ECFMG Certification evaluates whether international medical graduates are ready to enter accredited U.S. graduate medical education. IMG status is based primarily on where the medical degree was earned, not citizenship. Your school and graduation year must meet the applicable World Directory and ECFMG eligibility requirements.
Certification includes medical-science examination requirements, clinical and communication skills requirements through the applicable Pathway, and primary-source verification of medical credentials. Since the 2026 USMLE service transition, eligible students and graduates …