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Definition of an IMG

ECFMG and its organizational members define an international medical graduate (IMG) as a physician who received his/her basic medical degree or qualification from a medical school located outside the United States and Canada. The location of the medical school, not the citizenship of the physician, determines whether the graduate is an IMG. This means that U.S. citizens who graduated from medical schools outside the United States and Canada are considered IMGs. Non-U.S. citizens who graduated from medical schools in the United States and Canada are not considered IMGs.

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Testing Regions and International Test Delivery Surcharges for USMLE Step 1 and Step 2 CK

Close USMLE Surcharge Div

When you apply for Step 1 or Step 2 CK, you must select one of the testing regions from the list below where you will take the exam. Test centers offering Step 1/Step 2 CK were located in the countries listed below for each testing region. However, the availability of test centers is subject to change without notice. Before selecting your testing region, visit the Prometric website or contact Prometric for current information on the availability and location of test centers for Step 1 and Step 2 CK.

If you select a testing region other than the United States and Canada, you must pay the appropriate international test delivery surcharge for each exam for which you apply. This surcharge is in addition to the examination fee.

(effective January 14, 2016)

Testing RegionsLocation of Prometric Testing CentersStep 1 SurchargeStep 2 CK Surcharge
United States and CanadaTest centers are located in every U.S. state, as well as Guam, Puerto Rico, and the Virgin Islands.

Test centers are located in the Canadian provinces of Alberta, British Columbia, Manitoba, Newfoundland and Labrador, Nova Scotia, Ontario, Quebec, and Saskatchewan.
$0$0
AfricaGhana, Kenya, South Africa, and Uganda

(For centers in Egypt, select Middle East testing region.)
$150$170
AsiaBangladesh, Malaysia, Nepal, Pakistan, People’s Republic of China (For Hong Kong, select Asia testing region. For centers in other available cities in the PRC, select China testing region.), Philippines, and Singapore

(For centers in India, select India testing region.)
$150$170
AustraliaAustralia and New Zealand$150$170
ChinaPeople’s Republic of China

(For Hong Kong, select Asia testing region. For centers in other available cities in the PRC, select China testing region.)
$150$170
EuropeArmenia, Croatia, Denmark, France, Germany, Greece, Ireland, Israel, Italy, Latvia, Netherlands, Portugal, Spain, Switzerland, Turkey, and the United Kingdom$185$210
IndiaIndia$150$170
IndonesiaIndonesia$150$170
JapanJapan$365$410
KoreaKorea$185$210
Latin AmericaArgentina, Bolivia, Brazil, Chile, Colombia, Costa Rica, Dominican Republic, Guatemala, Mexico, Peru, Trinidad and Tobago, and Venezuela$150$170
Middle EastEgypt, Jordan, Kuwait, Lebanon, Oman, Qatar, Saudi Arabia, and United Arab Emirates

(For centers in Israel, select Europe testing region.)
$150$170
TaiwanTaiwan$185$210
ThailandThailand$150$170
Last updated August 15, 2011.
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