Examinations for ECFMG Certification
Important Note: The USMLE program has suspended the Step 2 Clinical Skills (CS) examination until at least June 2021. Please see the Important Notices in this booklet for information on the Requirements for ECFMG Certification for 2021 Match.
To be eligible for ECFMG Certification, you must satisfy both the medical science examination and clinical skills requirements. To satisfy these requirements, you must pass Step 1 and Step 2 of the United States Medical Licensing Examination (USMLE). Refer to the USMLE Bulletin of Information for more information. ECFMG has established time limits for completing the examination requirements for ECFMG Certification. See Time Limit for Completing Examination Requirements in Examinations for ECFMG Certification.
Passing performance on certain formerly administered examinations can be used to meet these requirements as described below.
Medical Science Examination Requirement
Step 1 and Step 2 Clinical Knowledge (CK) of the USMLE are the exams currently administered that satisfy the medical science examination requirement. There are time limits for completing these examinations for ECFMG Certification. See Time Limit for Completing Examination Requirements in Examinations for ECFMG Certification.
ECFMG also accepts a passing performance on the following former examinations to satisfy the medical science examination requirement for ECFMG Certification: ECFMG Examination, Visa Qualifying Examination (VQE), Foreign Medical Graduate Examination in the Medical Sciences (FMGEMS), and the Part I and Part II Examinations of the National Board of Medical Examiners (NBME).
Combinations of exams are also acceptable. Specifically, if you have passed only part of the former VQE, FMGEMS, or the NBME Part I or Part II, you may combine a passing performance on the basic medical science component of one of these exams or USMLE Step 1 with a passing performance on the clinical science component of one of the other exams or USMLE Step 2 CK, provided that the components are passed within the period specified for the exam program.
Additionally, ECFMG accepts a score of 75 or higher on each of the three days of a single administration of the former Federation Licensing Examination (FLEX), if taken prior to June 1985, to satisfy this requirement.
Clinical Skills Requirement
A passing performance on Step 2 CS of the USMLE satisfies this requirement. For qualified applicants who have not passed Step 2 CS and intend to enter the 2021 Match, ECFMG has developed pathways to satisfy this requirement. See Requirements for ECFMG Certification for 2021 Match on the ECFMG website. Longer-term plans are in process for applicants pursuing Certification who plan to participate in future Matches.
International medical students/graduates who have both passed the former ECFMG Clinical Skills Assessment (CSA®) and achieved a score acceptable to ECFMG on an English language proficiency test (such as the TOEFL exam or the former ECFMG English Test) can use these passing performances to satisfy the clinical skills requirement for ECFMG Certification.