Intealth ECFMG

Educational Commission for Foreign Medical Graduates


Pathway 6 On-line Application Now Open

The on-line application for Pathway 6 is now open. Pathway 6 is for applicants who do not meet the eligibility requirements for Pathway 1, 2, 3, 4, or 5 and/or have failed the former Step 2 Clinical Skills (CS) component of the United States Medical Licensing Examination® (USMLE®). Pathway 6 requires an applicant’s clinical skills to be evaluated by licensed physicians through in-person clinical encounters.

Detailed information on Pathway 6, including criteria for acceptable clinical encounters, criteria for acceptable evaluators, and instructions for applicants, is available at Pathway 6: Evaluation of Clinical Patient Encounters by Licensed Physicians. Detailed information and instructions for physician evaluators are available at Information for Physician Evaluators for Pathway 6.

About the Pathways

The 2022 Pathways allow qualified IMGs who have not passed the former USMLE Step 2 CS exam to meet the clinical and communication skills requirements for ECFMG Certification and for participation in the National Resident Matching Program® (NRMP®) 2022 Main Residency Match® (The Match®).

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