You will be required to submit TOEFL, IELTS or PTE scores if you do not hold a degree from a US institution or from one of the English speaking countries. This guide is intended for foreign-trained nurses who are interested in obtaining the Maryland Registered.Write at least 150 words. You do NOT need to write any addresses. We recommend that you compose the essay portion using word processing software and copy and paste it into the text box in the online application. We are ready to assist you in learning more about us, completing your application, understanding the field education program, and financial aid. Three letters of recommendation. Learn more about each option and the steps you'll need to take to complete the application process. Admission Applications. Physicians who wish to practice medicine in the United States must complete an accredited residency training program in the United States or Canada.