Educational commission for foreign medical graduates



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ECFMG Certification 

About ECFMG Certification

 | Requirements for ECFMG Certification | 

Standard ECFMG Certificate

 | 

Validity of 



Examinations for Entry into Graduate Medical Education

  

Requirements for ECFMG Certification 

To be eligible for certification by ECFMG, international medical graduates must meet the following requirements. 

Application for ECFMG Certification 

International medical students/graduates must submit an Application for ECFMG Certification before they can 

apply to ECFMG for examination. The Application for ECFMG Certification consists of questions that require 

applicants to confirm their identity, contact information, and graduation from or enrollment in a medical school that 

is listed in the 

International Medical Education Directory (IMED)

 of the 


Foundation for Advancement of 

International Medical Education and Research (FAIMER)

. As part of the application, international medical 

students/graduates must also confirm their understanding of the purpose of ECFMG Certification and consent to a 

release of legal claims. See 

Application for ECFMG Certification



Examination Requirements 

The examination requirements for ECFMG Certification include passing Step 1 and Step 2 of the USMLE. The 

Step 2 exam has two separately administered components, the Clinical Knowledge (CK) component and the 

Clinical Skills (CS) component. 

To meet the examination requirements for ECFMG Certification, applicants must: 



1. Satisfy the 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, 

applicants must pass both Step 1 and Step 2 CK within a specified period of time. 



2. Satisfy the 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. 

For detailed information, including information on time limits for completing the examinations for ECFMG 

Certification and using a passing performance on former exams to satisfy these requirements, see 

Examinations 

for ECFMG Certification



Medical Education Credential Requirements 

The physician’s medical school and graduation year must be listed in the 

International Medical Education 

Directory (IMED)

, available on the ECFMG website. International medical graduates 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. There are restrictions on credits transferred to the 

medical school that awards an applicant’s medical degree that can be used to meet this requirement. See 

Transfer Credits

 in Medical Education Credentials

The information available through IMED is derived from current and historical data collected by ECFMG 

throughout its history of evaluating the medical education credentials of international medical graduates. A 

medical school is added to IMED after FAIMER receives confirmation from the Ministry of Health or other 

appropriate agency that the Ministry or agency has recognized that school. 

FAIMER

 also updates IMED as new 



information is received from appropriate government agencies and from officials of the medical schools. FAIMER 

is not an accrediting agency. Listing of a medical school in IMED does not denote recognition, accreditation, or 

endorsement by FAIMER. 

Applicants must document the completion of all requirements for, and receipt of, the final medical diploma

ECFMG verifies every applicant’s medical school diploma with the appropriate officials of the medical school that 

issued the diploma and requests that the medical school provide the final medical school transcript. Verification 

by ECFMG with the issuing school may also be required for transcripts that are submitted by applicants to 

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document transferred credits. See 

Medical Education Credentials



Important Note: Submitting falsified or altered documents may result in a finding of irregular behavior. 

For more information and potential consequences, see 

ECFMG Policies and Procedures Regarding 

Irregular Behavior

 



 

Last updated: September 15, 2011 

 

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



 

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ECFMG Certification 

About ECFMG Certification

 | 

Requirements for ECFMG Certification



 | Standard ECFMG Certificate | 

Validity of 

Examinations for Entry into Graduate Medical Education

  

Standard ECFMG Certificate 

International medical graduates who wish to enter an accredited program of graduate medical education in the 

United States must be certified by ECFMG. 

ECFMG issues the Standard ECFMG Certificate to applicants who meet all of the requirements for certification. 

International medical graduates must also pay any outstanding charges on their ECFMG financial accounts before 

their certificates are issued. Standard ECFMG Certificates are sent approximately two weeks after all of these 

requirements have been met. Currently, ECFMG sends the Standard ECFMG Certificate to the applicant’s 

address of record by Federal Express. If the address in your ECFMG record is a U.S. post office box, the 

certificate will be sent by certified mail. 

The Standard ECFMG Certificate includes: 

The name of the applicant;  



The applicant’s USMLE/ECFMG Identification Number;  

The dates that the examination requirements were met; and  



The date that the certificate was issued.  



Important Note: Prior to June 14, 2004, passing performances on an English language proficiency 

test and the ECFMG Clinical Skills Assessment (CSA) were requirements for ECFMG Certification. 

Passing performances on these exams were subject to expiration for the purpose of entering U.S. 

programs of graduate medical education; Standard ECFMG Certificates based on these exams may 

list “valid through” dates, the dates through which the passing performances are valid for this purpose. 

Effective June 14, 2004, some of these examinations are no longer subject to expiration, regardless of 

whether a “valid through” date is listed on the Standard ECFMG Certificate. See 

Validity of 

Examinations for Entry into Graduate Medical Education

 in ECFMG Certification

 

 

Last updated: September 15, 2011 



 

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

 

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