International Med Ed

Educational Commission for Foreign Medical Graduates Certification

| 2 Min Read

Time limit to complete USMLE examination requirements

The United States Medical Licensing Examination (USMLE), a 3-step examination for medical licensure in the United States, has specific recommendations to state medical licensing authorities regarding the time to complete all of the exams.

IMG physician toolkit

Navigate the process of practicing medicine in the U.S. as an IMG physician with resources from the International Medical Graduate section.

Policy from ECFMG, a member of Intealth, requires that applicants pass USMLE steps required for ECFMG Certification within a 7-year period.

Once an applicant passes a USMLE step or step component, the applicant will have 7 years to pass the other USMLE Steps for ECFMG Certification.

If an applicant does not pass all required USMLE steps and step components within a maximum of 7 years, the applicant’s earliest USMLE passing performance will no longer be valid for ECFMG Certification.

Applicants should contact the medical licensing authority of the jurisdiction where they plan to apply for licensure, since licensure requirements vary among jurisdictions.

Find out the latest information and updates to the United States Medical Licensing Examination (USMLE)

Find tips on taking the USMLE and test discounts for AMA members.

AMA member USMLE resources

Medical education credential requirements

For proper credentials, the physician’s medical school and graduation year must be listed in the World Directory of Medical Schools (WDMS).

All international medical graduates (IMGs) must have had at least 4 credit years of medical curriculum at a medical school listed in the WDMS.  

Applicants for ECFMG Certification must document the completion of all requirements for, and receipt of, the final medical diploma.

An applicant’s credentials are not considered complete until ECFMG receives verification of the medical diploma and final medical school transcript directly from the medical school. 

IMGs succeed with AMA benefits

  • Resources to help navigate the U.S. health care system
  • Opportunities for leadership roles

Standard ECFMG Certificate

The Educational Commission for Foreign Medical Graduates (ECFMG) issues the Standard ECFMG Certificate to applicants who meet all of the examination and medical education credential requirements.

A Standard ECFMG Certificate, which can be used for entry into accredited Graduate Medical Education (GME) programs in the United States, includes:

  • Applicant name
  • Applicant USMLE/ECFMG Identification Number
  • Dates the examination requirements were taken
  • Date the certificate was issued
  • Date(s) through which the passing performance on certain exam(s) remain valid for the purpose of entry into Graduate Medical Education (GME)

Find out more about getting certified by the Educational Commission for Foreign Medical Graduates (ECFMG).

FEATURED STORIES

Woman handing an insurance card to a doctor who is reviewing paperwork

AMA report: Health insurance giants tighten grip on U.S. markets

Dec 16, 2025
Patients in a waiting room at a doctor's office

What to expect from the 2026 Medicare Physician Fee Schedule

| 7 Min Read
Row of blocks with businesspeople with one being taken away

4 “Big, Beautiful Bill” changes that will reshape care in 2026

| 6 Min Read
Wood poles with question mark symbols

PAs push to enshrine “physician associate” term in law

| 6 Min Read