Graduates of medical schools in and outside the United States and Canada register for Step 3 with the FSMB or with a medical licensing authority in the United States.
Overall pass rates for first time USMLE Step 3 test takers are: 95% for U.S. M.D. medical school graduates, 95% for U.S. D.O. medical school graduates, and 78% for international medical school graduates. (In these statistics, "U.S. M.D. medical school graduates" includes graduates of Canadian M.D. programs.)
ECFMG Certification is also one of the eligibility requirements for IMGs to take Step 3 of the United States Medical Licensing Examination® (USMLE®) and to obtain an unrestricted license to practice medicine in the United States.
The ability to achieve ECFMG Certification is a key determinant of IMGs’ readiness to enter the U.S. health care system. ECFMG’s decision to require medical school accreditation as a requirement for IMGs seeking ECFMG Certification is a significant step in its continuing efforts to enhance protection of the public.
Each year, thousands of IMGs in the certification process apply to ECFMG for USMLE. Approximately one-half of these individuals are successful in completing all the examination and medical education credential requirements for ECFMG Certification.
International medical students/graduates must submit an Application for ECFMG Certification before they can apply to ECFMG for examination. The Application for ECFMG Certification consists of questions that require applicants to confirm their identity, contact information, and graduation from or enrollment in a medical school that is listed in the International Medical Education Directory (IMED). As part of the application, international medical students/graduates must also confirm their understanding of the purpose of ECFMG Certification and consent to a release of legal claims.
To meet the examination requirements for ECFMG Certification, an IMG must:
1. Satisfy the medical science examination requirement.
USMLE Step 1 and Step 2 Clinical Knowledge (CK) are the exams currently administered that satisfy this requirement. To meet the medical science examination requirement for ECFMG Certification, applicants must pass both Step 1 and Step 2 CK within a specified period of time.
2. Satisfy the clinical skills requirement.
USMLE Step 2 Clinical Skills (CS) is the exam currently administered that satisfies this requirement. Specific time limits for passing Step 2 CS for ECFMG Certification may apply.For detailed information, including information on time limits for completing the examinations for ECFMG Certification and using a passing performance on former exams to satisfy these requirements, refer to the ECFMG Information Booklet. For detailed information on USMLE examinations, refer to the USMLE Bulletin of Information.
Medical Education Credential Requirements
To meet the medical education credential requirements for ECFMG Certification, an IMG must:
- be a graduate of a medical school listed in the International Medical Education Directory (IMED). The IMG’s graduation year must be included in the school’s IMED listing.
- have been awarded credit for at least four credit years (academic years for which credit has been given toward completion of the medical curriculum) by a medical school that is listed in IMED. There are restrictions on credits transferred to the medical school that awards an IMG’s medical diploma that can be used to meet this requirement.
- document the completion of all requirements for, and receipt of, the final medical diploma. ECFMG must also receive copies of the IMG’s final medical school transcript and, if required, transcripts to document credits that were transferred to the medical school that awarded the IMG’s medical diploma.
Additionally, ECFMG must obtain primary-source verification of the IMG’s medical diploma and transcript(s)
To access the IMED Directory to check on the Medical Universities of Ukraine recognized for the USMLE exams, you can go to this link https://imed.faimer.org/ , select the Region as EUROPE, select the country as UKRAINE and click the SEARCH button. You will get the list of Universities in Ukraine recognized for USMLE
An international medical graduate’s credentials are not considered complete until ECFMG receives and accepts verification of the final medical diploma, final medical school transcript, and, if required, transfer credit transcript(s) directly from the issuing school(s).
Primary-source verification is a rigorous, multi-step process that ECFMG employs to ensure the integrity and authenticity of a physician’s medical education credentials.
When ECFMG receives a credential issued by a medical school, it first reviews the credential and compares it to sample primary-source verified documents from its Medical Credentials Reference Library to confirm that it is consistent with the format of credentials issued by the medical school. If the credential is determined to be consistent with verified samples, ECFMG will communicate directly with the issuing institution to request verification of the credential’s authenticity. If ECFMG believes it will facilitate the verification process, ECFMG will communicate with an institution in the language of the country in which the institution is located. ECFMG currently verifies documents using 12 languages.
Once ECFMG receives this verification, another review is conducted to confirm that the verification meets ECFMG’s standards. ECFMG only accepts verifications directly from the issuing institution.