Graduate Medical Program (GMP) or sometimes also known as Graduate Entry Program (GEP) are terms generally used outside of North America to refer to medical programs usually of 4-years duration where applicants are university graduates who have taken aptitude tests such as the GAMSAT or MCAT. These tests are not to be confused with tests such as the UMAT since tests such as the UMAT are designed for high school graduates. Most schools of medicine within the United States and Canada only have programs of 3 or 4 years duration and consider only applicants who have completed university degrees. Therefore, this term is rarely used in the United States and Canada. However, since in places such as Australia medical applicants were historically generally high school graduates and only recently have medical school places shifted into graduate entry and now require a previous bachelors degree, the terms Graduate Medical Program and Graduate Entry Medicine have evolved into being over the past decade.