Intealth ECFMG

Educational Commission for Foreign Medical Graduates

ECFMG 2024 Information Booklet

The United States Medical Licensing Examination (USMLE)

Examination Results

The USMLE program provides a recommended pass or fail outcome on all Step examinations. For ECFMG Certification, you must obtain at least the USMLE-recommended pass outcome for each required Step. See Examination Requirements in Examinations for ECFMG Certification.

Score Reporting

Results for Step 1 and 2 CK are typically available two to four weeks after your test date. However, a number of factors may delay score reporting. When selecting your test date and inquiring about results, you should allow at least eight weeks to receive notification that your score report is available. For more specific information about potential scoring delays, visit the Announcements section on the home page of the USMLE website .

ECFMG reserves the right to reverify with the medical school the eligibility of medical school students and graduates who are registered for examination. If ECFMG requests reverification of your student/graduate status with your medical school, your score report will be issued only after reverification of your status has been received by ECFMG.

Score reports are issued in electronic format only and can be accessed via our on-line services. Once your score report has been issued, ECFMG will send a notification to your e-mail address of record.

Score reports are available for approximately 365 days from the date of e-mail notification. Once the score report is removed from our on-line services, your results will be provided to you only in the form of an official USMLE transcript; see USMLE Transcripts below. Therefore, it is strongly recommended that you print and/or save your score report while it is available.

Important Note: ECFMG may provide your medical school with data on your performance on administrations of USMLE Step 1 and Step 2. Data provided include whether you passed or failed the exam administration and your numerical score, if one was reported for your exam administration.
Information about ECFMG’s Provision of Performance Data to Medical Schools and an option for you to withhold your exam results from your medical school are available via our on-line services.

See Score Reporting in the USMLE Bulletin of Information for additional information. For up-to-date information on minimum passing scores, examination performance data, and general scoring methodology, please visit the USMLE website .

Score Validity

The USMLE program reserves the right to cancel exam results that are at or above the passing level, prior to or after release, if the USMLE program has a good faith basis for questioning whether the exam result(s) represent a valid measure of knowledge or competence as assessed by the examination. If there are questions related to the validity of your exam result and your result has not yet been reported, your official score report may be delayed or withheld pending completion of further review and/or investigation. Whether questions relating to the validity of your exam result arise after your result has been reported or before, the USMLE reserves the right to cancel the result if it has a good faith basis for questioning the validity of your result. If your result is being investigated for validity concerns, you will be notified in writing by the USMLE Office of the Secretariat. See Score Validity in the USMLE Bulletin of Information.

USMLE Transcripts

To request an official USMLE transcript, you must contact the organization that registered you for the examination. You must contact the Federation of State Medical Boards (FSMB) if you are registered for or have taken Step 3 and/or you want to send your transcript to a U.S. medical licensing authority. In all other cases, you can submit your request for an official USMLE transcript to ECFMG. Additional information and instructions are provided with the form.

If you apply to residency programs through the Electronic Residency Application Service (ERAS), you may request electronic transmittal of your USMLE transcript to these programs. For additional information, refer to the ERAS Support Services section of the ECFMG website.

Important Note: If you took the former ECFMG CSA, your USMLE transcript will indicate only that you have CSA examination history. It will not provide any additional information on your attempt(s) on the CSA. To request official copies of your CSA performance history, you must submit your request for an official CSA history chart to ECFMG with the appropriate fee. Additional information and instructions are provided with the form.

Score Rechecks

For all Steps, a highly rigorous process is used to ensure the accuracy of scores, including a parallel scoring method involving independent scoring systems. Therefore, a change in your score or in your pass/fail outcome based on a recheck is an extremely remote possibility. To date, the score recheck process has not resulted in a score change. However, a recheck will be performed if you submit a request and the fee for this service to the organization that registered you for your examination. For Step 1/Step 2 CK, additional information and instructions are provided with the form. Your request must be received no later than 90 days after your result was released to you. See Score Rechecks in the USMLE Bulletin of Information for more information.

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[Last update: August 21, 2023]

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