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Requirements for Certification

To be eligible for certification by ECFMG, an international medical graduate (IMG) must meet the following requirements.

Application for ECFMG Certification
International medical students/graduates must submit an Application for ECFMG Certification before they can apply to ECFMG for examination. The Application for ECFMG Certification consists of questions that require applicants to confirm their identity, contact information, and graduation from or enrollment in a medical school that is listed in the International Medical Education Directory (IMED). As part of the application, international medical students/graduates must also confirm their understanding of the purpose of ECFMG Certification and release certain legal claims.

Examination Requirements
To meet the examination requirements for ECFMG Certification, an IMG must:

1. Satisfy the medical science examination requirement. USMLE Step 1 and Step 2 Clinical Knowledge (CK) are the exams currently administered that satisfy this requirement.

2. Satisfy the clinical skills requirement. USMLE Step 2 Clinical Skills (CS) is the exam currently administered that satisfies this requirement.

There are time limits for completing the examinations for ECFMG Certification. For detailed information, including information on time limits and using a passing performance on former exams to satisfy these requirements, see Examinations for ECFMG Certification in the ECFMG Information Booklet.

Medical Education Credential Requirements
To meet the medical education credential requirements for ECFMG Certification, an IMG must:

  • be a graduate of a medical school listed in the International Medical Education Directory (IMED). The IMG’s graduation year must be included in the school’s IMED listing.
  • 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 IMED. There are restrictions on credits transferred to the medical school that awards an IMG’s medical diploma that can be used to meet this requirement.
  • document the completion of all requirements for, and receipt of, the final medical diploma. ECFMG must also receive copies of the IMG’s final medical school transcript and, if required, transcripts to document credits that were transferred to the medical school that awarded the IMG’s medical diploma.

Additionally, ECFMG must obtain primary-source verification of the IMG’s medical diploma and transcript(s).

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Last updated September 12, 2012.
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