I don't know the reason that the UAG doesn't post about the options of getting the "titulo" without the social service, but it's not a lie, because two close friends had plans to practice in mexico, but one of them got married and moved to Spain, so the UAG gave her the titulo. Because her plans changed to practice in Spain. So it is possible, you just have to get the appropied information form the UAG. ANd maybe these just applied to the UAG.

Maybe they don't inform because the mayority of foreign students are looking the fifth pathway, not the ECFMG certification. I really don't know, and maybe it changed since 2 years ao that I graduated UAG.

ABout some states requiring to practice in the country of origin of your studies, I really don't have a clue, i'm sorry. But if that is the case, so yes, so would have to do the Servicio SOcial in order to get your license o "cedula profesiona", you can't escape that.

A