The eligibility requirements for examination differ depending on whether you are a medical school student or a medical school graduate.
To be eligible for Step 1, Step 2 CK, and Step 2 CS, you must be officially enrolled in 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, both at the time that you apply for examination and on your test day. In addition, the “Graduation Years” in the ECFMG note on the Sponsor Notes tab for your medical school's World Directory listing must be “Current” at the time you apply and on your test day. An authorized official of your medical school must certify your current enrollment status; instructions will be provided at the time of application for examination.
As soon as you graduate and receive your medical diploma, you must send two photocopies of your medical diploma and one full-face, passport-sized, color photograph to ECFMG. See Final Medical Diploma in Medical Education Credentials. The photograph that you send must be current; it must have been taken within six months of the date that you send it. A photocopy of a photograph is not acceptable.
In addition to being currently enrolled as described above, to be eligible for Step 1, Step 2 CK, and Step 2 CS, you must have completed at least two years of medical school. This eligibility requirement means that you must have completed the basic medical science component of the medical school curriculum by the beginning of your eligibility period.
Although you may apply for and take the examinations after completing the basic medical science component of your medical school curriculum, it is recommended that you complete your core clinical clerkships, including actual patient contact, before taking Step 2 CK and Step 2 CS.
If you have passed the former ECFMG CSA, you are not eligible to take Step 2 CS, except under certain, well-defined circumstances. Eligible circumstances include: taking Step 2 CS to permanently validate an expired CSA examination date for the purpose of entering U.S. GME (See the Important Note in Standard ECFMG Certificate in ECFMG Certification); taking Step 2 CS because your most recent performance on a clinical skills exam (CSA or Step 2 CS) is a failing performance (See Retaking Previously Passed Steps in the USMLE Bulletin of Information); and retaking Step 2 CS to meet a time limit [See Reexamination and Reapplication in The United States Medical Licensing Examination (USMLE)].
Important Notes: If your eligibility for an exam changes after you apply but before you take the exam, you are required to inform ECFMG immediately in writing of this change in your status. Such notification must be sent to ECFMG’s Applicant Information Services. Use the contact information for General Inquiries on the Contact ECFMG page of the ECFMG website. Failure to inform ECFMG that you may no longer be eligible to take the examination may result in a finding of irregular behavior and a permanent annotation on your score reports and transcripts. See ECFMG Policies and Procedures Regarding Irregular Behavior. Such changes in your eligibility status include, but are not limited to, the following:
If you take a Step or Step Component for which you are not eligible, results for that exam may not be reported or, if previously reported, may be canceled.