Fee Increases for 2021

Effective January 1, 2021, fees for the following ECFMG applications/service requests will increase:

  • The fee for Application for ECFMG Certification will be $150.
  • The examination fees for United States Medical Licensing Examination (USMLE) Step 1 and Step 2 Clinical Knowledge (CK) will be $975 for each exam registration.
  • The fee for a Certification Verification Service (CVS) request will be $60.
  • The fee for an application for J-1 visa sponsorship will be $360.
  • The fee to establish an Electronic Portfolio of International Credentials (EPICSM) account and confirm identity will be $130.
  • The fee to verify a credential through EPIC will be $100.
  • The fee to request an EPIC Report will be $50.
    • For credentials submitted to EPIC on or after January 10, 2018, the first report requested for each credential will remain free.
    • For credentials submitted to EPIC prior to January 10, 2018, the first report requested for each credential will remain $15.
    • For a previously verified credential, reports will be $50.

The new fees will be assessed for all applications/requests submitted to ECFMG on or after January 1, 2021 (Eastern Time in the United States). All fees are listed in U.S. dollars.

For more information on the fees associated with applying for ECFMG Certification and for USMLE Step 1 and Step 2 CK, refer to the ECFMG 2021 Information Booklet and the Fees page of the ECFMG website.

For more information on the fees associated with EPIC, refer to the Fees page on the EPIC website.

ECFMG On-line Services Unavailable December 18-20

ECFMG’s systems maintenance, which was scheduled to begin at 7:00 p.m. on Friday, December 18, 2020, began at 4:00 p.m. on this date. On-line services are currently unavailable and are expected to be restored by 6:00 p.m. on Sunday, December 20, 2020. All times are calculated using Eastern Time in the United States.

During this maintenance period, you will be unable to access most ECFMG on-line services, including the following:

  • IWA—Interactive Web Applications
  • OASIS—On-line Applicant Status and Information System
  • Application for Pathways for ECFMG Certification for 2021 Match
  • EMSWP—ECFMG Medical School Web Portal, and its programs for medical schools and other institutions:
    • Status Verification
    • Credentials Verification
    • Performance Data
    • EMSWP ERAS
    • GEMxSM for Partner Institutions
  • CVS ON-LINE—Certification Verification Service On-line
  • EVNet—Exchange Visitor Network (for staff of U.S. training programs that host ECFMG-sponsored exchange visitor physicians)
  • EPICSM—Electronic Portfolio of International Credentials
    • Physician Portal
    • Report Portal
  • GEMx on-line services for students
  • MyECFMG mobile app

The World Directory of Medical Schools also will be unavailable during this maintenance period.

Thank you for your patience and cooperation as we work to maintain high-quality on-line services.

Certain ECFMG On-line Services Unavailable December 12

Due to scheduled maintenance, certain ECFMG on-line services are expected to be unavailable on Saturday, December 12, 2020.

The following ECFMG on-line services are expected to be unavailable beginning at approximately 7:00 a.m. and expected to be restored by 5:00 p.m.:

  • IWA—Interactive Web Applications
  • OASIS—On-line Applicant Status and Information System
  • EMSWP—ECFMG Medical School Web Portal, and its programs for medical schools and other institutions:
    • Status Verification
    • Credentials Verification
    • Performance Data
    • EMSWP ERAS
    • GEMxSM for Partner Institutions
  • CVS ON-LINE—Certification Verification Service On-line

The following ECFMG on-line service is expected to be unavailable beginning at approximately 7:00 a.m. and expected to be restored by 11:00 p.m.:

  • Application for Pathways for ECFMG Certification for 2021 Match

All times are calculated using Eastern Time in the United States.

Thank you for your patience and cooperation as we work to maintain high-quality on-line services.

Moving Forward: The Step 1 Pass/Fail Score Reporting Policy Change and Revitalization of Step 2 Clinical Skills Examination

The United States Medical Licensing Examination® (USMLE®) program recognizes that the upcoming score reporting change for Step 1 pass/fail (P/F) and the suspension of the Step 2 Clinical Skills (CS) examination have created new questions for medical students, faculty, and state board members. The USMLE program appreciates everyone’s patience and understanding as they work diligently on these two important issues.  As work progresses, the USMLE program is committed to providing monthly updates on these and other topics that are important to their stakeholders.

Step 1 P/F Score Reporting

The transition to Step 1 pass/fail score reporting is on track to be implemented in January 2022. Should this schedule change, the USMLE program will post an updated timeline. Specific dates and information will be made available in advance of the implementation date.

Information about the Step 1 P/F score reporting policy change can be found here.

Revitalization of Step 2 Clinical Skills Examination

As co-owners of the USMLE, the National Board of Medical Examiners (NBME) and the Federation of State Medical Boards (FSMB) collected valuable input over the summer from state medical boards, medical school faculty, and examinees about the prior Step 2 CS exam, including feedback on which skills are important to assess to inform medical licensure decisions. This feedback is greatly appreciated and will be essential in the development of a revitalized exam. An update on next steps and future developments will be shared by the end of November.

Information about the revitalization of Step 2 CS can be found here.

Examinees should monitor the USMLE website for the latest information.

Step 1 and Step 2 CK – Score Delays in 2021

Most United States Medical Licensing Examination® (USMLE®) Step 1 and Step 2 Clinical Knowledge (CK) scores are reported within 3-4 weeks of testing. However, because of necessary annual modifications to the test item pools, delays occur for examinees who test at certain times of the year.

Please be aware that examinees testing during the following dates may experience delays in score reporting:

  • Step 1 examinees testing early May through early July 2021 – more specific information will be posted January 2021
  • Step 2 CK examinees testing early July through late August 2021 – more specific information will be posted March 2021

Why is this important to know?
If you need to receive a score before a certain date, plan to take that exam before the projected score delay windows to avoid missing deadlines.

Examinees should monitor the USMLE website for the latest information.

ECFMG’s 2021 Information Booklet on ECFMG Certification and Application Materials Now Available

ECFMG’s 2021 Information Booklet on ECFMG Certification and the 2021 exam application materials for international medical students/graduates (IMGs) are now available on the ECFMG website. The ECFMG Information Booklet is the definitive source of information on ECFMG Certification and is required reading for applicants.

To meet the examination requirements for ECFMG Certification, IMGs have been required to pass Step 1, Step 2 Clinical Knowledge (CK), and Step 2 Clinical Skills (CS) of the United States Medical Licensing Examination® (USMLE®). The USMLE program has suspended administration of Step 2 CS until at least June 2021. ECFMG has established pathways that will allow qualified IMGs who have not passed Step 2 CS to meet the requirements for ECFMG Certification. These pathways are directed toward individuals who intend to apply to accredited graduate medical education programs in the United States for the 2021-2022 academic year. Information on the Requirements for ECFMG Certification for 2021 Match is available now on the ECFMG website.

Availability of 2021 Eligibility Periods for USMLE Step 1/Step 2 CK

Applicants can use the 2021 Information Booklet and 2021 exam application materials to apply for all available Step 1/Step 2 CK eligibility periods that end in 2021.

As announced previously by the USMLE program, all currently registered examinees who have a Step 1 or Step 2 CK scheduling permit with an unexpired eligibility period with an end date in 2020 will be extended through June 2021. ECFMG expects to complete these automatic extensions by the end of October.

Please monitor the ECFMG website, and follow ECFMG on Facebook and Twitter for updates and important information.

(published August 27; updated September 30)

REMINDER: Incomplete USMLE Exam Applications in IWA Will Be Deleted on September 29

As part of the transition to the ECFMG 2021 Information Booklet and exam application materials, any United States Medical Licensing Examination® (USMLE®) exam applications that have been saved but not submitted via ECFMG’s Interactive Web Applications (IWA) will be deleted. If you have a saved exam application in IWA, you must complete and submit the application, including payment, by 5:00 p.m., Eastern Time in the United States, on Tuesday, September 29, 2020. If you have begun but not yet submitted the on-line part of an exam application when IWA becomes unavailable on September 29, your incomplete application will be deleted. If your application is deleted, you will be required to begin a new application in order to apply for examination.

(published September 16; updated September 24)

New Practice Materials and Helpful Information for USMLE Step 1 and Step 2 CK Exams Now Available

Updated practice materials are available for examinees planning to take the United States Medical Licensing Examination® (USMLE®) Step 1 exam on or after October 20, 2020 and for examinees planning to take Step 2 Clinical Knowledge (CK) on or after November 11, 2020.  The updated materials reflect the previously announced Step 1 and Step 2 CK content distribution changes.

Read the full announcement on the USMLE website here.

Step 1 and Step 2 CK Content Distribution Changes

On May 15, the United States Medical Licensing Examination® (USMLE®) program announced that content distribution changes on Step 1 and Step 2 Clinical Knowledge (CK) would be delayed until at least September 2020 because of the impact COVID-19 (Coronavirus) has had on USMLE testing. Below is the current timetable for implementing these changes:

  • Beginning in October 2020, Step 1 will increase the number of items assessing communication skills.
  • Beginning in November 2020, Step 2 CK will increase the number of items assessing systems-based practice, patient safety, legal/ethical issues, and professionalism.

In mid-August, the USMLE program will provide updated practice materials and more information about the schedule for rollout of these changes, including the timeline for reporting scores. Examinees should monitor the USMLE website for the latest information.

USMLE Score Reporting Policy Updates

The following announcements provide details on new score reporting policies set by the United States Medical Licensing Examination® (USMLE®) Composite Committee for the Step 1 examination and the Step 2 Clinical Skills (CS) examination. As a medical licensing examination, the USMLE program has a responsibility to produce transcripts that report a complete exam history for each examinee. The following announcements provide details on new score reporting policies set by the USMLE Composite Committee for the Step 1 examination and the Step 2 CS examination.

USMLE Step 1 Examination

Step 1 results will be reported as Pass/Fail no earlier than January 1, 2022. All scores for Step 1 exams taken prior to the date of the policy change will continue to be reported using the three-digit numeric score on all USMLE transcripts. The USMLE program does not retroactively alter transcripts.

USMLE Step 2 CS Examination

Step 2 CS was suspended in March 2020. All Step 2 CS results from exam administrations prior to the suspension will be reported on USMLE transcripts. Due to the Step 2 CS suspension, a significant number of individuals applying for residency in the 2020-2021 cycle will not have a Step 2 CS result or an opportunity to retest after a Step 2 CS failure. Information on the timing of this suspension will be clearly communicated to residency programs through ERAS. While Step 2 CS is suspended, the ECFMG has posted requirements for Certification for the 2021 residency Match, available here.