Learn about applying for an ECFMG certificate in the USA: eligibility, process, documents, costs, and timeline for international graduates.

What is the ECFMG Certificate?
The Educational Commission for Foreign Medical Graduates (ECFMG) Certificate is a certification required for international medical graduates (IMGs) to participate in graduate medical education and training programs in the United States. The primary purpose of the ECFMG Certificate is to verify that IMGs are qualified to enter U.S. residency and fellowship programs. It proves that IMGs have met the requirements in medical education, clinical skills training, and licensing exams. Further, ECFMG Certificate Pathways | How To Apply For ECFMG Certification. ECFMG Certification Validity | ECFMG Certification Application | Buy ECFMG.
To earn ECFMG certification, IMGs must:
- Graduate from a medical school listed in the International Medical Education Directory (IMED)
- Pass Step 1 and Step 2 of the USMLE licensing exams
- Receive a passing score on the Clinical Skills exam
- Have their medical education credentials verified by ECFMG
Once issued, the ECFMG certificate is valid for seven years from the issue date. IMGs must maintain their ECFMG certification to renew their medical licenses and enroll in U.S. residency programs.
The ECFMG Certificate ensures that IMGs are ready to enter U.S. graduate medical education with the necessary qualifications and clinical abilities. Meeting all ECFMG requirements is crucial for IMGs wishing to practice medicine in the United States. Also, ECFMG Certificate Pathways | How To Apply For ECFMG Certification | ECFMG Certification Validity | ECFMG Certification Application | Buy ECFMG.
Why Get ECFMG Certified?
The ECFMG certificate is required for international medical graduates to apply for residency programs in the United States. Obtaining ECFMG certification shows you meet the minimum requirements to enter U.S. graduate medical education programs. Hence, ECFMG Certificate Pathways | How To Apply For ECFMG Certification | ECFMG Certification Validity | ECFMG Certification Application | Buy ECFMG.
Specifically, getting the ECFMG certificate demonstrates you have:
- Graduated from a medical school listed in the International Medical Education Directory.
- Passed the required licensing exams – USMLE Step 1, Step 2 CK, and Step 2 CS.
- Met English language proficiency requirements.
Without ECFMG certification, international medical graduates cannot participate in the National Resident Matching Program (NRMP). The NRMP matches applicants to residency positions at teaching hospitals in the U.S.
The ECFMG certificate confirms you have the appropriate medical credentials and knowledge base to begin U.S. residency training. It verifies to program directors that you meet the baseline eligibility requirements to enter their residency program. Furthermore, ECFMG Certificate Pathways | How To Apply For ECFMG Certification | ECFMG Certification Validity | ECFMG Certification Application | Buy ECFMG.
So, for IMGs who wish to continue their medical training in the United States, obtaining ECFMG certification is an obligatory step. It is a prerequisite to applying for and obtaining a residency position.
ECFMG Exam Requirements
To earn ECFMG certification, international medical graduates (IMGs) must pass the following exams:
USMLE Step 1 – Assess whether you understand and can apply important concepts of the basic sciences to medicine. Step 1 ensures mastery of the sciences that provide a foundation for the safe and competent practice of medicine in the present and the scientific principles required for maintaining competence through lifelong learning.
USMLE Step 2 CK – Focuses on the clinical sciences essential for practicing medicine under supervision. This exam assesses your ability to apply medical knowledge, skills, and understanding of clinical science necessary for providing patient care under supervision.
USMLE Step 2 CS – Assesses your ability to gather patient information, perform physical examinations, and communicate findings to patients and colleagues. This exam uses standardized patient cases to test medical students and graduates on their clinical skills.
Step 1 and Step 2 CK require a minimum passing score of 192 on the exam’s single-digit scoring scale. Step 2 CS has a pass/fail scoring method.
Exam attempts are limited to 3 tries for Step 1 and 6 tries each for Step 2 CK and CS. Steps 1, 2 CK, and 2 CS must be passed within seven years. Additionally, ECFMG Certificate Pathways | How To Apply For ECFMG Certification | ECFMG Certification Validity | ECFMG Certification Application | Buy ECFMG.