To be certified by ECFMG, international medical graduates must, among other requirements, satisfy the clinical skills requirement. Step 2 Clinical Skills (Step 2 CS) of the United States Medical Licensing Examination™ (USMLE™) is the exam currently administered that satisfies the clinical skills requirement for ECFMG Certification. A time limit for passing Step 2 CS for ECFMG Certification may apply.
The definitive source of information on Step 2 CS is the USMLE Bulletin of Information. For additional information on the USMLE, refer to the USMLE website.
For detailed information on taking Step 2 CS for ECFMG Certification, refer to the applicable edition of the ECFMG Information Booklet.
To apply for examination, use ECFMG's Interactive Web Application.
Applicants who passed the former ECFMG CSA
Effective June 14, 2004, USMLE Step 2 CS replaced the former ECFMG CSA for the purpose of ECFMG Certification. Applicants who have passed both the former ECFMG CSA and achieved a score acceptable to ECFMG on an English language proficiency test (such as the Test of English as a Foreign Language™ [TOEFL®] or the former ECFMG English Test) can use these passing performances to satisfy the clinical skills requirement for ECFMG Certification.
Applicants who have passed the former ECFMG CSA should refer to Validity of Examinations for Entry into Graduate Medical Education in the applicable edition of the ECFMG Information Booklet for information on the validity of their CSA passing performance for entry into programs of graduate medical education and eligibility for permanent validation of their CSA passing performance.