Foreign medical graduates educational commission for foreign medical graduates



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Your ECFMG Financial Account

Fees


 | 

Payment


 | 

Methods of Payment

 | 

Refunds


 | Forfeiture of Funds

Forfeiture of Funds

Funds in an applicant’s ECFMG financial account will be available for a period of two years to pay for applications

submitted or services requested. Any funds not used during a two-year period will be forfeited to ECFMG; this means

that the applicant will lose those funds. The two-year period is calculated from the date that funds are received at

ECFMG. If an applicant has funds in his/her account and submits an application or requests a service, ECFMG will

use the funds with the earliest receipt date to pay for the application/request.

Examples: An applicant made a payment of $1,000 to her ECFMG financial account on April 15, 2015. On

May 9, 2015, she submitted an application for USMLE Step 1, which cost $865. The applicant has until

April 14, 2017 to either use the remaining $135 balance or request a refund. If she does not, these funds

will be forfeited to ECFMG.

An applicant made a payment of $355 to his ECFMG financial account on July 2, 2011. He made another

payment of $2,000 on July 10, 2011. On July 28, 2011, he submitted an application for USMLE Step 2 CS,

which cost $1,355. The $355 from his earlier payment and $1,000 from his later payment were used to pay

for this exam registration. The applicant had until July 9, 2013 to either use the remaining $1,000 balance

or request a refund. He did not, and, as a result, these funds were forfeited to ECFMG.

It is your responsibility to monitor the status of your ECFMG financial account. You can check the status of your

account, including dates on which payments were made to your account, using 

OASIS


. A refund request should be

made to claim any funds that will not be used prior to the expiration of the two-year period. See 



Refunds

 in Your



ECFMG Financial Account.

Last updated: September 9, 2015

Copyright © 2015 by the Educational Commission for Foreign Medical Graduates. All rights reserved.

Page 18


ECFMG Programs and Irregular Behavior

ECFMG Policies and Procedures Regarding Irregular Behavior

A. Policies Regarding Irregular Behavior

1. Irregular behavior includes all actions or attempted actions on the part of applicants, examinees, potential

applicants, others when solicited by an applicant and/or examinee, or any other person that would or could subvert the

examination, certification or other processes, programs, or services of ECFMG, including, but not limited to, the

ECFMG Exchange Visitor Sponsorship Program, ECFMG International Credentials Services (EICS), the Electronic

Portfolio of International Credentials (EPIC), and Electronic Residency Application Service (ERAS) Support Services

at ECFMG. Such actions or attempted actions are considered irregular behavior, regardless of when the irregular

behavior occurs, and regardless of whether the individual is certified by ECFMG. Examples of irregular behavior

include, but are not limited to, submission of any falsified or altered document to ECFMG, whether submitted by the

individual or by a third party, such as a medical school, on behalf of the individual; failing to comply with United States

Medical Licensing Examination

®

 (USMLE



®

) or ECFMG policies, procedures, and/or rules; falsification of information on

applications, submissions, or other materials to ECFMG; taking an examination when not eligible to do so, or

submission of any falsified or altered ECFMG document to other entities or individuals.

2. The Medical Education Credentials Committee’s determination of irregular behavior is sufficient cause for ECFMG

to bar an individual from future examinations, to bar an individual from other ECFMG programs and services, to

withhold and/or invalidate the results of an examination, to withhold an ECFMG Certificate, to revoke an ECFMG

Certificate, or to take other appropriate actions for a specified period of time or permanently. ECFMG may report the

Medical Education Credentials Committee’s determination of irregular behavior to the USMLE Committee for

Individualized Review, Federation of State Medical Boards of the United States, U.S. state and international medical

licensing authorities, directors of graduate medical education programs, and to any other organization or individual

who, in the judgment of ECFMG, has a legitimate interest in such information.

3. If the Medical Education Credentials Committee determines that an individual engaged in irregular behavior, a

permanent annotation to that effect will be included in the individual’s ECFMG record. This annotation will appear on

the ECFMG Certification Verification Service (CVS) and ECFMG Status Reports for the individual. If the individual has

an EPIC Portfolio, a permanent annotation will be included on all EPIC Reports with respect to that individual.

Additional information explaining the basis for the determination of irregular behavior and the resulting action(s) will

accompany every ECFMG Status Report, CVS Report, and EPIC Report, and may also be provided to legitimately-

interested entities; this additional information may be provided, regardless of the date of the conduct or activity that

comprises the irregular behavior. Notice of the Medical Education Credentials Committee’s determination of irregular

behavior is periodically reported to the ECFMG Board of Trustees.

B. Procedures Regarding Irregular Behavior

1. After receipt of a report or other information suggesting irregular behavior on the part of an individual, ECFMG staff

will review the information and will assess whether there is sufficient evidence of irregular behavior. When indicated

and feasible, staff will conduct a follow-up investigation to gather additional information.

2. If the individual is an examinee and the review referenced above will not be concluded until after the typical period

for the reporting of exam scores, the examinee will be notified that the reporting of the exam scores in question is

being delayed.

3. If ECFMG staff finds that there exists a reasonable basis to conclude that an individual may have engaged in

irregular behavior, the matter will be referred to the Medical Education Credentials Committee. ECFMG may withhold

services from the individual pending a determination from the Medical Education Credentials Committee. If the

individual is an examinee, the examinee’s exam scores will be withheld, if not already released, and the examinee

may not be permitted to sit for subsequent examinations, nor will applications for examination be processed.

4. Using the individual’s last known address, the individual will be advised in writing of the nature of the alleged

irregular behavior and will be provided with a copy of the ECFMG Policies and Procedures Regarding Irregular



Behavior. The individual will be given an opportunity to provide written explanation and to present other relevant

information. Any such written explanation or other relevant information must be received by ECFMG by the deadline

set forth in ECFMG’s writing to the individual. Submissions received after the deadline will be considered by the

Page 19


Medical Education Credentials Committee at its discretion. The individual may also request the opportunity to appear

personally before the Medical Education Credentials Committee, and may be represented by legal counsel, if the

individual so wishes. In instances in which the individual appears personally before the Medical Education Credentials

Committee, a stenographic or audio recording will be made of that portion of the proceedings during which the

individual is in attendance. Any statements made by the individual during a personal appearance before the Medical

Education Credentials Committee will be under oath.

5. All pertinent information regarding the irregular behavior, including any explanation or other information that the

individual may provide, will be provided to the Medical Education Credentials Committee. The Medical Education

Credentials Committee, based on the information available to it, will determine whether the preponderance of the

evidence indicates that the individual engaged in irregular behavior. If the Medical Education Credentials Committee

determines that the individual engaged in irregular behavior, the Medical Education Credentials Committee will

determine what action(s) will be taken as a result of the irregular behavior. ECFMG will notify the individual whether

the Medical Education Credentials Committee determined the individual engaged in irregular behavior and of any

action(s) taken pursuant thereto.

6. The Medical Education Credentials Committee’s determination of irregular behavior and any action(s) taken

pursuant thereto (a “decision” of the Medical Education Credentials Committee) may be appealed to the Review

Committee for Appeals if the individual has a reasonable basis to believe the Medical Education Credentials

Committee did not act in compliance with the Medical Education Credentials Committee Policies and Procedures or

that the Medical Education Credentials Committee’s decision was clearly contrary to the weight of the evidence before

it. The notice of appeal must be received by ECFMG within sixty (60) days of the date on which the notification

advising the individual of the Medical Education Credentials Committee’s decision was mailed to the individual. The

appeal of a decision of the Medical Education Credentials Committee is governed by the Rules of Appellate

Procedure.

7. Petitions for reconsideration of a decision of the Medical Education Credentials Committee will be reviewed by the

Medical Education Credentials Committee only in extraordinary cases. Any such petition must first be considered by

ECFMG staff, who, after discussion with the Medical Education Credentials Committee Chair, may deny the request or

place it on the agenda for consideration by the full Medical Education Credentials Committee at a regularly scheduled

meeting. Absent the submission of newly discovered material evidence not previously available to the petitioner and,

therefore, not available to the Medical Education Credentials Committee, petitions for reconsideration typically will be

denied.


C. Representative Examples of Irregular Behavior

Representative examples of allegations of irregular behavior and actions taken by the ECFMG Medical Education

Credentials Committee include, but are not limited to, the following:

Providing false information on an application submitted to ECFMG

The ECFMG Medical Education Credentials Committee reviewed an allegation of irregular behavior in

connection with an individual who provided false information on an application for a USMLE examination

submitted to ECFMG. In that application, the individual certified he was a student enrolled in medical school

when, in fact, he previously had been dismissed from medical school and, therefore, was no longer a student.

Following review, the ECFMG Medical Education Credentials Committee determined the individual had

engaged in irregular behavior and took action to bar the individual from admission to all ECFMG

examinations and from ECFMG Certification.

Providing false information to ECFMG as part of the ECFMG On-line Authentication Process, which is a

prerequisite to submitting an application for examination

The ECFMG Medical Education Credentials Committee reviewed an allegation of irregular behavior in

connection with an individual who provided false information to ECFMG as part of the ECFMG On-line

Authentication Process, which is used to obtain a USMLE/ECFMG Identification Number and is a prerequisite

to submitting an application for examination. During the on-line authentication process, the individual certified

he had not previously submitted an application for examination to ECFMG when he had not only previously

applied for, but had taken examinations.

Following review, the ECFMG Medical Education Credentials Committee determined the individual had

Page 20


engaged in irregular behavior and took action to bar the individual from admission to all ECFMG

examinations and from ECFMG Certification.

Submitting a fraudulent medical diploma and providing false information on an application submitted to

ECFMG

The ECFMG Medical Education Credentials Committee reviewed an allegation of irregular behavior in

connection with an individual who submitted a fraudulent medical diploma and provided false information on an

application submitted to ECFMG.

Following review, the ECFMG Medical Education Credentials Committee determined the individual had

engaged in irregular behavior and took action to bar the individual from admission to all ECFMG



examinations and from ECFMG Certification.

Last updated: September 9, 2015

Copyright © 2015 by the Educational Commission for Foreign Medical Graduates. All rights reserved.

Page 21


Application for ECFMG Certification

To be eligible for ECFMG Certification, you must complete an Application for ECFMG Certification. You can access the

Application for ECFMG Certification through 

Interactive Web Applications (IWA)

 on the ECFMG website. You must

have your 



USMLE/ECFMG Identification Number

 before you can begin the Application for ECFMG Certification. You

must complete an Application for ECFMG Certification before you can apply to ECFMG for examination. For the

current fee for submitting an Application for ECFMG Certification, see the 

Fees

 page of the ECFMG website.



Important Note: The Application for ECFMG Certification became a requirement for ECFMG Certification

on September 15, 2010. International medical students/graduates who by this date had met the

examination requirements for ECFMG Certification and are applying to ECFMG for examination (for

example, to retake an exam for the purpose of meeting a time limit imposed by a state medical licensing

authority) are not required to complete an Application for ECFMG Certification.

As part of the Application for ECFMG Certification, you will be asked to confirm the name, date of birth, and gender in

your ECFMG record. If this information is incorrect, you must have the information in your ECFMG record changed to

reflect your correct name, date of birth, and/or gender before you can complete the Application for ECFMG

Certification. Instructions for how to correct this information will be provided at the time of application.

If you are a medical school student, you will be asked to confirm that you are officially enrolled in a medical school

located outside the United States and Canada that is listed in the 

World Directory of Medical Schools (World Directory)

as meeting eligibility requirements for its students and graduates to apply to ECFMG for ECFMG Certification and

examination, and that the “Graduation Years” in the ECFMG note on the Sponsor Notes tab of your medical school's

World Directory listing are listed as “Current.” If you are a medical school graduate, you will be asked to confirm that

you are a graduate of a medical school located outside the United States and Canada that is listed in the World



Directory as meeting eligibility requirements for its students and graduates to apply to ECFMG for ECFMG

Certification and examination, and that your graduation year is included in the ECFMG note on the Sponsor Notes tab

for your school’s World Directory listing. To confirm that you meet these requirements, access the World Directory at

www.wdoms.org

.

The Application for ECFMG Certification also will require you to confirm your understanding of the purpose of ECFMG



Certification and release certain legal claims.

The information submitted in your Application for ECFMG Certification will become a part of your permanent

ECFMG record.

Once submitted to ECFMG, your Application for ECFMG Certification typically becomes valid immediately, allowing

you to apply for examination. A notification will be sent to the e-mail address in your ECFMG record confirming receipt

of your Application for ECFMG Certification. Once your Application for ECFMG Certification has been submitted to

ECFMG, it typically remains valid throughout the certification process and cannot be changed. If you are a student

when you submit your Application for ECFMG Certification, you do not need to submit another one when you attain

graduate status. You can use 

OASIS


 to confirm that you have submitted an Application for ECFMG Certification.

Last updated: September 9, 2015

Copyright © 2015 by the Educational Commission for Foreign Medical Graduates. All rights reserved.

Page 22


Examinations for ECFMG Certification

Examination Requirements | 

Time Limit for Completing Examination Requirements

Examination Requirements

To be eligible for ECFMG Certification, you must satisfy both the medical science examination and clinical skills

requirements. To satisfy these requirements, you must pass Step 1 and Step 2 of the United States Medical Licensing

Examination (USMLE). Step 2 of the USMLE has two separately administered components, the Clinical Knowledge

(CK) component and the Clinical Skills (CS) component. Refer to the 

USMLE Bulletin of Information

 for more

information. There are time limits for completing the examination requirements for ECFMG Certification. See 



Time

Limit for Completing Examination Requirements

 in Examinations for ECFMG Certification.

Passing performance on certain formerly administered examinations can be used to meet these requirements as

described below.



Medical Science Examination Requirement

Step 1 and Step 2 CK of the USMLE are the exams currently administered that satisfy the medical science

examination requirement. There are time limits for completing these examinations for ECFMG Certification. 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.

Clinical Skills Requirement

Step 2 CS of the USMLE is the exam currently administered that satisfies the clinical skills requirement. There are

time limits for completing this examination for ECFMG Certification. See 

Time Limit for Completing Examination

Requirements

 in Examinations for ECFMG Certification.

International medical students/graduates who have both passed the former ECFMG Clinical Skills Assessment

(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 9, 2015

Copyright © 2015 by the Educational Commission for Foreign Medical Graduates. All rights reserved.

Page 23


Examinations for ECFMG Certification

Examination Requirements

 | Time Limit for Completing Examination Requirements

Time Limit for Completing Examination Requirements

ECFMG policy requires that international medical students/graduates pass the 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 all of the other Step(s) or Step Component(s) required for ECFMG

Certification. This seven-year period begins on the exam date of the first Step or Step Component passed and ends

exactly seven years from that 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. It is your responsibility to track your

progress toward meeting the exam requirements for ECFMG Certification. ECFMG will not notify you of

upcoming deadlines to meet the seven-year requirement and will not notify you if one (or more) of your

passing performances becomes invalid for ECFMG Certification because you failed to meet the seven-year

requirement.

Example: An international medical graduate took his first Step or Step Component on October 1, 2009 and

passed. He has through October 1, 2016 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, 2016, his passing performance on the October 1, 2009 exam would

no longer be valid for ECFMG Certification.

Under this policy, more than one USMLE passing performance can become invalid for ECFMG Certification.



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