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ECFMG Certification

Detailed Information and Online Application for 2027 Pathways Now Available

Information on the 2027 Pathways for ECFMG® Certification and Pathways Revalidation is now available on the ECFMG website. The 2027 Pathways are for international medical graduates (IMGs) who need to meet the clinical skills requirement and the communication skills requirement for ECFMG Certification, or who need to revalidate a previously accepted Pathway that is expired or … Read More

Fee Increases Beginning April 1, 2026

Following an annual review, the Intealth Board of Trustees approved an adjustment to fees for services related to ECFMG Certification, residency application support, and EPIC. The cost of delivering our services has increased over time, and this adjustment reflects that reality. New fees for applications/requests submitted on or after April 1, 2026: Service New Fee

Phase One of USMLE Service Transition is Complete, All USMLE Step Exam Services for IMGs Now Managed by FSMB

Phase one of the United States Medical Licensing Examination® (USMLE®) Service Transition is now complete. All USMLE Step exam services for students and graduates of international medical schools (IMGs), including exam registration, score report delivery, and USMLE customer service, are now managed by USMLE co-sponsor the Federation of State Medical Boards (FSMB) through its USMLE … Read More

MyIntealth Now Available

The MyIntealth™ environment is now available for all users. The USMLE Service Transition is still in progress. USMLE services are no longer available in MyIntealth, and international medical students/graduates will be able to access USMLE services through FSMB when phase one of the transition is complete (expected January 12, 2026). Our customer service team is available … Read More

Reminder: Phase One of USMLE Service Transition Launching January 12, 2026

On January 12, 2026, United States Medical Licensing Examination® (USMLE®) services currently provided to students and graduates of international medical schools (IMGs) by ECFMG®, a division of Intealth®, will transition to USMLE co-sponsor the Federation of State Medical Boards (FSMB). Once phase one of the USMLE Service Transition is complete, all USMLE Step exam services … Read More

USMLE Service Transition Launching January 2026

As previously announced, the United States Medical Licensing Examination® (USMLE®) Service Transition will simplify the examinee journey and create a more consistent and efficient process for examinees. To do this, all USMLE Step exam service functions, including exam registration, score report delivery, and customer service, will be combined under the USMLE co-sponsors, the Federation of … Read More

ECFMG’s 2026 Information Booklet on ECFMG Certification and 2026 Application Materials Available Now

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) are now available on the ECFMG website. Applicants will use MyIntealth, the new online environment for accessing services offered by Intealth and its … Read More

Detailed Information and Online Application for 2026 Pathways Now Available

Information on the 2026 Pathways for ECFMG® Certification and Pathways Revalidation is now available on the ECFMG website. The 2026 Pathways are for international medical graduates (IMGs) who need to meet the clinical skills requirement and the communication skills requirement for ECFMG Certification, or who need to revalidate a previously accepted Pathway that is expired … Read More

Important Information on 2026 Pathways; Application to Open in August

The 2026 Pathways for ECFMG Certification and Revalidation are for international medical graduates (IMGs) who need to meet the clinical skills requirement and the communication skills requirement for ECFMG Certification, or who need to revalidate a previously accepted Pathway that is expired or expiring. IMGs also must meet the clinical and communication skills requirements in … Read More

Individuals Who Will Graduate from Canadian Medical Schools on or After July 1, 2025 Can Apply for ECFMG Certification Now

As previously announced, effective July 1, 2025, the Committee on Accreditation of Canadian Medical Schools (CACMS) will assume sole responsibility for accrediting medical education programs in Canada. These programs will no longer be accredited by the Liaison Committee on Medical Education (LCME). LCME accreditation establishes eligibility to take the United States Medical Licensing Examination® (USMLE®) … Read More

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