The clinical setting and medical standards differ from country to country. And in the US, it is a whole different process. It is highly recommended that International Medical graduates join an observational rotational period in a clinical set up before they apply for a residency program. There are 4 types pf residency programmes in the US for Medical Graduates. Based on the relevancy, you need to register yourself with National Resident Matching Programme. Certain programmes require you to apply through Electronic Residency Application Service.