Educational commission for foreign medical graduates


Examinations for ECFMG Certification



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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



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