Educational commission for foreign medical graduates



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Related ECFMG Services 

Confirmation of ECFMG Certification Status | 

Electronic Residency Application Service (ERAS) Support Services

 | 


J-1 Visa Sponsorship

 | 


Acculturation Program

  

Confirmation of ECFMG Certification Status 

ECFMG’s Certification Verification Service (CVS) provides primary-source confirmation of the ECFMG certification 

status of international medical graduates. The Joint Commission, the organization that evaluates and accredits 

U.S. health care organizations and programs, has determined that direct verification with ECFMG of a physician’s 

certification status satisfies The Joint Commission’s requirement for primary-source verification of medical school 

completion for graduates of international medical schools.  

ECFMG will confirm your certification status when a request is received from a medical licensing authority, 

residency program director, hospital, or other organization that, in the judgment of ECFMG, has a legitimate 

interest in such information. For status reports sent to medical licensing authorities, the request can also be 

made by you. Requesting organizations must normally secure and retain your signed authorization to obtain 

certification information. Please note that there may be a fee for this service. 

Requests for confirmation must contain your name, date of birth, USMLE/ECFMG Identification Number, and 

name and address of the organization to which the confirmation should be sent. To obtain the appropriate request 

form or to make an on-line request, visit the CVS section of the ECFMG website at 

www.ecfmg.org/cvs

Confirmations are sent to the requesting organization within approximately two weeks. Confirmations are not sent 



to applicants directly. 

If the requesting organization requests to receive a paper report and does not receive the report, ECFMG will 

honor requests for duplicate reports at no additional cost up to 90 days after the date that the original report was 

processed. 

If you apply to residency programs through ERAS, ECFMG will send an electronic ECFMG Status Report 

automatically to all of the programs to which you apply. If your ECFMG certification status changes during the 

ERAS application season, ECFMG will send an updated status report automatically to all programs to which you 

have applied. 

 

 

Last updated: September 15, 2011 



 

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

 

84



Related ECFMG Services 

Confirmation of ECFMG Certification Status

 | Electronic Residency Application Service (ERAS) Support Services | 

J-1 Visa Sponsorship

 | 

Acculturation Program



  

Electronic Residency Application Service (ERAS) Support Services 

International medical graduates who wish to enter programs of graduate medical education in the United States 

that are accredited by the Accreditation Council for Graduate Medical Education (ACGME) must be certified by 

ECFMG. ECFMG Certification does not, however, guarantee that an international medical graduate will be 

accepted into a graduate medical education program; the number of applicants for residency and fellowship 

programs each year exceeds the number of available positions. 

The Association of American Medical Colleges (AAMC) introduced the Electronic Residency Application Service 

(ERAS) in 1996 to allow medical students and graduates to apply electronically for residency positions in 

accredited U.S. programs of graduate medical education. 

Most U.S. graduate medical education programs participate in ERAS. If you apply to participating programs, you 

must submit your residency application using ERAS. 

Since ERAS was established, ECFMG has served as the designated Dean’s office for students and graduates of 

international medical schools, including Fifth Pathway participants, assisting these individuals with the ERAS 

application process for first- and second-year (PGY-1 and PGY-2) residency positions. 

International medical students/graduates who apply to programs that participate in ERAS must request an ERAS 

Token, a unique identification number, from ECFMG. The Token allows applicants to access AAMC’s ERAS 

website, where they can complete their residency application, select the programs to which they will apply, and 

assign supporting documents to these programs. 

As the designated Dean’s office, ECFMG receives supporting documents for the ERAS application, such as 

Medical Student Performance Evaluations (MSPEs), medical school transcripts, letters of recommendation, and 

photographs from applicants and their medical schools. ECFMG then transmits these documents to the ERAS 

PostOffice. ECFMG also transmits to the ERAS PostOffice reports of an applicant’s ECFMG certification status 

and, if requested by the applicant, USMLE transcripts. Once supporting documents have been received at the 

ERAS PostOffice, they can be downloaded by the programs to which the applicant has applied. 

For complete, up-to-date information on ERAS Support Services at ECFMG, visit the ERAS section of the ECFMG 

website at 

www.ecfmg.org/eras



Important Note About U.S. State Medical Licensure Requirements: In the United States, medical 

licensure requirements vary by individual state medical licensing authorities. You should be aware that: 

A training or restricted license may be required to participate in programs of graduate medical education. 



Participants in graduate medical education programs may also be required to obtain an unrestricted 

medical license by a certain point in their training in order to progress in the program.  

Some states have established additional criteria with respect to international medical schools for the 



purpose of eligibility for licensure. If you plan to apply to residency programs in one of these states, consult 

the state’s medical licensing board to determine if graduates of your medical school are eligible for 

licensure in that state.  

If you are certified by ECFMG based on former medical science exams (such as the Visa Qualifying 



Examination [VQE] or the Foreign Medical Graduate Examination in the Medical Sciences [FMGEMS]), you 

should be aware that these exams may not be acceptable for the purpose of eligibility for a training license.  



ERAS does not preclude any students/graduates from participating in ERAS, based on their 

eligibility for licensure. Before applying to residency programs in a given state, it is your 

responsibility to become familiar with that state’s licensure requirements and to ensure that you meet 

any licensure requirements to enter and complete residency training in that state. For a directory of 

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U.S. state medical licensing authorities, visit the 

Federation of State Medical Boards of the United 

States, Inc. website

 



 

Last updated: September 15, 2011 

 

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



 

86



Related ECFMG Services 

Confirmation of ECFMG Certification Status

 | 

Electronic Residency Application Service (ERAS) Support Services



 | 

J-1 Visa Sponsorship | 

Acculturation Program

  

J-1 Visa Sponsorship 

Foreign national physicians who seek entry into U.S. programs of graduate medical education or training must 

obtain an appropriate visa that permits clinical training activities. One visa commonly used by foreign national 

physicians is the J-1, a temporary nonimmigrant visa reserved for participants in the Exchange Visitor Program. 

As a public diplomacy initiative of the U.S. Department of State, the Exchange Visitor Program was established to 

enhance international exchange and mutual understanding between the people of the United States and other 

nations. In keeping with the program's goals for international education, J-1 Exchange Visitor physicians are 

required to return home for at least two years following their training before being eligible for certain U.S. visas. 

The U.S. Department of State has designated ECFMG as the visa sponsor for all J-1 Exchange Visitor physicians 

who participate in clinical training programs. ECFMG sponsorship is also available for physicians’ eligible 

dependents. As the visa sponsor, ECFMG processes applications for J-1 visa sponsorship and, for eligible 

applicants, issues a document that the applicant can use to apply for the J-1 visa. ECFMG is responsible for 

ensuring that J-1 physicians and host institutions meet the federal requirements for participation throughout the 

duration of sponsorship. ECFMG does not sponsor physicians for other U.S. visa types. 

For complete, up-to-date information on J-1 visa sponsorship by ECFMG, visit the Exchange Visitor Sponsorship 

Program (EVSP) section of the ECFMG website at 

www.ecfmg.org/evsp



Important Note: Foreign national physicians seeking ECFMG J-1 visa sponsorship to enroll in 

graduate medical education programs must, among other requirements, have passed USMLE Step 1 

and Step 2 CK; or the former Visa Qualifying Examination (VQE), National Board of Medical Examiners 

(NBME) Part 1 and Part 2, or Foreign Medical Graduate Examination in the Medical Sciences 

(FMGEMS) examinations; or an acceptable combination thereof. The former one-day ECFMG 

Examination and three-day Federation Licensing Examination (FLEX) do not meet the requirements 

for J-1 visa sponsorship. 

 

 



Last updated: September 15, 2011 

 

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



 

87



Related ECFMG Services 

Confirmation of ECFMG Certification Status

 | 

Electronic Residency Application Service (ERAS) Support Services



 | 

J-1 Visa Sponsorship

 | Acculturation Program  

Acculturation Program 

Identifying and meeting the informational needs of international medical graduates who come to the United States 

for graduate medical education has been part of ECFMG’s mission since 1956. As part of this mission, ECFMG 

has conducted surveys and focus groups with international medical graduates to identify their needs and has 

produced a number of acculturation resources. ECFMG has also funded a variety of acculturation activities and 

sponsored several educational workshops and conferences for hospital administrators focused on international 

medical graduates and their orientation needs. 

In 2006, ECFMG launched the Acculturation Program to assist international medical graduates who plan to enter 

U.S. training programs with the transition to training and living in the United States. As part of this program, 

ECFMG has developed a variety of resources. In addition to assisting individuals already accepted to U.S. training 

programs, the Acculturation Program offers resources for international medical students/graduates who are in the 

process of applying to residency or fellowship programs. 

The ECFMG website serves as a repository for the Acculturation Program’s resources, allowing international 

medical students/graduates to access these materials before leaving their home country, where these kinds of 

resources may be limited, and before the demands and challenges of the new training program begin. Materials 

are also available to graduate medical education program directors and staff for use in on-site orientations for 

newly arriving international medical graduates. 

For complete, up-to-date information on ECFMG’s Acculturation Program and to access the program’s resources, 

visit the Acculturation section of the ECFMG website at 

www.ecfmg.org/acculturation

 

 



Last updated: September 15, 2011 

 

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



 

88

Document Outline

  • 01_index
  • 02_certification
  • 03_certification-requirements
  • 04_ecfmg-certificate
  • 05_validity-examinations
  • 06_usmle-ecfmg-id
  • 07_name
  • 08_change-verify-name
  • 09_contact-info
  • 10_fees-schedule
  • 11_payment
  • 12_payment-methods
  • 13_refunds
  • 14_funds-forfeiture
  • 15_irregular-behavior
  • 16_application-ecfmg-certification
  • 17_exam-requirements
  • 18_usmle
  • 19_registration-test-delivery
  • 20_medical-science-exam
  • 21_clinical-skills
  • 22_time-limit-complete-exams
  • 23_students
  • 24_graduates
  • 25_reverification
  • 26_fifth-pathway
  • 27_application-for-usmle
  • 28_medical-school-students
  • 29_medical-school-graduates
  • 30_when-to-apply
  • 31_fees
  • 32_personal-items
  • 33_disabilities-test-accomodations
  • 34_testing-locations
  • 35_step1-step2-ck-eligibility-peri
  • 36_step2-cs-eligibility-periods
  • 37_reexamination-and-reapplication
  • 38_scheduling-permit
  • 39_scheduling
  • 40_rescheduling
  • 41_exam-format
  • 42_orientation-practice-materials
  • 43_nbme-self-assessments
  • 44_prometric-practice-session
  • 45_step-1-step-2-ck
  • 46_step-2-cs
  • 47_travel-status
  • 48_identification
  • 49_testing-conditions
  • 50_exams-irregular-behavior
  • 51_minimum-passing-scores
  • 52_scoring
  • 53_score-reporting
  • 54_score-recheck
  • 55_usmle-transcript
  • 56_csa-performance-history
  • 57_validity-scores
  • 58_credentials-requirements
  • 59_transfer-credits
  • 60_credentials-for-certification
  • 61_diploma
  • 62_transcript
  • 63_transcript-transfer-credits
  • 64_name-diploma-transcripts
  • 65_english-translation
  • 66_credentials-verification
  • 67_confirmation-status
  • 68_eras
  • 69_j1-visa-sponsorship
  • 70_acculturation

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