Necessary):
Depending on your evaluation and the specific certification requirements, you might need to pursue additional formal education in the US. This could involve enrolling in an accredited surgical technology program, leading to an associate's or bachelor's degree.
These programs provide essential training in surgical procedures, anatomy, physiology, and sterile techniques.
Certification from NBSTSA:
The National Board of Surgical Technology and Surgical Assisting (NBSTSA) is the primary certifying body for surgical assistants in the US.
To be eligible for the Certified Surgical First Assistant (CSFA) exam, you must meet specific educational and clinical experience requirements. This frequently requires graduation from an approved educational program.
The NBSTSA website is the best place for current requirements.
Clinical Experience:
Hands-on clinical experience is vital. You'll need to gain practical experience in a surgical setting, working under the supervision of a surgeon.
This experience can be obtained through internships, externships, or employment in hospitals or surgical centers.
FMGs may have relevant experience from their country of origin, but they must demonstrate that they can apply their skills in the US healthcare setting.
Exam Preparation and Certification:
Prepare thoroughly for the CSFA certification exam. Resources like study guides, practice exams, and review courses can be beneficial.
Once you pass the exam, you'll receive your CSFA certification, demonstrating your competency as a surgical assistant.
State Regulations:
Be aware that some states may have additional licensing or certification requirements for surgical assistants. Research the specific regulations in the state where you plan to practice.
Challenges and Considerations for FMGs:
Language Proficiency: Excellent communication skills are essential in the operating room. Ensure your English proficiency is strong, both verbally and in medical terminology.
Cultural Adaptation: The US healthcare system may differ significantly from your home country's. Be prepared to adapt to new protocols, procedures, and cultural norms.
Visa Requirements: If you're not a US citizen or permanent resident, you'll need to obtain the appropriate visa to work in the US.
Financial Considerations: The educational and certification process can be expensive. Factor in tuition fees, exam costs, and living expenses.
Leveraging Your Medical Background:
Your foreign medical background can be a significant asset. Highlight your medical knowledge and experience in your applications and interviews. Emphasize your ability to quickly learn and adapt to new environments.
Networking and Resources:
Connect with professional organizations like the Association of Surgical Assistants (ASA).
Network with surgeons and other healthcare professionals in your area.
Utilize online resources and forums for FMGs.

Obtaining Surgical Assistant Certification in the US for Foreign Medical Graduates
In conclusion, obtaining surgical assistant certification in the US for a Foreign Medical Graduate is a multifaceted journey, demanding unwavering dedication and resolute perseverance. The process, while potentially complex, is navigable through meticulous planning and a proactive approach. It necessitates a thorough understanding of the US healthcare system's specific requirements, including educational evaluations, potential further academic pursuits, and the rigorous NBSTSA certification process. Furthermore, gaining pertinent clinical experience within the US is paramount, allowing FMGs to demonstrate their practical skills and adaptability. Crucially, leveraging their unique medical backgrounds while demonstrating a willingness to adapt to new cultural and professional norms is essential for a successful transition. Ultimately, by embracing the challenges and diligently pursuing each step, FMGs can realize their aspirations and forge a fulfilling career as certified surgical assistants within the United States.
Unlock new opportunities in the operating room. Get certified as a Surgical Assistant and contribute to patient success. Check out certification requirements here:







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