Educational commission for foreign medical graduates



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Copyright © 2011 by the Educational Commission for Foreign Medical Graduates. All rights reserved.

 

28



Eligibility for Examination 

Medical School Students | 

Medical School Graduates

 | 


Reverification of Eligibility

 | 


Fifth Pathway Participants

  

The eligibility requirements for examination differ depending on whether you are a medical school student or a 



medical school graduate

Medical School Students 

To be eligible for Step 1, Step 2 CK, and Step 2 CS, you must be officially enrolled in a medical school located 

outside the United States and Canada that is listed in 



IMED

, both at the time that you apply for examination and at 

the time you take the exam. In addition, the “Graduation Years” in IMED for your medical school must be listed as 

“Current” at the time you apply and at the time you take the exam. An authorized official of your medical school 

must certify your current enrollment status; instructions will be provided at the time of application for examination. 

As soon as you graduate and receive your medical diploma, you must send two photocopies of your medical 

diploma and one full-face, passport-sized, color photograph to ECFMG. See 

Final Medical Diploma

 in Medical 



Education Credentials. The photograph that you send must be current; it must have been taken within six months 

of the date that you send it. A photocopy of a photograph is not acceptable. 



In addition to being currently enrolled as described above, to be eligible for Step 1, Step 2 CK, and Step 2 

CS, you must have completed at least two years of medical school. This eligibility requirement means that you 

must have completed the basic medical science component of the medical school curriculum by the beginning of 

your eligibility period. 

Although you may apply for and take the examinations after completing the basic medical science component of 

your medical school curriculum, it is recommended that you complete your core clinical clerkships, including actual 

patient contact, before taking Step 2 CK and Step 2 CS. 

If you have passed the former ECFMG CSA, you are not eligible to take Step 2 CS, except under certain, well-

defined circumstances. Eligible circumstances include: taking Step 2 CS to permanently validate an expired CSA 

examination date for the purpose of entering U.S. GME (See 

Validity of Examinations for Entry into Graduate 

Medical Education

 in ECFMG Certification.), taking Step 2 CS because your most recent performance on a clinical 

skills exam (CSA or Step 2 CS) is a failing performance (See Official Performance of Record for Examinees 

Retaking a Previously Passed Step in the 

USMLE Bulletin of Information

.), and retaking Step 2 CS to meet a time 

limit (See 



Reexamination and Reapplication

 in Applying for Examination and Retakes in the 

USMLE Bulletin of 

Information

.). 


Important Note: If your eligibility for an exam changes after you apply but before you take the exam, 

you are required to inform ECFMG immediately in writing of this change in your status. Such 

notification must be sent to ECFMG’s Applicant Information Services. Use the contact information for 

General Inquiries on the 

Contact ECFMG

 page of the ECFMG website. Failure to inform ECFMG of a 

change in your eligibility for examination may result in a finding of irregular behavior. See 

ECFMG 

Policies and Procedures Regarding Irregular Behavior

. Such changes in your eligibility status include, 

but are not limited to, the following: 

Medical school students who transfer to another medical school after submitting an application for 



examination must inform ECFMG immediately in writing of this transfer.  

Medical school students who have been dismissed or withdrawn from medical school are not eligible for 



the USMLE, even if they are appealing the school's decision or otherwise contesting their status. 

Medical school students who have been dismissed or withdrawn from medical school must inform 

ECFMG immediately in writing of their dismissal or withdrawal.  

 

 



Last updated: September 15, 2011 

 

Copyright © 2011 by the Educational Commission for Foreign Medical Graduates. All rights reserved.



 

29



Eligibility for Examination 

Medical School Students

 | Medical School Graduates | 

Reverification of Eligibility

 | 

Fifth Pathway Participants



  

The eligibility requirements for examination differ depending on whether you are a medical school student or a 

medical school graduate

Medical School Graduates 

To be eligible for Step 1, Step 2 CK, and Step 2 CS, you must be a graduate of a medical school located 

outside the United States and Canada that is listed in 



IMED

. Your graduation year must be included in the medical 

school’s IMED listing. You must have been awarded credit for at least four credit years (academic years for which 

credit has been given toward completion of the medical curriculum) by a medical school that is listed in IMED. An 

authorized official of your medical school must certify your status as a graduate of the school; instructions will be 

provided at the time of application for examination. 



Two photocopies of your medical diploma must be submitted at the time of exam application if your diploma has 

not been sent to ECFMG previously. See the 



Reference Guide for Medical Education Credentials

 on the ECFMG 

website for the exact name of the final medical diploma you must provide. One full-face, passport-sized, color 

photograph must accompany the photocopies of your diploma. The photograph must be current; it must have 

been taken within six months of the date that your exam application is sent to ECFMG. A photocopy of a 

photograph is not acceptable. If you have graduated and met all requirements for your medical diploma but your 

medical diploma has not yet been issued, a current, full-face, passport-sized, color photograph and a letter signed 

by your Medical School Dean, Vice Dean, or Registrar must be submitted with your exam application. The letter 

you submit must be the original document and must be written on your medical school’s letterhead. The letter 

must include the following statement: 



This is to confirm that [applicant name] has graduated and completed all requirements to 

receive the [degree title] degree from [medical school/university name]. The degree will be 

issued [month and year]. 

You must then send the photocopies of your medical diploma to ECFMG as soon as your diploma is issued. See 



Medical Education Credentials

All documents that are not in English must be accompanied by an official English translation that meets ECFMG’s 



translation requirements. See 

English Translations

 in Medical Education Credentials

If you have passed the former ECFMG CSA, you are not eligible to take Step 2 CS, except under certain, well-

defined circumstances. Eligible circumstances include: taking Step 2 CS to permanently validate an expired CSA 

examination date for the purpose of entering U.S. GME (See 

Validity of Examinations for Entry into Graduate 

Medical Education

 in ECFMG Certification.), taking Step 2 CS because your most recent performance on a clinical 

skills exam (CSA or Step 2 CS) is a failing performance (See Official Performance of Record for Examinees 

Retaking a Previously Passed Step in the 

USMLE Bulletin of Information

.), and retaking Step 2 CS to meet a time 

limit (See 



Reexamination and Reapplication

 in Applying for Examination and Retakes in the 

USMLE Bulletin of 

Information

.). 


Important Note: If your eligibility for an exam changes after you apply but before you take the exam, 

you are required to inform ECFMG immediately in writing of this change in your status. Such 

notification must be sent to ECFMG’s Applicant Information Services. Use the contact information for 

General Inquiries on the 

Contact ECFMG

 page of the ECFMG website. Failure to inform ECFMG of a 

change in your eligibility for examination may result in a finding of irregular behavior. See 

ECFMG 

Policies and Procedures Regarding Irregular Behavior

 



 

Last updated: September 15, 2011 

 

30



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