ECFMG is following developments related to the executive order signed by President Trump that limits the entry of certain foreign nationals to the United States, and we continue to evaluate the impact of this order. We also recognize that international medical students and graduates have questions and concerns about the impact of this executive order, and we are communicating directly with individuals that we believe may be affected.
The latest and most complete information available from ECFMG is on our Resources on Executive Order 13769 web page. Please monitor this web page for updates.
[posted January 28, 2017; updated February 4, 2017]
Effective January 1, 2017, fees for the following ECFMG applications/service requests will increase:
- The Application for ECFMG Certification fee will be $75.
- The examination fees for USMLE Step 1 and Step 2 Clinical Knowledge (CK) will be $895 for each exam registration.
- The examination fee for USMLE Step 2 Clinical Skills (CS) will be $1,550 for each exam registration.
- The fee for rescheduling a Step 2 CS testing appointment will be 0-$1,280 (depending on date of cancellation).
- The J-1 visa sponsorship application fee will be $325.
- The fee for a Certification Verification Service (CVS) request will be $40.
The new fees will be assessed for all applications/requests submitted to ECFMG on or after January 1, 2017 (Eastern Time in the United States).
For more information on the fees associated with applying for ECFMG Certification and for USMLE Step 1, Step 2 CK, and Step 2 CS, refer to the ECFMG 2017 Information Booklet and the Fees page of the ECFMG website.
ECFMG’s 2017 Information Booklet on ECFMG Certification and the 2017 exam application materials are now available on the ECFMG website.
For Step 1/Step 2 CK, you can use the 2017 materials to apply for:
- available Step 1/Step 2 CK eligibility periods ending in 2016 (September 2016-November 2016 and October 2016-December 2016) and
- all Step 1/Step 2 CK eligibility periods ending in 2017, beginning with the November 2016-January 2017 eligibility period.
For Step 2 CS, you can use the 2017 materials to obtain a 12-month eligibility period that begins on the date that the processing of your application is completed.
Please monitor the ECFMG website for updates and important information.
(posted August 10, 2016; updated September 8, 2016)
ECFMG is pleased to announce that an update is now available for the MyECFMG mobile app. This update offers new features for users who wish to participate in the Electronic Residency Application Service (ERAS®). The first feature enables an applicant to purchase a 2017 ERAS residency Token. The second enables a repeat applicant to select available letters of recommendation (LORs) from last year’s ERAS application for reuse with his/her ERAS 2017 application. To learn more about ERAS Tokens and LORs, please visit ERAS Support Services for Applicants.
For more information on login requirements for the MyECFMG mobile app, what you can do with the app, and a link to download it for free to your iPhone or Android phone, visit http://www.ecfmg.org/resources/myecfmg-mobile-app.html.
If you’re using MyECFMG, please use the app’s Feedback function to let us know what you think of it! We welcome your input to help us improve MyECFMG.
Filed under: ECFMG Certification, Exam Preparation, General, Irregular Behavior, Step 1, Step 2 CK, Step 2 CS
The USMLE Committee for Individualized Review (CIR) meets periodically throughout the year to review cases involving allegations of irregular behavior by applicants and/or examinees.
At its recent meetings, the CIR considered multiple cases involving the following:
- falsifying information, including the creation of falsified score reports
- seeking to obtain unauthorized access to examination materials
- communicating about specific test items, cases, and/or answers with other examinees
- providing unauthorized access to examination content on the internet
- applying for and/or attempting to take an examination when ineligible
- making notes on test day on something other than materials provided
- failure to follow test center instructions, including typing past the ‘End Patient Note’ announcement in Step 2 Clinical Skills
Actions taken by the CIR at its recent meetings included:
- annotating individual USMLE records with a finding of irregular behavior
- barring access to USMLE for periods up to 3 years
- reporting the finding of irregular behavior to the disciplinary data bank (Physician Data Center [PDC]) at the Federation of State Medical Boards (FSMB). State medical boards routinely query this data bank as part of their licensing processes
- canceling the examinee’s score because the validity of a passing level score is in question
As evidenced by the sanctions listed above, a finding of irregular behavior carries significant potential impact. USMLE applicants and examinees are reminded to read the USMLE Bulletin of Information carefully, follow the rules of conduct during testing, and refrain from any pre- or post-examination conduct deemed to be irregular behavior.
Applicants and examinees are also encouraged to watch the USMLE Security Video.
The USMLE is committed to maintaining the integrity of its examination so that state medical boards may continue to rely upon it as an integral part of their decision-making process for licensure. Applicants and examinees are advised to observe all USMLE policies and procedures to avoid the potentially significant implications arising from a finding of irregular behavior.
USMLE encourages you to provide information about cheating and other activity of which you are aware that may compromise the security and integrity of USMLE. Please use the contact form on the USMLE website to report such information.
ECFMG Policies and Procedures Regarding Irregular Behavior
ECFMG also regularly reviews allegations of irregular behavior in conjunction with its programs and services. ECFMG programs and services include but are not limited to, registering international medical students and graduates for USMLE Step 1, Step 2 CK, and Step 2 CS; ECFMG Certification; ERAS Support Services at ECFMG; the Exchange Visitor Sponsorship Program; the ECFMG International Credentials Services; and the Electronic Portfolio of International Credentials.
If the ECFMG Medical Education Credentials Committee determines that an individual engaged in irregular behavior, a permanent annotation to that effect will be included in the individual’s ECFMG record and will be provided to third parties in certain reports.
If it is determined that an individual engaged in irregular behavior, the individual also will be subject to serious sanctions. These sanctions may include, but are not limited to:
- Barring the individual from future examinations;
- Barring the individual from ECFMG Certification and/or other ECFMG programs; and
- Revoking the individual’s Standard ECFMG Certificate.
Individuals who apply to ECFMG programs and services should be familiar with the ECFMG Policies and Procedures Regarding Irregular Behavior, which define irregular behavior and outline possible sanctions. Representative examples of allegations of irregular behavior and actions taken by the ECFMG Medical Education Credentials Committee are also available on the ECFMG website.
For the 14th consecutive year, the number of first-year (PGY-1) residency positions offered through the National Resident Matching Program® (NRMP®) Main Residency Match® increased. A total of 27,860 first-year positions were offered in the 2016 Match. This represents an increase of 567 positions compared to last year and an increase of more than 7,200 positions since 2002.
Compared to 2015, the number of international medical graduates (IMGs) who participated in the Match increased by 403, and the number of IMGs who matched to first-year positions increased by 336. Of the 12,790 IMGs who participated in the 2016 Match, 6,638 (51.9%) matched. In the 2015 Match, 6,302 (50.9%) IMGs were matched to first-year positions. (The preceding data include a very small number of Fifth Pathway applicants who participated in the 2015 and 2016 Matches. For 2016, these data include seven Fifth Pathway participants who are not represented in the data below.)
Of the 7,460 IMG participants who were not U.S. citizens, 3,769 (50.5%) obtained first-year positions. The number of non-U.S. citizen IMGs who obtained positions increased in 2016 for the fifth year in a row, this year by 128.
Of the 5,323 U.S. citizen IMG participants, 2,869 (53.9%) were matched to first-year positions, an increase of 209 from last year. The number of U.S. citizen IMGs matching to first-year positions has increased in 12 of the last 13 Matches.
About the Match
The annual NRMP Match is the system by which applicants are matched with available residency positions in U.S. graduate medical education (GME) programs. Participants submit to the NRMP a list of residency programs, in order of preference. Ranked lists of preferred residency candidates are likewise submitted by U.S. GME programs with available positions. The matching of applicants to available positions is performed by computer algorithm. The Match results announced in March of each year are for GME programs that typically begin the following July.
Additional Resources on the Match and Match Results
The preceding Match data are based on the Advance Data Tables: 2016 Main Residency Match® compiled by NRMP. These tables provide detailed information on the positions offered and filled by the Match in 2016 and prior years. To access these tables, or to obtain further information on NRMP, visit www.nrmp.org.
In December of each year, JAMA: The Journal of the American Medical Association traditionally publishes an in-depth analysis of graduate medical education in the United States. This analysis includes the number of IMGs entering and continuing in U.S. GME programs and a breakdown of IMG resident physicians by specialty and subspecialty. Visit your medical school’s library or http://jama.jamanetwork.com/journal.aspx.
The American Medical Association International Medical Graduates (AMA-IMG) Section invites you to attend its Symposium commemorating the 20th Anniversary of the AMA-IMG Caucus, which will take place April 2-3 in Irvine, California. ECFMG is honored to be presenting at this event, which will focus on “IMG Contributions to American Medicine: What They Give Back.” See the flyer for information on the agenda and speakers, and visit http://www.ama-assn.org/ama/pub/about-ama/our-people/member-groups-sections/international-medical-graduates/meetings/img-symposium.page to register.
Effective January 1, 2016, fees for some ECFMG services will increase. The fees that will increase include:
- The examination fees for USMLE Step 1 and Step 2 Clinical Knowledge (CK) will increase from $865 to $880 for each exam registration.
- The examination fee for Step 2 Clinical Skills (CS) will increase from $1,505 to $1,535 for each exam registration.
- The fee for rescheduling a Step 2 CS testing appointment will increase from $0-$1,250 (depending on date of cancellation) to $0-$1,275 (depending on date of cancellation).
The new fees will be assessed for all applications/requests submitted to ECFMG on or after January 1, 2016 (Eastern Time in the United States).
For more information on the fees associated with applying for ECFMG Certification and for USMLE Step 1, Step 2 CK, and Step 2 CS, refer to the ECFMG 2016 Information Booklet and the Fees page of the ECFMG website.
The ECFMG 2016 Information Booklet and the 2016 exam application materials are now available on the ECFMG website.
For Step 1/Step 2 CK, you can use the 2016 materials to apply for:
- available Step 1/Step 2 CK eligibility periods ending in 2015 (September 2015-November 2015 and October 2015-December 2015) and
- all Step 1/Step 2 CK eligibility periods ending in 2016, beginning with the November 2015-January 2016 eligibility period.
For Step 2 CS, you can use the 2016 materials to obtain a 12-month eligibility period that begins on the date that the processing of your application is completed.
Please monitor the ECFMG website for updates and important information.
(posted August 13, 2015; updated September 10, 2015)
To be eligible for ECFMG Certification, an international medical graduate (IMG) 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 school that is listed in the World Directory of Medical Schools as meeting eligibility requirements for its students and graduates to apply to ECFMG for ECFMG Certification and examination. ECFMG’s transfer credit policy places restrictions on credits transferred to the degree-granting medical school that can be used to meet this requirement.
Effective July 14, 2015, ECFMG modified its transfer credit policy for IMGs who apply to ECFMG for ECFMG Certification and for the United States Medical Licensing Examination® (USMLE®). Following is the modified transfer credit policy, which represents an update to the ECFMG 2015 Information Booklet.
Transfer credits are credits earned for a course taken at one institution (such as a medical school) that are accepted by another medical school toward meeting its degree requirements. For example, a student attends a medical school for one year and earns credits for 12 courses. The student transfers to another medical school, which accepts the credits for those 12 courses toward meeting its degree requirements. The credits for those 12 courses are then referred to as transfer credits.
If you transferred credits to the medical school that awarded or will award your medical degree, you must disclose and document these credits when you apply to ECFMG for examination, regardless of when the credits were earned. (For more information, see Credentials for ECFMG Certification in the Medical Education Credentials section of the 2015 Information Booklet.) Failure to disclose and document these credits may have a number of negative consequences, including delaying exam registration and certification by ECFMG, and may result in a finding of irregular behavior.
Additionally, for the purpose of ECFMG Certification, credits earned on or after January 1, 2008 that are transferred to the medical school that awarded or will award your medical degree must meet all of the following criteria:
- If credits for more than eight courses were transferred, all credits must have been transferred from one medical school to another medical school, both of which must be:
- located in the United States or Canada and listed in the World Directory, or
- listed in the World Directory as meeting eligibility requirements for its students and graduates to apply to ECFMG for ECFMG Certification and examination.*
- Credits must be for courses that were passed at the medical school at which the course was taken.
If your transferred credits do not comply with all the criteria listed above, you will not meet the requirements to be registered by ECFMG for examination or the requirements to be certified by ECFMG. If your transferred credits do not meet all the criteria listed above, you may request an exception from the ECFMG Medical Education Credentials Committee.
*Important Note: The requirement that credits must be transferred from one medical school that meets the criteria above to another medical school that meets the criteria above does not apply to credits transferred only to the pre-medical portion of the curriculum of the medical school that awarded or will award the medical degree. If you transferred credits to the pre-medical portion of the curriculum at the medical school that awarded or will award your medical degree from an institution that does not meet the criteria listed above, you must provide ECFMG with a letter from the medical school that awarded or will award your medical degree confirming that the credits were transferred to the pre-medical portion of the curriculum only. This letter must be on the letterhead of the medical school and be signed by an authorized official of your medical school. This letter must be submitted in conjunction with the application for examination and must accompany the Certification of Identification Form (Form 186) or Certification Statement (Form 183). Applications received without this letter may be rejected. This letter is in addition to disclosing and documenting all transferred credits as described above.