ERAS Support Services for Applicants


ECFMG|FAIMER has adapted some aspects of our operations to help ensure the continuity of our programs and to enhance flexibility for stakeholders who also have made operational changes in response to the pandemic, including the USMLE program, AAMC ERAS, and NRMP. For consolidated information on the impacts of the COVID-19 pandemic on ECFMG|FAIMER programs and what we are doing in response, please visit our COVID-19 (Coronavirus) web page. Please also monitor the ECFMG, AAMC, and NRMP websites frequently for updates throughout the ERAS 2021 season.

National Resident Matching Program® (NRMP®)

NRMP Main Residency Match®

The NRMP matches applicants with available residency positions. You are required to register with NRMP by the NRMP Late Registration deadline in March in order to participate in this season’s Match.

Additionally, to participate in the Match, NRMP requires that the passing results of all exams required for ECFMG Certification (USMLE Step 1, Step 2 CK, and Step 2 CS*) are available by the NRMP Rank Order List Certification deadline. You must also certify your NRMP Rank Order List by this deadline. You do not need to be ECFMG certified in order to participate in the Match.

*IMPORTANT NOTE FOR 2021 MATCH: In response to the suspension of the USMLE Step 2 CS exam by the USMLE program, ECFMG|FAIMER has identified pathways that will allow qualified IMGs who have not passed Step 2 CS to meet the clinical skills requirement for ECFMG Certification. For IMGs who satisfy all requirements for a pathway and have passing performances on USMLE Step 1 and Step 2 CK that are valid for ECFMG Certification, ECFMG will verify to the NRMP that they have met the examination requirements for ECFMG Certification. Please review the Requirements for ECFMG Certification for 2021 Match for detailed information.

For information on Match registration and requirements, visit the NRMP website.

The ECFMG Certificate Holders Office (ECHO) offers several NRMP-related resources to assist residency applicants with the process. Visit the ECHO Resources page to access these resources.

NRMP Supplemental Offer and Acceptance Program (SOAP)

The Supplemental Offer and Acceptance Program (SOAP) is a standardized and uniform process for those applicants who do not secure a residency position or who are only partially matched through the NRMP Main Residency Match and for those residency training programs that have training positions unfilled by the Main Residency Match and are seeking eligible applicants. SOAP takes place during Match Week each year, and typically begins immediately following NRMP’s notification to applicants of whether or not they have matched.

What is SOAP?

SOAP Eligibility

To be eligible to participate in SOAP, an international medical student/graduate must, among other requirements:

During SOAP, eligible applicants:

Applicants who are not eligible to participate in SOAP will not have access to the List of Unfilled Programs.

To obtain detailed information on SOAP, visit the SOAP page on the NRMP website.

The ECFMG Certificate Holders Office (ECHO) also provides information about SOAP in the Ask the Experts: NRMP’s Supplemental Offer and Acceptance Program (SOAP) resource.

For additional SOAP resources, including an applicant checklist and instructions on how to apply and reapply to programs during SOAP, please monitor the AAMC website as Match Week approaches.

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