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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.
After ECFMG certification, physicians who wish to practice medicine in the United States must complete an accredited residency training program in the United States or Canada. This process will take at least 3 years.
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.
Educational Commission for Foreign Medical Graduates (ECFMG) Certification.
ECFMG Certification is the standard for evaluating the qualifications of international medical graduates (IMGs) entering the U.S. health care system. The Accreditation Council for Graduate Medical Education (ACGME) requires IMGs who enter ACGME-accredited residency or fellowship programs to be certified by ECFMG.
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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.

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