ECFMG Certification

The Educational Commission for Foreign Medical Graduates (ECFMG), through its program of certification, assesses whether international medical graduates are ready to enter residency or fellowship programs in the United States that are accredited by the Accreditation Council for Graduate Medical Education (ACGME).

To be eligible for certification by ECFMG, international medical graduates must meet the following examination and medical education credential requirements..

To meet the medical science examination requirement for ECFMG Certification applicants must pass Step 1 and Step 2 Clinical Knowledge (CK) of the United States Medical Licensing Examination (USMLE).
To meet the clinical skills requirement and communication skills requirement for ECFMG Certification • Complete an ECFMG Pathway, which includes attaining a satisfactory score on the Occupational English Test (OET) Medicine,OR • Have a passing performance on the former Step 2 Clinical Skills (CS) component of USMLE that is valid for ECFMG Certification.