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The accreditation process does not apply to the PCFMG certification, but rather to the initial registration for the USMD ID or ECFMG ID. If your school is accredited before 2024 and you have created your ID, you can still take step exams after 2024. Create your ID early, even if you are a first-year medical student, to avoid rushing to take step exams. Students should understand how to create an ID and what forms to fill out for clarity.