ECFMG’s 2026 Information Booklet on ECFMG Certification and the 2026 application materials for United States Medical Licensing Examination® (USMLE®) Step 1 and Step 2 Clinical Knowledge (CK) for international medical students/graduates (IMGs) will be available on the ECFMG website in August 2025, in conjunction with the launch of MyIntealth™, the new online environment for accessing services offered by Intealth and its divisions. The ECFMG Information Booklet is the definitive source of information on ECFMG Certification. The USMLE Bulletin of Information is the definitive source of information on USMLE. Both publications are required reading for applicants.
To be eligible for ECFMG Certification, IMGs must satisfy a number of requirements, including the medical science examination requirement, the clinical skills requirement, and the communication skills requirement.
IMGs who need to meet the medical science examination requirement for ECFMG Certification will be able to use the 2026 USMLE Step 1 and Step 2 CK materials to apply for:
- all available eligibility periods ending in 2025 and
- all eligibility periods ending in 2026, beginning with the November 2025-January 2026 eligibility period.
IMGs who need to meet the clinical skills requirement and communication skills requirement for ECFMG Certification must use the Pathways. The 2026 Pathways application also will become available when MyIntealth launches in August.
IMGs should monitor www.ecfmg.org and follow @intealthofficial on Instagram for updates and important information.
