Requirements for ECFMG Certification for 2021 Match

English Language Proficiency Assessment

Applicants pursuing one of the five pathways for ECFMG Certification in order to participate in the 2021 Match are required to perform satisfactorily on an English language proficiency assessment. All pathway applicants, regardless of citizenship, native language, or medical school language of instruction, must satisfy this requirement.

ECFMG will accept the Occupational English Test (OET) Medicine to satisfy the English language proficiency requirement. OET Medicine is designed specifically for physicians. To meet ECFMG’s requirement, applicants must attain a minimum score of 350 (Grade B) on each of the four measured components of OET Medicine: Listening, Reading, Writing, and Speaking.

Please note: Applicants who have a passing performance on the Step 2 Clinical Skills (CS) component of the United States Medical Licensing Examination® that is valid for ECFMG Certification and/or are certified by ECFMG are ineligible for the pathways and do not need to take OET Medicine.

Pathway applicants who took OET Medicine on or after July 1, 2018 and attained the minimum passing score on each of the four components do not need to retake OET Medicine. These applicants will need to inform ECFMG that they have taken OET Medicine previously and allow ECFMG to access their scores.

Applying for OET Medicine
To begin the application process, you must go through the ECFMG landing page on the OET website: to pre-register. As part of pre-registration, you will be able to indicate your preferred testing date(s) and the country and city in which you would like to take the test. You also will be able to access information on preparing for the test, scheduling the test, and the overall timetable. After you pre-register, you will be contacted by OET via e-mail with information on your nearest test location and next steps.

Test dates for OET Medicine are available for ECFMG applicants beginning in August 2020. Please pre-register as soon as possible.

For more information on OET Medicine, please refer to the English Language Proficiency Assessment section on the Frequently Asked Questions page.