ECFMG social media
Programs Overview »


How the Certification Process Works

An international medical student/graduate (IMG) should begin the ECFMG Certification process by first confirming his/her medical school meets ECFMG requirements. Once an IMG confirms that students/graduates of his/her medical school are eligible to apply to ECFMG for ECFMG Certification and examination, he/she can apply for a USMLE/ECFMG Identification Number. Once an IMG has obtained this number, he/she can use it to complete the Application for ECFMG Certification. Once the Application for ECFMG Certification has been submitted, the IMG may then apply for examination.

To be certified by ECFMG, an IMG must meet both examination and medical education credential requirements. These requirements include passing performance on medical science and clinical skills examinations—USMLE Step 1, Step 2 Clinical Knowledge (CK), and Step 2 Clinical Skills (CS) are the exams currently administered that satisfy these requirements—and primary-source verification of the IMG’s medical education credentials, including the final medical diploma, final medical school transcript, and transcript(s) to document transferred academic credits.

The time required to complete the certification process is different for each individual. Both medical school students and graduates may begin the certification process and may apply for the required exams as soon as they meet the eligibility requirements for examination. However, since one of the requirements for ECFMG Certification is that the final medical diploma be verified by ECFMG with the issuing medical school, an IMG cannot complete the certification process until after graduation from medical school. The time required for some aspects of the certification process, such as the time required by a medical school to verify medical education credentials, is beyond the control of ECFMG.

Back to top

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.
AfricaGhana, Kenya, South Africa, and Uganda

(For centers in Egypt, select Middle East testing region.)
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.)
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.)
EuropeArmenia, Croatia, Denmark, France, Germany, Greece, Ireland, Israel, Italy, Latvia, Netherlands, Portugal, Spain, Switzerland, Turkey, and the United Kingdom$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.)
Last updated September 7, 2017.
® Registered in the US Patent and Trademark Office.
Copyright © 2001-2017 by the Educational Commission for Foreign Medical Graduates. All rights reserved.