Form 186 2009-2025

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Once Form 186 is accepted by ECFMG, it typically remains valid indefinitely, and applicants can apply to ECFMG for additional certification-related services, including USMLE exams.
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.
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.
Looking for the Certification of Identification Form (Form 186)? After you complete the on-line part of the Application for ECFMG Certification using ECFMGs IWA, Form 186 will be generated for you to download and complete. Detailed instructions are provided with the form.
To make your ECFMG certificate permanently valid and avoid expiration, you must successfully complete at least 12 months of clinical education in a U.S. graduate medical education (GME) program accredited by the ACGME, or in a non-standard training program associated with an ACGME-accredited program.
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ECFMG processes exam applications typically within three weeks of receipt of the on-line part; verification of your student or graduate status from your medical school; and any other required documents. Eligible applicants are registered for USMLE after the processing of their applications is completed.
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.

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