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• be approved by an accrediting body that is legally authorized to evaluate the quality of medical school educational programs and facilities in that country and whose standards of accreditation have been determined comparable to U.S. standards by the National Committee on Foreign Medical Education and Accreditation
• have a student body where at least 60 percent of full-time regular students and at least 60 percent of the school's most recent graduating class did not meet the U.S. citizenship requirements for FFEL program eligibility
• for schools outside of Canada, have a student body where at least 60 percent of the school's graduates who took any step of the examinations administered by the Education Commission of Foreign Medical Graduates in the previous year passed the exam. For this purpose, the school must include as graduates each person who graduated during the three years preceding the year for which the calculation is performed.

If the country's standards are determined to be comparable, the country's accreditation agency is added to a list that is posted on www.ed.gov/about/bdscomm/list/ncfmea.html.