ECFMG 2022 Information Booklet

Examinations for ECFMG Certification

Examination Requirements

To be eligible for ECFMG Certification, you must satisfy the medical science examination requirement, the clinical skills requirement, and the communication skills requirement. ECFMG has established time limits for completing these requirements for ECFMG Certification. See Time Limit for Completing Examination Requirements in Examinations for ECFMG Certification.

Passing performance on certain formerly administered examinations can no longer be used to meet these requirements. See All IMGs Pursuing ECFMG Certification Must Meet Current Requirements in the Important Notices section of this booklet.

Medical Science Examination Requirement

To satisfy the medical science examination requirement for ECFMG Certification, you must pass Step 1 and Step 2 Clinical Knowledge (CK) of the United States Medical Licensing Examination (USMLE). Refer to the USMLE Bulletin of Information for more information.

Clinical Skills Requirement and Communication Skills Requirement

Prior to its suspension by the USMLE program in early 2020, the former USMLE Step 2 Clinical Skills (CS) exam was the exam that satisfied the clinical skills requirement and communication skills requirement for ECFMG Certification. In response to the suspension and subsequent discontinuation of Step 2 CS by the USMLE program, ECFMG has offered Pathways to allow international medical graduates to meet the clinical skills requirement and the communication skills requirement for ECFMG Certification. See Requirements for ECFMG Certification for 2022 Match on the ECFMG website for detailed information. Applicants pursuing ECFMG Certification who plan to participate in future Matches should monitor the ECFMG website for information on future requirements.

To satisfy the clinical skills requirement and the communication skills requirement for ECFMG Certification, you must:

  • Complete an ECFMG Pathway, which includes attaining a satisfactory score on the Occupational English Test (OET) Medicine, OR
  • Have a passing performance on the former Step 2 Clinical Skills (CS) component of USMLE that is valid for ECFMG Certification.
Important Note: Applicants who have a passing performance on USMLE Step 2 CS that is valid for ECFMG Certification and/or are certified by ECFMG are ineligible for the Pathways. These individuals do not need to pursue the Pathways to meet the requirements for ECFMG Certification or to participate in the 2022 Match.