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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.
INSTRUCTIONS: Complete the applicable sections in ink, referring to the instructions that accompany this form. Sign where indicated, and return to ECFMG by e-mail to: biographicchange@ecfmg.org, or by mail to: Intealth, ECFMG Certification Program, 3624 Market Street, 1st Floor, Philadelphia, PA 19104, USA.
Once your Application for ECFMG Certification, including Form 186, has been accepted by ECFMG, it typically remains valid throughout the certification process. You can use our on-line services to confirm that you have submitted an Application for ECFMG Certification and have a valid Form 186 on file.
We will make your Certificate valid indefinitely in our records on the basis of your J-1 visa status after your successful completion of at least 12 months of eligible clinical training and notify you when the process is complete.
ECFMG requires that international medical graduates satisfy the examination requirements for ECFMG Certification within a seven-year period. This means that once you pass an exam, you will have seven years to meet the other examination requirements for ECFMG Certification.
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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.
ECFMG will make your record available to your medical school and request verification typically within three weeks of receipt of the on-line part of the application. The time needed to complete the processing of your application is contingent upon your medical schools response to the EMSWP verification request.
Can I retake a Step that I previously passed? If you pass a Step, you are not allowed to retake it, except to comply with certain state board requirements which have been previously approved by USMLE governance.

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