Intealth ECFMG

Educational Commission for Foreign Medical Graduates

ECFMG 2024 Information Booklet


About the ECFMG Information Booklet and Application Materials

The ECFMG Information Booklet contains detailed information on ECFMG’s program of certification. ECFMG is a division of Intealth™ . The information contained in this booklet pertains only to the ECFMG certification process and related applications and services.

Applicants for examination must use the applicable edition of the Information Booklet. The 2024 Information Booklet pertains to eligibility periods in 2024. If your eligibility period extends into 2025 and you test in 2025, you must become familiar with and will be subject to the policies and procedures detailed in the 2025 Information Booklet. The 2025 Information Booklet is expected to be available in August 2024. See the information on eligibility periods under Applying for Examination in The United States Medical Licensing Examination® (USMLE®) section of this booklet.

The USMLE Bulletin of Information provides information about the USMLE, a three-step examination for medical licensure in the United States. In the event that information about the USMLE in the ECFMG Information Booklet differs from the corresponding information in the USMLE Bulletin of Information, the information in the USMLE Bulletin of Information controls.

Required Reading

Applicants for examination are required to read and become familiar with the information contained in and referenced in both the ECFMG Information Booklet and the USMLE Bulletin of Information. The USMLE Bulletin of Information is available on the USMLE website . Applicants also must carefully review and be familiar with the detailed instructions for the USMLE application and the Policies and Procedures Regarding Irregular Behavior.

Staying Up-to-Date

Although current at the time of publication, the information contained in the 2024 Information Booklet is subject to change. If changes occur, information will be posted on the ECFMG website. You are responsible for checking the ECFMG website for updates and changes.

We provide important updates on ECFMG Certification and entry into graduate medical education in the United States in The ECFMG® Reporter newsletter and on Twitter. We encourage applicants to subscribe to The ECFMG® Reporter and to follow ECFMG on Twitter .

Deadlines – Eastern Time

The Information Booklet describes deadlines related to exam applications, scheduling, and other services. Unless otherwise indicated, deadlines are calculated using Eastern Time in the United States.


Consistent with Intealth’s Privacy Notice, ECFMG may share the information contained in your application, or that otherwise may become available to ECFMG, with any federal, state or local governmental department or agency, with any hospital, training program, or any other organization or individual who, in the judgment of ECFMG, has a legitimate interest in such information. This may include reporting determinations of irregular behavior to the USMLE Committee for Individualized Review, Federation of State Medical Boards of the United States, U.S. state and international medical licensing authorities, graduate medical education programs, and to any other organization or individual who, in the judgment of ECFMG, has a legitimate interest in such information. For further information regarding our data collection and privacy practices, please refer to our Privacy Notice .

Information and Documents You Provide to Us

The information you provide to us as part of any application or service request will become a part of your permanent record, including the information you provide as part of the process of obtaining a USMLE/ECFMG Identification Number or other identification number. All correspondence with us, including e-mails, also will become a part of your permanent record.

All documents that you submit to us as part of the certification process, including supporting documentation, translations, etc., will become part of your permanent record and will not be returned to you. Do not send original documents.

Application/Service Request Processing

We strive to ensure proper processing of applications for ECFMG Certification and examination, related service requests, and the information contained in such applications and requests. In the unlikely event that an error occurs in the processing of applications, requests, or associated materials, we will make reasonable efforts to correct the error, if possible, or permit you either to reapply at no additional fee or to receive a refund. These are the exclusive remedies available to applicants for errors in processing applications and other service requests related to ECFMG Certification, examination, and the other services described in this booklet.

Please note that ECFMG will not provide services of any kind if doing so would be considered violative of any applicable international, federal, state, or local laws or regulations. Additionally, ECFMG may delay or suspend provision of services while investigating whether the services or surrounding circumstances violate such laws, regulations, or ECFMG’s policies and procedures.

® The terms ECFMG®, FAIMER® and CSA® are registered in the U.S. Patent and Trademark Office.
Copyright © 2023 by Intealth. All rights reserved.
Portions reprinted, with permission, from the USMLE 2024 Bulletin of Information, copyright © 2023 by the Federation of State Medical Boards (FSMB) of the United States, Inc., and the National Board of Medical Examiners® (NBME®).

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[Last update: August 21, 2023]

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® Registered in the US Patent and Trademark Office.
Copyright © 2023 by Intealth. All rights reserved.