Examinations for ECFMG Certification
Examination Requirements
|
The United States Medical Licensing Examination (USMLE)
|
Registration and Test
Delivery Entities
| Medical Science Examination Requirement |
Clinical Skills Requirement
|
Time Limit for
Completing Examination Requirements
Medical Science Examination Requirement
Step 1 and Step 2 CK of the USMLE are the exams currently administered that satisfy this requirement. To meet
the medical science examination requirement for ECFMG Certification, international medical students/graduates
must pass both Step 1 and Step 2 CK within a specified period of time. See
Time Limit for Completing
Examination Requirements
in Examinations for ECFMG Certification.
ECFMG also accepts a passing performance on the following former examinations to satisfy the medical science
examination requirement for ECFMG Certification: ECFMG Examination, Visa Qualifying Examination (VQE),
Foreign Medical Graduate Examination in the Medical Sciences (FMGEMS), and the Part I and Part II
Examinations of the National Board of Medical Examiners (NBME).
Combinations of exams are also acceptable. Specifically, if you have passed only part of the former VQE,
FMGEMS, or the NBME Part I or Part II, you may combine a passing performance on the basic medical science
component of one of these exams or USMLE Step 1 with a passing performance on the clinical science
component of one of the other exams or USMLE Step 2 CK, provided that the components are passed within the
period specified for the exam program.
Additionally, ECFMG accepts a score of 75 or higher on each of the three days of a single administration of the
former Federation Licensing Examination (FLEX), if taken prior to June 1985, to satisfy this requirement.
Important Note: Use of the former NBME Parts or FLEX Components to fulfill eligibility requirements
for Step 3 is no longer accepted. See Formerly Administered Examinations in the
USMLE Bulletin of
Information
. You should also contact the FSMB for general information and the medical licensing
authority of the jurisdiction where you plan to apply for licensure for definitive information on licensure
requirements.
Last updated: September 15, 2011
Copyright © 2011 by the Educational Commission for Foreign Medical Graduates. All rights reserved.
25
Examinations for ECFMG Certification
Examination Requirements
|
The United States Medical Licensing Examination (USMLE)
|
Registration and Test
Delivery Entities
|
Medical Science Examination Requirement
| Clinical Skills Requirement |
Time Limit for
Completing Examination Requirements
Clinical Skills Requirement
Step 2 CS of the USMLE is the exam currently administered that satisfies this requirement. Specific time limits for
passing Step 2 CS for ECFMG Certification may apply. See
Time Limit for Completing Examination Requirements
in Examinations for ECFMG Certification.
International medical students/graduates who have
both passed
the former ECFMG CSA and achieved a score
acceptable to ECFMG on an English language proficiency test (such as the TOEFL exam or the former ECFMG
English Test) can use these passing performances to satisfy the clinical skills requirement for ECFMG
Certification.
Last updated: September 15, 2011
Copyright © 2011 by the Educational Commission for Foreign Medical Graduates. All rights reserved.
26
Examinations for ECFMG Certification
Examination Requirements
|
The United States Medical Licensing Examination (USMLE)
|
Registration and Test
Delivery Entities
|
Medical Science Examination Requirement
|
Clinical Skills Requirement
| Time Limit for
Completing Examination Requirements
Time Limit for Completing Examination Requirements
ECFMG policy requires that international medical students/graduates pass those USMLE Steps and Step
Components required for ECFMG Certification within a seven-year period. This means that once you pass a Step
or Step Component, you will have seven years to pass the other Step(s) or Step Component(s) required for
ECFMG Certification. This seven-year period begins on the exam date for the first Step or Step Component
passed and ends exactly seven years from this exam date. If you do not pass all required Steps and Step
Components within a maximum of seven years, your earliest USMLE passing performance will no longer be valid
for ECFMG Certification.
Example: An international medical graduate took his first Step or Step Component on October 1, 2006
and passed. He has through October 1, 2013 to take and pass all other Step(s) and Step
Component(s) required for ECFMG Certification. If he does not take and pass all other required Step(s)
and Step Component(s) on or before October 1, 2013, his passing performance on the October 1,
2006 exam would no longer be valid for ECFMG Certification.
This seven-year limit does not apply to the former ECFMG CSA because the CSA was not a USMLE Step or Step
Component. International medical students/graduates who satisfied the clinical skills requirement for ECFMG
Certification by passing the CSA are required to pass only Step 1 and Step 2 CK within a seven-year period for
ECFMG Certification. For these individuals, the seven-year period begins on the exam date for the first USMLE
Step or Step Component passed, regardless of when the CSA was passed.
On June 14, 2004, USMLE Step 2 CS became a requirement for ECFMG Certification, replacing the ECFMG CSA
as the exam that satisfies the clinical skills requirement. As part of the USMLE, Step 2 CS may be subject to the
seven-year time limit for ECFMG Certification as described below:
If your earliest USMLE passing performance that is valid for ECFMG Certification took place on or
after June 14, 2004, you are required to pass Step 1, Step 2 CK, and, if required for ECFMG Certification,
Step 2 CS within a seven-year period for ECFMG Certification.
If your earliest USMLE passing performance that is valid for ECFMG Certification took place before
June 14, 2004, you are required to pass only Step 1 and Step 2 CK within a seven-year period for ECFMG
Certification; if required for ECFMG Certification, Step 2 CS can be passed outside the seven-year period.
If you have passed a Step or Step Component but this passing performance is no longer valid for ECFMG
Certification, you may request an exception to retake the previously passed exam that is no longer valid. See
Reexamination and Reapplication
in Applying for Examination.
Important Note: The USMLE program recommends to state medical licensing authorities that they
require applicants to pass the full USMLE sequence (including Step 3, which is not required for
ECFMG Certification) within a seven-year period. See Number of Attempts Allowed to Complete All
Steps and Time Limits and Retakes in the
USMLE Bulletin of Information
. You should contact the
FSMB for general information and the medical licensing authority of the jurisdiction where you plan to
apply for licensure for definitive information, since licensure requirements vary among jurisdictions.
Additionally, applicants who retake a previously passed Step or Step Component to comply with a time
limit should understand the implications for Step 3 eligibility of a failing attempt on a retake. See Official
Performance of Record for Examinees Retaking a Previously Passed Step in the
USMLE Bulletin of
Information
.
Last updated: September 15, 2011
27