Requirements for ECFMG Certification for 2021 Match

Pathway 2: Already Passed a Standardized Clinical Skills Exam for Medical Licensure

Who Should Apply

This pathway is intended for applicants who are not eligible for Pathway 1, but who successfully completed a secure, standardized clinical skills exam as a requirement for medical licensure or registration in a country other than the United States.

Applicants who meet the eligibility requirements for Pathway 1 must apply to Pathway 1 and are ineligible to apply to Pathway 2.

Please 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 2021 Match.

Eligibility Requirements

Please note: Schools in countries with accrediting agencies recognized by WFME will be listed in Pathway 3. Schools in countries with accrediting agencies that have received a determination of comparability by NCFMEA will be listed in Pathway 4. Students and graduates of these schools will apply through the appropriate pathway.

If ECFMG determines that additional exams or medical schools are acceptable for this pathway, they will be added to the lists available above.

Application Timing

You can apply now using the Application for Pathways for ECFMG Certification for 2021 Match.

Your application must be submitted no later than December 31, 2020.

The ECFMG OSCE Attestation Form (if applicable, see below) must be received by ECFMG directly from your medical school no later than January 31, 2021.

In order for you to participate in the 2021 Match, ECFMG must determine the outcome of your pathway application; determine your overall eligibility for the 2021 Match, including verifying your passing performance on Step 1 and Step 2 Clinical Knowledge (CK) of the United States Medical Licensing Examination® (USMLE®); then report your eligibility status to the National Resident Matching Program® (NRMP®) by the NRMP Rank Order List Certification deadline. ECFMG will not determine the outcome of your pathway application until all required supporting documentation and/or verification(s) have been received. Therefore, the time needed to complete the processing of your application is contingent upon receipt of all supporting documentation and verifications. Please plan the timing of your application accordingly.

Application Instructions

Once you begin the application, you will have five days to complete and submit it. If the application is not submitted within five days, it will be deleted, and you will need to begin a new application if you wish to apply to a pathway.

To begin the application, you will need to log in with your USMLE/ECFMG ID and ECFMG On-line Services password.

After you log in, the application will indicate whether you meet the eligibility requirements that pertain to all pathways. If you meet these general eligibility requirements, you will proceed to questions regarding your eligibility for the specific pathways, beginning with Pathway 1.

If you meet the eligibility requirements for Pathway 1, you are ineligible for Pathway 2 and will not proceed to questions on Pathway 2. If you do not meet the Pathway 1 eligibility requirements, you will proceed to provide information regarding your eligibility for Pathway 2.

To determine if you are eligible for Pathway 2, you will be required to indicate whether you:

After providing the required information and uploading supporting documentation, you will be required to provide information on your English Language Proficiency Assessment. (Please note: You do not need to take and pass the English language proficiency assessment before submitting the on-line pathways application.) Following that, you will be asked to provide payment and submit your application to ECFMG.

Once your application is received, ECFMG will evaluate it. A case manager will contact you if there are any issues with your application or if we require additional information.

Important Information on Documentation Submitted in Support of Your Application
Fees and Payment

The fee for applying to a pathway is $900. Full payment is due when you submit your application.

You must use a Visa, MasterCard, Discover, or American Express credit card with a security code; credit available in your ECFMG Financial Account cannot be used to pay for a pathway application.

Fees related to your application are not refundable. If you submit a pathway application and ECFMG determines that you are ineligible for the pathway or denies your request for exception, your application will be rejected and the fee will not be refunded. In addition, if ECFMG does not receive all required documentation in support of your application, as well as any required verifications of submitted documentation from the issuing authority, your application will not be complete, and the application fee will not be refunded.

Application Processing Time

Once your application has been submitted, you can use the on-line Application for Pathways for ECFMG Certification for 2021 Match to check the status of your application. The following guidelines may be helpful:

The time needed to complete the processing of your application is contingent upon receipt of all supporting documentation and verifications.

The preceding information is current as of October 21, 2020 and is subject to change. Please visit the ECFMG website frequently for updates regarding these requirements.