Educational commission for foreign medical graduates



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The applicant is assigned the next eligibility period, August-September-October. 

As shown in both examples above, you will be able to obtain an eligibility period that has already begun, or that 

will have begun by the time you are registered and your scheduling permit is issued. Your assigned eligibility 

period will not be adjusted to compensate for days that have already passed. 

Eligibility Period Extension 

If you are unable to take Step 1/Step 2 CK during the three-month eligibility period assigned to you, you may 

request a one-time extension. You may extend your eligibility period only through the next, contiguous eligibility 

period (the next eligibility period that does not overlap with your original eligibility period). 



Example: An applicant’s original eligibility period is April-May-June 2012. The eligibility period may be 

extended only through July-August-September 2012. 

You may request an extension on-line using 

IWA


. If you take the exam during your original eligibility period or if 

you do not take the exam, you will not receive a refund or credit of the eligibility period extension fee. 

You may request an extension of your eligibility period only once for each exam registration. You may request an 

extension of your eligibility period only after your eligibility period has begun. The processing of your request must 

be completed by the published deadline or your request will be rejected. For specific information on deadlines, 

refer to 

IWA

. If you are a graduate of a medical school that participates in EMSWP and your medical education 



credentials have not been primary-source verified by ECFMG or if you are a student enrolled in a medical school 

that participates in EMSWP, ECFMG cannot complete the processing of your request until your medical school 

verifies your graduate/student status through EMSWP.  

Additionally, you must continue to be eligible to take the exam during the extended eligibility period (you must still 

be officially enrolled in a medical school located outside the United States and Canada that is listed in 

IMED

 and 


the “Graduation Years” for your medical school must be listed as “Current,” or you must be a graduate of such a 

medical school and your graduation year must be included in the school’s IMED listing). See 



Eligibility for 

Examination

If your eligibility period is extended, NBME will issue a revised scheduling permit reflecting the extension. You 



must access this revised scheduling permit using 

IWA


 and bring it to the test center on the date of your exam. 

If you have a scheduled appointment during your original eligibility period and need to cancel and reschedule the 

appointment for your extended eligibility period, you must contact Prometric to cancel or reschedule that 

appointment. Requesting an extension of your eligibility period does not cancel a scheduled appointment. A fee 

may be charged if you change your appointment, depending upon how much notice you provide when making the 

change. See 



Rescheduling

 in Scheduling the Examination

If you are unable to take the exam during your original or extended eligibility period or you are unable to extend 

your original eligibility period, you must reapply, including payment of the appropriate fee(s), to take the exam. 

 

 

Last updated: September 15, 2011 



 

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

 

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Applying for Examination 

Application for USMLE

 | 

Medical School Students



 | 

Medical School Graduates

 | 

When to Apply



 | 

Exam Fees

 | 

Examinees Who Require Personal Items in the Testing Room



 | 

Examinees with Disabilities Requesting Test 

Accommodations

 | 


Testing Locations

 | 


Step 1/Step 2 CK Eligibility Periods

 | Step 2 CS Eligibility Periods | 

Reexamination and Reapplication

  

Step 2 CS Eligibility Periods 

When you are registered for Step 2 CS, you are assigned a 12-month eligibility period that begins on the date that 

the processing of your application is completed. 



Example: A complete Step 2 CS application is received at ECFMG on July 15, 2012, and processing 

of the application is completed on July 28, 2012. The applicant will be assigned an eligibility period of 

July 28, 2012 – July 27, 2013. 

Your eligibility period will be listed on your Step 2 CS scheduling permit. You must take the exam during your 

eligibility period. You can schedule a testing appointment for any available date in your eligibility period. 

Once your eligibility period is assigned, it cannot be changed or extended. Although you cannot change your 

assigned eligibility period, you can reschedule a testing appointment for a different date within your eligibility 

period, subject to availability. To avoid a rescheduling fee, you must cancel or reschedule more than 14 days 

before your scheduled testing appointment. See 

Rescheduling

 in Scheduling the Examination

You may take Step 2 CS only once during each assigned eligibility period. If you take and fail the exam, you must 

reapply, including payment of the examination fee, to obtain a new eligibility period. You may reapply 

approximately 24 hours after your failing score report becomes available; you do not need to wait for the 

previously assigned eligibility period to end. If you do not take the exam within your eligibility period, you must 

reapply, including payment of the examination fee, to take the exam. 

 

 



Last updated: September 15, 2011 

 

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



 

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