MICEFA (Mission Interuniversitaire de Coordination des Échanges Franco-Américains) is a nonprofit organization that manages partnerships between universities throughout North America and in the area of Paris, France. Created in 1985, MICEFA has helped tens of thousands of students participate in cultural and scientific exchanges on both sides of the Atlantic. Students remain enrolled in, and pay tuition to, their home universities, while attending classes and receiving credits abroad. While the program is largely focused on undergraduates, some graduate study exchanges also may be arranged. The newest aspect of the exchange program is a medical exchange between several top medical schools in the United States and in Paris.