ECFMG 2021 Information Booklet

About the ECFMG Information Booklet and Application Materials

The ECFMG Information Booklet contains detailed information on ECFMG’s program of certification. The information contained in this booklet pertains only to the ECFMG certification process and related applications and services.

Applicants for examination must use the applicable edition of the Information Booklet. The 2021 Information Booklet pertains to eligibility periods in 2021. If your eligibility period extends into 2022 and you test in 2022, you must become familiar with and will be subject to the policies and procedures detailed in the 2022 Information Booklet. The 2022 Information Booklet is expected to be available in September 2021. See the information on eligibility periods under Applying for Examination in The United States Medical Licensing Examination (USMLE) section of this booklet.

The USMLE Bulletin of Information provides information about the USMLE, a three-step examination for medical licensure in the United States. In the event that information about the USMLE in the ECFMG Information Booklet differs from the corresponding information in the USMLE Bulletin of Information, the information in the USMLE Bulletin of Information controls.


Applicants for examination are required to read and become familiar with the information contained in and referenced in both the ECFMG Information Booklet and the USMLE Bulletin of Information. The USMLE Bulletin of Information is available on the USMLE website. Exam applicants should also carefully read the exam application overview and instructions available in ECFMG's Interactive Web Applications (IWA). Applicants should also review and be familiar with the Policies and Procedures Regarding Irregular Behavior.

Although current at the time of publication, the information contained in the 2021 Information Booklet is subject to change. If changes occur, information will be posted on the ECFMG website. You are responsible for checking the ECFMG website for updates and changes to the certification program.

ECFMG provides important updates on ECFMG Certification and entry into graduate medical education in the United States via an e-mail newsletter called The ECFMG® Reporter and via Facebook and Twitter. ECFMG encourages applicants to subscribe to The ECFMG® Reporter and follow ECFMG on Facebook and Twitter.

The Information Booklet describes deadlines related to exam applications, scheduling, and other services. Unless otherwise indicated, deadlines are calculated using Eastern Time in the United States.

Consistent with ECFMG's Privacy Notice, ECFMG may share the information contained in your application, or that otherwise may become available to ECFMG, with any federal, state or local governmental department or agency, with any hospital, training program or any other organization or individual who, in the judgment of ECFMG, has a legitimate interest in such information. This may include reporting determinations of irregular behavior to the USMLE Committee for Individualized Review, Federation of State Medical Boards of the United States, U.S. state and international medical licensing authorities, graduate medical education programs, and to any other organization or individual who, in the judgment of ECFMG, has a legitimate interest in such information. For further information regarding ECFMG's data collection and privacy practices, please refer to our Privacy Notice.

ECFMG strives to ensure proper processing of applications for ECFMG Certification and examination, other service requests related to ECFMG Certification and examination, and the information contained in such applications and requests. In the unlikely event that an error occurs in the processing of applications, requests, or associated materials, ECFMG will make reasonable efforts to correct the error, if possible, or permit you either to reapply at no additional fee or to receive a refund. These are the exclusive remedies available to applicants for errors in processing applications and other service requests related to ECFMG Certification, examination, and the other programs described in this booklet.

Please note that ECFMG will not provide services of any kind if doing so would be considered violative of any applicable international, federal, state, or local laws or regulations. Additionally, ECFMG may delay or suspend provision of services while investigating whether the services or surrounding circumstances violate such laws, regulations, or ECFMG's policies and procedures.

® The terms ECFMG® and CSA® are registered in the U.S. Patent and Trademark Office.
Copyright © 2020 by the Educational Commission for Foreign Medical Graduates (ECFMG®). All rights reserved.
Portions reprinted, with permission, from the USMLE 2021 Bulletin of Information, copyright © 2020 by the Federation of State Medical Boards (FSMB) of the United States, Inc., and the National Board of Medical Examiners® (NBME®).