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
To be registered for USMLE, an international medical graduate must provide copies of his/her final medical diploma with the exam application, if the diploma has not been submitted to ECFMG previously. Follow the instructions for additional documents required to complete your application, below. For complete information on the medical education credentials that may be required at the time of exam application, see Credentials for ECFMG Certification in Medical Education Credentials.
ECFMG also requires that, before an international medical graduate can be registered for USMLE, the applicant’s status as a medical school graduate must be verified directly by his/her medical school. This status must be verified in one of three ways:
As a result, the process of applying for examination as a medical school graduate will vary depending on whether your medical education credentials have been verified by ECFMG and whether you are a graduate of a medical school that participates in EMSWP.
All medical school graduates must print a Certification of Identification Form (Form 186) after completing the on-line part of the application, if they do not have a valid Form 186 on file with ECFMG. Form 186 must be completed by you and certified by an authorized official of your medical school. Each medical school has been requested to provide ECFMG with a list of the officials authorized by the school to certify Form 186. Your form must be certified by an official on this list. Contact your medical school to determine the officials authorized by your medical school for this purpose; ECFMG will not provide this information to applicants. This certification must be current; the official must have signed the form within four months of its receipt by ECFMG.
If you cannot appear before an authorized official of your medical school to have your Form 186 certified, your Form 186 can be certified as described below:
You can check the status of your medical education credentials via ECFMG’s OASIS. When you complete the on-line part of the exam application, IWA will produce the appropriate version of Form 186 based on the type of official(s) that are acceptable to certify/sign the form. You should print the version of Form 186 for the official(s) who will certify/sign your Form 186.
For all graduates, the signature of the official(s) who certify/sign your Form 186 must be current; all official(s) must have signed the form within four months of its receipt by ECFMG. If your Form 186 is certified or signed by an official of your medical school, the original, signed Form 186 must be sent to ECFMG from the office of the medical school official who certifies/signs the form. ECFMG must be able to determine that the form was sent directly from the office of this official. If ECFMG, in its judgment, determines that the form may not have been sent directly from the office of the medical school official who certified/signed the form, the form will not be accepted.
Once accepted by ECFMG, Form 186 remains valid for exam applications and requests to extend Step 1 and Step 2 CK eligibility periods received during the following five-year period. Applications and requests submitted during this period can be completed entirely on-line.
If there are any additional documents required to complete your application, these documents must be sent to ECFMG with your Form 186, if you do not already have a valid Form 186 on file with ECFMG, and must be accompanied by a completed IWA Document Submission Form (Form 187). Form 187 facilitates more efficient processing of the application by ensuring that any additional documents are matched with the on-line part of the application. Do not include Form 187 if you do not have any additional documents to submit to ECFMG or if you are submitting Form 186 only.
All forms and documents required to complete your application must be sent to ECFMG in one envelope. If you are required to complete a Form 186 and this form is certified/signed by an official of your medical school, this envelope must be sent to ECFMG from the office of the medical school official who certifies/signs your Form 186. If you are not required to complete Form 186 or if your Form 186 is certified only by a Consular Official, Notary Public, First Class Magistrate, or Commissioner of Oaths, this envelope can be sent to ECFMG by you.
Important Note: If you are submitting a request for test accommodations, follow the instructions in the Test Accommodations information on the USMLE website. See Examinees with Disabilities Requesting Test Accommodations in Applying for Examination and Examinees with Disabilities Requesting Test Accommodations in the USMLE Bulletin of Information. Do not send your request or supporting documents in the same envelope as your application materials; requests and supporting documents for test accommodations should not be accompanied by Form 187.
Your application will not be considered complete until the completed Form 186 (if you do not have a valid Form 186 on file with ECFMG) and any other required documents are received at ECFMG.
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, ECFMG cannot complete the processing of your application until your medical school verifies your status through EMSWP.
You can print Form 186 from IWA after completing the on-line part of the application. Form 187 is available from IWA and in the Resources section of the ECFMG website.
Last updated: September 15, 2011
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