Detailed Information on Pathway 6 Now Available for Applicants and Physician Evaluators

Detailed information is now available on the ECFMG website for individuals planning to apply to Pathway 6 and for the physicians who will be evaluating their clinical skills. This new information includes step-by-step instructions for applicants and comprehensive information and instructions for physician evaluators. The on-line application process for Pathway 6 will open in August. Applicants should prepare now by reviewing this information carefully, identifying their physician evaluators if they have not already done so, and directing their physician evaluators to review the newly published information.

About the Pathways
The 2022 Pathways allow qualified international medical graduates who have not passed the former Step 2 Clinical Skills (CS) component of the United States Medical Licensing Examination® (USMLE®) 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®). Pathway 6 is for applicants who do not meet the eligibility requirements for Pathway 1, 2, 3, 4, or 5 and/or have failed Step 2 CS one or more times. Pathway 6 requires an applicant’s clinical skills to be evaluated by licensed physicians through in-person clinical encounters.

OET@Home Available in August on Limited Basis

OET@Home, a version of the Occupational English Test (OET) Medicine that can be taken at home through remote proctoring, is available to certain Pathways applicants for test dates in August. OET@Home is available only to applicants who do not have a physical test venue (for paper-based or computer-based testing) in their country. Applicants with a test venue in their country should plan to take OET on paper or OET on computer at a physical test center to ensure that they test in time to meet Pathways requirements for participation in the National Resident Matching Program® (NRMP®) 2022 Main Residency Match® (The Match®). Please  visit Test Dates and Locations on the OET website to determine whether there is a test venue in your country.

Eligible applicants can book OET@Home now on the OET website. If you have questions regarding OET@Home, please contact OET.

About the Pathways

The 2022 Pathways allow qualified international medical graduates (IMGs) who have not passed the former Step 2 Clinical Skills (CS) component of the United States Medical Licensing Examination® (USMLE®) to meet the clinical and communication skills requirements for ECFMG Certification and for participation in the 2022 Match. A satisfactory score on OET Medicine is required for IMGs applying to a 2022 Pathway. To meet ECFMG’s requirements, applicants must attain a minimum score of 350 (Grade B) on each of the four measured sub-tests of OET Medicine (Listening, Reading, Writing, and Speaking) in one test administration. Applicants must take OET Medicine on or before the last scheduled test date in December 2021. See the ECFMG website for more information.

Additional Information on Pathway 6 Is Available

Prospective Pathway 6 Applicants Should Begin to Identify Evaluators Now

Additional information is now available on applying to Pathway 6, which requires an applicant’s clinical skills to be evaluated by licensed physicians through in-person clinical encounters. This new information includes criteria for both the physician evaluators and for the clinical encounters. If you plan to apply to Pathway 6, you should review this information and begin to identify your physician evaluators now. There also is new information on the availability of the on-line application for Pathway 6, now scheduled for August; application deadlines; and application processing times.

About the Pathways
The 2022 Pathways allow qualified international medical graduates who have not passed the Step 2 Clinical Skills (CS) component of the United States Medical Licensing Examination® (USMLE®) 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®). Pathway 6 is for applicants who do not meet the eligibility requirements for Pathway 1, 2, 3, 4, or 5 and/or have failed Step 2 CS one or more times.

ERAS 2022 Residency Tokens Now Available

Residency Tokens for the Electronic Residency Application Service® (ERAS®) 2022 application season are now available through ECFMG’s On-line Applicant Status and Information System (OASIS). You can use a 2022 Token to register at the MyERAS website of the Association of American Medical Colleges (AAMC), effective Thursday, June 24, 2021, and begin work on your residency application.

If you plan to apply for U.S. residency positions that begin in July 2022, visit the ERAS Support Services section of the ECFMG website for important information and instructions on how to obtain an ERAS Token.

IMPORTANT NOTE: In response to the suspension and subsequent discontinuation of the United States Medical Licensing Examination® (USMLE®) Step 2 Clinical Skills (CS) exam by the USMLE program, ECFMG|FAIMER has identified Pathways that will allow qualified IMGs who have not passed Step 2 CS to meet the clinical and communication skills requirements for ECFMG Certification. For IMGs who apply for and satisfy all requirements for a Pathway and have passing performances on USMLE Step 1 and Step 2 Clinical Knowledge (CK) that are valid for ECFMG Certification, ECFMG will verify to the National Resident Matching Program® (NRMP®) that they have met the examination requirements for ECFMG Certification. Please review the Requirements for ECFMG Certification for 2022 Match for detailed information.

ERAS 2022 Program Information for IMGs Now Available

Information for international medical students/graduates (IMGs) on the Electronic Residency Application Service® (ERAS®) 2022 application season is now available. If you plan to apply for U.S. residency positions that begin in July 2022, please visit the following sections of the ECFMG website for important information.

Most U.S. residency programs participate in ERAS. If you apply to participating programs, you must use ERAS to do so.

At the ERAS Support Services section of the ECFMG website, you will be able to:

  • See an overview of the Application Process and Timeline.
  • View instructions on how to obtain an ERAS Token, which will enable you to register at the MyERAS website of the Association of American Medical Colleges (AAMC) and work on your residency applications.
  • Find instructions for submitting your supporting documents, such as letters of recommendation and transcripts.

ERAS Support Services will transmit your supporting documents to your ERAS application. All supporting documents must be submitted electronically. For more details, please refer to the “Upload Your Documents Now” e-mail that will be sent to you after you have registered at MyERAS.

Residency Tokens for the ERAS 2022 application season are expected to be available through ECFMG’s On-line Applicant Status and Information System (OASIS) beginning June 24, 2021. You can use a 2022 Token to register with AAMC’s MyERAS beginning June 24, 2021.

Update: Pathways for ECFMG Certification for 2022 Match

Detailed Information, On-line Application for Pathways 1-5 Now Available

The 2022 Pathways application process for Pathways 1-5 is now open. Qualified international medical graduates (IMGs) who need to meet the clinical and communication skills requirements for ECFMG® Certification and who intend to participate in the 2022 National Resident Matching Program® (NRMP®) Main Residency Match® (The Match®) can apply to a Pathway to meet these requirements for ECFMG Certification and the requirements for Match participation.

The information available on ECFMG’s website includes:

As announced previously, ECFMG|FAIMER has added a sixth Pathway for 2022. The application process for Pathway 6 is expected to open in July. Preliminary information on Pathway 6 is available now, and additional details and instructions for meeting the requirements for Pathway 6 will be provided as soon as they are available. Please monitor the ECFMG website for the steps that applicants can take before July to prepare for Pathway 6.

Announcement Regarding ERAS 2021 Token Issuance

Please note that you can no longer use ECFMG’s OASIS to request a Token for the ERAS 2021 season. If a program requests that you submit an ERAS application for the 2021 season and you do not already have a 2021 Token, please call (215) 966-3520 to reach an ERAS Support Services representative to request a 2021 Token.

If you plan to use ERAS to apply for residency positions that start on July 1, 2022, you can request a 2022 Token via ECFMG’s OASIS beginning in late June 2021.