Eligibility & Requirements

To apply for ECFMG Certification, you must be an international medical student or graduate. This means that your medical school is located outside the United States and Canada. U.S. citizens who graduate from such schools are considered IMGs and are eligible to apply for ECFMG Certification. Non-U.S. citizens who graduate from schools in the United States and Canada are not considered IMGs and are not eligible for ECFMG Certification.
Additionally, your medical school must be listed in the International Medical Education Directory (IMED) of the Foundation for Advancement of International Medical Education and Research (FAIMER®). If you are a medical school graduate, your graduation year must be included in your school's IMED listing. If you are a student, the "Graduation Years" in IMED for your medical school must be listed as "Current." You can access IMED on the ECFMG website.

To be eligible for certification, you must graduate from a medical school that meets the requirements described above, and fulfill the following additional medical education credential requirements:

• You must have had at least four credit years (academic years for which credit has been given toward completion of the medical curriculum) at a medical school listed in IMED. There are restrictions on credits transferred to the medical school that awards an applicant’s medical degree that can be used to meet this requirement.
• You must document the completion of all requirements for, and receipt of, the final medical diploma. ECFMG will verify your medical school diploma with the appropriate officials of the medical school that issued the diploma and request that the medical school provide your final medical school transcript. Verification by ECFMG with the issuing school may also be required for transcripts that you submit to document transferred academic credits. Your credentials are not considered complete until ECFMG receives verification directly from the issuing school(s) and accepts this verification.

Applicants for ECFMG Certification must also satisfy the following examination requirements:

• Medical Science Examination. USMLE Step 1 and Step 2 Clinical Knowledge (Step 2 CK) are the exams currently administered that satisfy this requirement. Applicants register for these exams with ECFMG and take these exams worldwide at test centers of Thomson Prometric, a part of The Thomson Corporation. ECFMG also accepts certain former medical science exams to fulfill this requirement. Refer to the ECFMG Information Booklet for more information.
• Clinical Skills Requirement. USMLE Step 2 Clinical Skills (Step 2 CS) is the exam currently administered that satisfies this requirement. Applicants register for Step 2 CS with ECFMG and take the exam at one of several regional clinical skills evaluation centers in the United States. Applicants who have both passed the former ECFMG Clinical Skills Assessment (CSA®) and achieved a score acceptable to ECFMG on an English language proficiency test (such as the Test of English as a Foreign Language™ [TOEFL®] or the former ECFMG English Test) can use these passing performances to fulfill this requirement. Refer to the ECFMG Information Booklet for more information.

Step 1, Step 2 CK, and Step 2 CS are the same exams taken by graduates of U.S. and Canadian medical schools. Detailed information on the USMLE is available on the USMLE website.
Refer to the ECFMG website for information on exam eligibility, fees, application, scheduling, test centers, preparation, and sample test materials.
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