Foreign medical graduates educational commission for foreign medical graduates



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EDUCATIONAL COMMISSION FOR

FOREIGN MEDICAL GRADUATES

EDUCATIONAL COMMISSION FOR

FOREIGN MEDICAL GRADUATES

2016 

Information Booklet

CERTIFICATION



Educational Commission for Foreign Medical Graduates 

3624 Market Street, Philadelphia, PA 19104-2685 USA

www.ecfmg.org 

Form 100s,  September 9, 2015

Visit www.ecfmg.org to

Get updates on ECFMG Certification and related policies and services.

Complete the Application for ECFMG Certification using the Interactive Web Applications 

(IWA).


Apply for Step 1 and Step 2 (Clinical Knowledge and Clinical Skills) of the United States 

Medical Licensing Examination

®

 (USMLE


®

) using IWA.



Subscribe to The ECFMG

®

 Reporter for important updates on ECFMG Certification and entry 

into graduate medical education in the United States.



Access your information using the On-line Applicant Status and Information System (OASIS).

Follow us on Facebook   

 

 

Download the MyECFMG mobile app



About the ECFMG Information Booklet 

   and Application Materials .........................1

ECFMG Certification

About ECFMG Certification ............................3

Requirements for ECFMG Certification ..........4 

Standard ECFMG Certificate ......................... 6 

Validity of Examinations for Entry 

   into Graduate Medical Education ............... 7



Your ECFMG Record

USMLE/ECFMG Identification Number ..........9 

Your Name ....................................................10 

Changing or Verifying Your Name ................11 

Contact Information ......................................13

Your ECFMG Financial Account

Fees..............................................................14

Payment .......................................................15 

Methods of Payment.....................................16

Refunds ........................................................17 

Forfeiture of Funds .......................................18



ECFMG Programs and 

   Irregular Behavior....................................19

Application for ECFMG Certification ........22

Examinations for ECFMG Certification

Examination Requirements ..........................23 

Time Limit for Completing 

   Examination Requirements .......................24



Eligibility for Examination

Medical School Students ..............................26 

Medical School Graduates ...........................28 

Reverification of Eligibility .............................30

Fifth Pathway Participants ............................31

TABLE OF CONTENTS

The United States Medical Licensing 

Examination (USMLE)

About USMLE ...............................................32 

Registration and Test Delivery Entities .........33 

Applying for Examination ..............................34

Scheduling the Examination .........................36 

Preparing for Examination ............................38

Taking the Examination ................................39 

USMLE Program and Irregular Behavior ......41

Examination Results .....................................42

Reexamination and Reapplication ................44



Medical Education Credentials

Medical Education 

   Credential Requirements ...........................46

Transfer Credits  ...........................................47

Credentials for ECFMG Certification ............49

Final Medical Diploma ..................................51 

Final Medical School Transcript....................52 

Transcript(s) to Document 

   Transferred Credits ....................................53 

Name on Medical Diploma 

   and Transcript(s)........................................54

English Translations .....................................55

Verification of Credentials .............................56

Related ECFMG Services

Confirmation of ECFMG 

   Certification Status ....................................57 

Electronic Residency Application 

   Service (ERAS) Support Services .............58

J-1 Visa Sponsorship ....................................60

ECFMG Certificate Holders Office................61 

® The terms ECFMG

®

 and CSA


®

 are registered in the U.S. Patent and Trademark Office.

Copyright © 2015 by the Educational Commission for Foreign Medical Graduates (ECFMG

®

). All rights reserved. Portions reprinted, 



with permission, from the USMLE 2016 Bulletin of Information, copyright © 2015-2016 by the Federation of State Medical Boards of 

the United States, Inc., and the National Board of Medical Examiners

®

 (NBME


®

).


About the ECFMG Information Booklet and Application Materials

The ECFMG Information Booklet contains detailed information on ECFMG’s program of certification. The information

contained in this booklet pertains only to the ECFMG certification process and related applications and services. This

booklet should not be used as a guide to ECFMG's other programs and services, such as the Electronic Portfolio of

International Credentials (EPIC

SM

). Please visit the 



ECFMG website

 for information on ECFMG's programs and

services. You also can access this publication, the Application for ECFMG Certification, and the application for Step 1

and Step 2 (Clinical Knowledge and Clinical Skills components) of the United States Medical Licensing Examination

®

(USMLE


®

) on the 

ECFMG website

.

Applicants for examination must use the applicable edition of the Information Booklet. The 2016 Information Booklet



pertains to eligibility periods in 2016. If your eligibility period extends into 2017 and you test in 2017, you must become

familiar with and will be subject to the policies and procedures detailed in the 2017 Information Booklet. The 2017



Information Booklet is expected to be available in September 2016. See the information on eligibility periods under

Applying for Examination

 in The United States Medical Licensing Examination (USMLE) section of this booklet.

The 

USMLE Bulletin of Information



 provides information about the USMLE, a three-step examination for medical

licensure in the United States. In the event that information about the USMLE in the ECFMG Information Booklet

differs from the corresponding information in the USMLE Bulletin of Information, the information in the USMLE Bulletin

of Information controls.

IMPORTANT

Applicants for examination are required to read and become familiar with the information contained in and

referenced in both the ECFMG Information Booklet and the USMLE Bulletin of Information. The USMLE

Bulletin of Information is available on the 

USMLE website

. Exam applicants should also carefully read the USMLE

exam application 

overview

 and 


instructions

 available in ECFMG's Interactive Web Applications (IWA). Applicants

should review and be familiar with the 

ECFMG Policies and Procedures Regarding Irregular Behavior

.

Although current at the time of publication, the information contained in the 2016 Information Booklet is subject to



change. If changes occur, information will be posted on the 

ECFMG website

. You must obtain the most recent

information to understand current policies and procedures.



The ECFMG

®

 Reporter

, ECFMG’s free e-mail newsletter, provides important updates on ECFMG Certification and

entry into graduate medical education in the United States. All applicants should 

subscribe

 to The ECFMG

®

 Reporter.

The Information Booklet describes deadlines related to exam applications, scheduling, and other services. Unless

otherwise indicated, deadlines are calculated using Eastern Time in the United States.

Consistent with ECFMG's Privacy Policy, ECFMG may share the information contained in your application, or that

otherwise may become available to ECFMG, with any federal, state or local governmental department or agency, with

any hospital or with any other organization or individual who, in the judgment of ECFMG, has a legitimate interest in

such information. This may include reporting determinations 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. For further information regarding

ECFMG's data collection and privacy practices, please refer to our 

Privacy Policy

.

ECFMG strives to ensure proper processing of applications for ECFMG Certification and examination, other service



requests related to ECFMG Certification and examination, and the information contained in such applications and

requests. In the unlikely event that an error occurs in the processing of applications, requests, or associated materials,

ECFMG will make reasonable efforts to correct the error, if possible, or permit you either to reapply at no additional fee

or to receive a refund. These are the exclusive remedies available to applicants for errors in processing applications

and other service requests related to ECFMG Certification, examination, and the other programs described in this

booklet.


Please note that ECFMG will not provide services of any kind if doing so would be considered violative of any

Page 1


applicable federal, state, or local laws or regulations. Additionally, ECFMG may delay provision of services

while investigating whether the services violate such laws or regulations.

Last updated: September 9, 2015

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

Page 2


ECFMG Certification

About ECFMG Certification | 

Requirements for ECFMG Certification

 | 


Standard ECFMG Certificate

 | 


Validity of

Examinations for Entry into Graduate Medical Education



About ECFMG Certification

The Educational Commission for Foreign Medical Graduates (ECFMG), through its program of certification, assesses

whether international medical graduates are ready to enter residency or fellowship programs in the United States that

are accredited by the 

Accreditation Council for Graduate Medical Education (ACGME)

. ACGME requires international

medical graduates who enter ACGME-accredited programs to be certified by ECFMG.

ECFMG Certification assures directors of ACGME-accredited residency and fellowship programs, and the people of

the United States, that international medical graduates have met minimum standards of eligibility to enter such

programs. ECFMG Certification does not, however, guarantee that these graduates will be accepted into programs;

the number of applicants each year exceeds the number of available positions.

ECFMG Certification is also one of the eligibility requirements for international medical graduates to take Step 3 of the

three-step 

United States Medical Licensing Examination (USMLE)

. Medical licensing authorities in the United States

require that international medical graduates be certified by ECFMG, among other requirements, to obtain an

unrestricted license to practice medicine.

ECFMG and its organizational members define an international medical graduate as a physician who received his/her

basic medical degree or qualification from a medical school located outside the United States and Canada*. Citizens

of the United States who have completed their medical education in schools outside the United States and Canada

are considered international medical graduates; non-U.S. citizens who have graduated from medical schools in the

United States and Canada are not considered international medical graduates.

* The United States and Canada refer to the geographic locations where citizens are issued passports by the

governments of either the United States or Canada.

Last updated: September 9, 2015

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

Page 3


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



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. For those medical schools that meet ECFMG eligibility

requirements, there will be an ECFMG note on the Sponsor Notes tab of the schools’ World Directory listing. If there is

no ECFMG note on your medical school’s Sponsor Notes tab, you are not eligible to apply to ECFMG for ECFMG

Certification or examination. As part of the application, international medical students/graduates must also confirm

their understanding of the purpose of ECFMG Certification and release certain 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.



2. Satisfy the clinical skills requirement.

Step 2 CS of the USMLE is the exam currently administered that satisfies this requirement.

There are time limits for completing the examinations required for ECFMG Certification.

For detailed information, including information on time limits 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 must be listed in the World Directory as meeting eligibility requirements for its students

and graduates to apply to ECFMG for ECFMG Certification and examination. The World Directory is available at

www.wdoms.org

. For those medical schools that meet ECFMG eligibility requirements, there will be an ECFMG note

on the Sponsor Notes tab of the schools’ World Directory listing. If there is no ECFMG note on your medical school’s

Sponsor Notes tab, you are not eligible to apply to ECFMG for ECFMG Certification or examination. The physician’s

graduation year also must be included in the ECFMG note on the Sponsor Notes tab of the medical school's World

Directory listing. 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 the World Directory as meeting ECFMG eligibility requirements. 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.

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 to document transferred credits. See



Medical Education Credentials

.

Page 4



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 9, 2015



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

Page 5


ECFMG Certification

About ECFMG Certification

 | 

Requirements for ECFMG Certification



 | Standard ECFMG Certificate | 

Validity of

Examinations for Entry into Graduate Medical Education

Standard ECFMG Certificate

The Accreditation Council for Graduate Medical Education (ACGME) requires international medical graduates who

enter ACGME-accredited programs of graduate medical education in the United States to 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 to applicants 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.

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 were 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 9, 2015

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

Page 6


ECFMG Certification

About ECFMG Certification

 | 

Requirements for ECFMG Certification



 | 

Standard ECFMG Certificate

 | Validity of

Examinations for Entry into Graduate Medical Education



Validity of Examinations for Entry into Graduate Medical Education

Clinical Skills Examinations

For individuals who satisfy the clinical skills requirement for ECFMG Certification by passing Step 2 CS, this passing

performance is not subject to expiration for the purpose of entering U.S. programs of graduate medical education. Use

of a passing result on any USMLE Step or Step Component for ECFMG Certification, including Step 2 CS, is subject

to certain time limits, see 

Time Limit for Completing Examination Requirements

 in Examinations for ECFMG



Certification.

For individuals who satisfied the clinical skills requirement for ECFMG Certification by passing the former ECFMG

CSA and an English language proficiency test, passing performance on the CSA may be subject to expiration for the

purpose of entering U.S. graduate medical education, as described below.

Passing performances on CSA administrations that took place on or after June 14, 2001 are not subject to

expiration for the purpose of entering graduate medical education programs. If you are certified by ECFMG and

your Standard ECFMG Certificate lists a “valid through” date for an administration of the CSA that took place on

or after June 14, 2001, you may request a permanent validation sticker (indicating the CSA passing

performance is “valid indefinitely” for entry into graduate medical education) that you can affix to your certificate.

To request a sticker, access 

OASIS

.

Passing performances on CSA administrations that took place before June 14, 2001 were valid for three years



from the date passed for the purpose of entering graduate medical education programs. The date through

which passing performance on the CSA remained valid for entry into graduate medical education (the CSA

“valid through” date) will be listed on the applicant’s Standard ECFMG Certificate. If the applicant entered a

program before expiration of the valid through date, the applicant may request permanent validation. This

means that the CSA date is no longer subject to expiration. To request permanent validation, the applicant and

an authorized official of the training institution must complete a 



Request for Permanent Validation (Form 246)

,

available in the Resources section of the ECFMG website and from ECFMG, upon request. On receipt of this



form, ECFMG will provide a permanent validation sticker to be affixed to the certificate. If an applicant who

passed CSA before June 14, 2001 did not enter a program within three years of the CSA pass date, the

applicant’s CSA passing performance has expired for the purpose of entering graduate medical education.

Before entering a program, these applicants must pass Step 2 CS. Passing performance on Step 2 CS does

not expire for the purpose of entry into graduate medical education.


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