Residency required for a full Delaware license
U.S. & Canadian graduates
That is the shortest minimum in the country, shared with 29 other jurisdictions.
International medical graduates
30 jurisdictions have a shorter minimum, and 20 others set the same one.
Delaware requires at least 1 year of accredited postgraduate training (ACGME or AOA) for graduates of U.S. and Canadian medical schools before a full, unrestricted license. Delaware requires at least 3 years of accredited postgraduate training (ACGME or AOA) for international medical graduates (IMGs) before a full, unrestricted license. A full license is not the same as finishing residency: specialty board certification through ABMS member boards or the ABPS, and most attending jobs, still require a completed ACGME-accredited program.
International medical graduates in Delaware
As of September 29, 2026, Delaware has no operative alternative licensure pathway for internationally trained physicians, so IMGs follow the standard route: ECFMG certification, the residency Match, 3 years of accredited training, and USMLE Step 3.
See ECFMG certification and J-1 waivers and Conrad 30 for the steps before residency.
Physician demand in Delaware
Delaware has 292.7 active physicians per 100,000 residents, ranking 32 of 50 where 1 has the fewest physicians per capita. The state median is 272.0. Supply is above the median, so competition for jobs in metro areas can be stronger, though rural areas may still be short.
Physician jobs and salary in Delaware
Average physician pay
Ranks 41 of 51, below the median state average of $268,510.
Federal data count 122 primary-care physicians needed to remove every primary-care shortage designation in Delaware, where 11.2% of the need is currently met (HRSA via KFF, December 31, 2025). Shortage areas qualify for National Health Service Corps loan repayment and, for IMGs, Conrad 30 J-1 waiver positions. Search openings on HRSA's Health Workforce Connector or through 3RNet.
How to apply for a Delaware medical license
- Complete the training minimum above and pass USMLE Steps 1–3 (or COMLEX Levels 1–3).
- Build a credentials file with the FSMB Federation Credentials Verification Service (FCVS), which many boards accept or require.
- Submit the Delaware application with transcripts, exam scores, training verification from your program director and fingerprints for a background check.
- If you'll practice in several states, check whether the Interstate Medical Licensure Compact can speed up extra licenses.
- Once licensed, register for a DEA number and any state controlled-substance registration.
Current forms, fees and processing times are on the Delaware Board of Medical Licensure and Discipline website.
Delaware medical license FAQ
How many years of residency do you need for a medical license in Delaware?
Delaware requires at least 1 year of accredited postgraduate training (ACGME or AOA) for graduates of U.S. and Canadian medical schools before a full, unrestricted license. Delaware requires at least 3 years of accredited postgraduate training (ACGME or AOA) for international medical graduates (IMGs) before a full, unrestricted license.
Can international medical graduates get licensed in Delaware?
Yes, through the standard route: ECFMG certification, an accredited U.S. or Canadian residency, 3 years of postgraduate training, and passing USMLE Step 3. Delaware had no operative alternative pathway for internationally trained physicians as of September 29, 2026.
Is there a shortage of doctors in Delaware?
Delaware has 292.7 active physicians per 100,000 residents, ranking 32 of 50 (1 = fewest physicians per capita). That is above the state median of 272.0.
How much do physicians make in Delaware?
The average annual wage for physicians in Delaware was $225,650 in BLS May 2023 OEWS data. Pay varies widely by specialty and setting.
Which exams do I need for a Delaware medical license?
MD graduates and IMGs need USMLE Step 1, Step 2 CK and Step 3; DO graduates may use COMLEX-USA Levels 1–3. Like most boards, Delaware may limit the number of attempts and the time allowed to pass all Steps, so confirm the current rule with the board.
Compare nearby states
Figures are for allopathic (MD) boards from FSMB tables and enacted legislation, re-checked monthly. Osteopathic boards may differ, and waivers exist. Confirm every requirement with the Delaware medical board before making training or job decisions.