AH only accepts applications through CAS. Three letters of recommendation required--one should be from an EM physician. USMLE/COMLEX Step 1 score must be reported. We accept a max 4 year graduation date from medical school, during which that time from graduation applicant must have been providing direct patient care. Foreign medical graduates must hold a valid Educational Commission ECFMG certificate and be eligible to obtain a NC medical license at time of application.