Requirements for ECFMG Certification for 2022 Match

Pathway 6: Evaluation of Clinical Patient Encounters by Licensed Physicians

Who Should Apply

Pathway 6 is intended for applicants who do not meet the eligibility requirements for Pathway 1, 2, 3, 4, and 5 and/or have failed Step 2 CS one or more times.

To meet the requirements for Pathway 6, the applicant’s clinical skills must be evaluated by licensed physicians using ECFMG’s Mini-Clinical Evaluation Exercise (Mini-CEX).

The on-line application process for Pathway 6 is expected to open in July. Additional details and instructions for meeting the requirements for Pathway 6 will be provided as soon as they are available. Please see Application Timing below for more information.

Important Note: Applicants who already have satisfied the clinical and communication skills requirements for ECFMG Certification do not need to (and are not eligible to) pursue a Pathway to meet the requirements for ECFMG Certification or for participation in the 2022 Match. These individuals include:

  • IMGs who have a passing performance on Step 2 CS that is valid for ECFMG Certification (even if they previously failed Step 2 CS),
  • IMGs who are certified by ECFMG, and
  • IMGs with an approved 2021 Pathways application.

If you applied to a Pathway for the 2021 Match, please see Important Information for 2021 Pathway Applicants before applying to a Pathway for the 2022 Match.

Eligibility Requirements

Important Note: Applicants who failed Step 2 CS one or more times must apply to Pathway 6 in order to meet the clinical and communication skills requirements for ECFMG Certification, regardless of whether they meet the eligibility requirements for other Pathways.

In addition to the requirements listed above, the applicant must meet the requirements in General Eligibility for All Pathways and Assessment of Communication Skills, Including English Language Proficiency, as well as all other eligibility requirements for ECFMG Certification.

Application Timing

The on-line application process for Pathway 6 is expected to open in July.

Your application must be submitted no later than December 15, 2021.

Although the application process for Pathway 6 is not yet available, you may prepare now for your participation in the 2022 Match by ensuring you meet all other Pathway requirements, including those outlined in Assessment of Communication Skills, Including English Language Proficiency. Please monitor this website for additional steps that you can take to prepare for Pathway 6 before July; information will be provided as it becomes available.

In order for you to participate in the 2022 Match, ECFMG must determine the outcome of your Pathway application; determine your overall eligibility for the 2022 Match, including verifying your passing performance on Step 1 and Step 2 Clinical Knowledge (CK) of the United States Medical Licensing Examination® (USMLE®); then report your eligibility status to the National Resident Matching Program® (NRMP®) by the NRMP Rank Order List Certification deadline.

Application Instructions

To meet the requirements for Pathway 6, the applicant’s clinical skills must be evaluated by licensed physicians using ECFMG’s Mini-Clinical Evaluation Exercise (Mini-CEX). Additional details and instructions for meeting the requirements for Pathway 6 will be provided as soon as they are available.

Fees and Payment

The fee for applying to a Pathway is $900. Full payment is due when you submit your application. If the application is not submitted within five days of when you begin it, it will be deleted, and you will need to begin a new application if you wish to apply to a Pathway.

You must use a Visa, MasterCard, Discover, or American Express credit card with a security code; credit available in your ECFMG Financial Account cannot be used to pay for a Pathway application.

Fees related to your application are not refundable. If you submit a Pathway application and ECFMG determines that you are ineligible for the Pathway, your application will be rejected and the fee will not be refunded. In addition, if ECFMG does not receive all required documentation in support of your application, as well as any required verifications of submitted documentation from the issuing authority, your application will not be complete, and the application fee will not be refunded.

The preceding information is current as of April 26, 2021 and is subject to change. Please visit the ECFMG website frequently for updates regarding these requirements.