Thanks for bringing this reference up and to our attention Jgonza31. If this is true, that the current UAG system doesn't require the social service for the titulo, this is another route that seems like it will definitely be more enticing to some students. Basically, the ECFMG certification would be the only addition for people that were planning to go to the fifth pathway anyway (they already wouldn't be able to practice in Mexico if they had gone to the fifth pathway, and it remains open as of now as the intern year).