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Certification

Eligibility for Examination

The eligibility requirements for examination differ depending on whether the applicant is a medical school student or a medical school graduate.

Medical School Students
To be eligible for Step 1, Step 2 Clinical Knowledge (CK), and Step 2 Clinical Skills (CS), a student must be 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, both at the time that he/she applies for examination and on his/her test day. In addition, the “Graduation Years” in the ECFMG note on the Sponsor Notes tab of the World Directory listing for the student’s medical school must be listed as “Current” at the time he/she applies and on his/her test day.

An authorized official of the student’s medical school must certify his/her current enrollment status; instructions are provided at the time of application for examination.

In addition to being currently enrolled as described above, to be eligible for Step 1, Step 2 CK, and Step 2 CS, a medical school student must have completed at least two years of medical school. This eligibility requirement means that the student must have completed the basic medical science component of the medical school curriculum by the beginning of his/her examination eligibility period.

Although a medical school student may apply for and take the examinations after completing the basic medical science component of the medical school curriculum, completion of the core clinical clerkships, including actual patient contact, before taking Step 2 CK and Step 2 CS is recommended.

Medical School Graduates
To be eligible for Step 1, Step 2 CK, and Step 2 CS, a medical school graduate must have graduated from 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. The applicant’s graduation year must be included in the “Graduation Years” listed in the ECFMG note on the Sponsor Notes tab of the medical school’s World Directory listing. Additionally, he/she 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.

An authorized official of the graduate’s medical school must certify his/her status as a graduate of the school; instructions are provided at the time of application for examination.

For detailed information, including how to apply for the examinations required for ECFMG Certification, refer to the ECFMG Information Booklet.

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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 September 9, 2015.
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