ECFMG Certification Fact Sheet 2025

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USMLE Scores are valid for a period of 10 years and expire on the last day of the month you passed each step of the examination.
Also, the foreign medical degree or license must be equivalent to an M.D. in the U.S. An ECFMG certificate may be sufficient as evidence that the foreign medical degree or license is equivalent to an M.D. but the immigration service may still request an educational equivalency degree evaluation.
Most medical licensing authorities require completion of USMLE Steps 1, 2, and 3 within a seven-year period, which begins when you pass your first Step. Check the FSMB website for further information on such requirements.
Can I retake USMLE exams after 7 years? After 7 years, you can retake the exams, but you have to restart from the beginning.
The credentials required for ECFMG Certification are: Final Medical Diploma. Final Medical School Transcript. Transcript(s) to Document Transferred Credits, if applicable.
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Time Limit for Completing Licensing Examination Sequence. Must pass all Steps of the USMLE within 7 years from the date of first passing any Step of the exam. Must pass Step 3 within 4 years of the first attempt at Step 3 or must complete 1 year of post-graduate training before making additional attempts at Step 3.
Standard ECFMG Certificates are issued to applicants approximately two weeks after all of these requirements have been met. The date that the Standard ECFMG Certificate is issued is the date an international medical graduate is considered certified by ECFMG.
To request an extension, you must complete a Request to Extend a USMLE Step 1/Step 2 CK Eligibility Period as described below in the Overview. Payment of the appropriate fee must accompany the request. You may request an extension of your eligibility period only once for each exam registration.

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