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The requirements for ECFMG Certification include passing examinations in medical sciences, clinical skills, and communications skills. Step 1 and Step 2 Clinical Knowledge (CK) of the United States Medical Licensing Examination® (USMLE®) are the exams currently administered that satisfy the medical science examination requirement.

Prior to its suspension by the USMLE program in early 2020, the former USMLE Step 2 Clinical Skills (CS) exam was the exam that satisfied the clinical and communication skills requirements for ECFMG Certification. In response to the suspension and subsequent discontinuation of Step 2 CS by the USMLE program, ECFMG|FAIMER has offered Pathways to allow international medical graduates (IMGs) to meet the clinical and communication skills requirements for ECFMG Certification. ECFMG|FAIMER first offered the Pathways to IMGs participating in the 2021 Match and is continuing and expanding the Pathways for IMGs participating in the 2022 Match.

The Pathways allow ECFMG Certification to continue to perform its critical function of providing assurance to the public and U.S. graduate medical education (GME) programs that IMGs are ready to enter supervised training. They also allow qualified IMGs to continue to pursue ECFMG Certification and to compete for positions in U.S. GME.

The Pathways for the 2022 Match outlined below expand on the Pathways offered for the 2021 Match. Pathways 1, 2, 3, 4, and 5 will continue to be offered with some modifications, and a sixth Pathway has been added. Additionally, there have been changes to the general eligibility requirements for all Pathways.

To meet the clinical and communication skills requirements for ECFMG Certification using a Pathway, you must complete a Pathways application. See Applying to the Pathways.

There will be no exceptions to the eligibility requirements for the Pathways.

If you applied to a Pathway for the 2021 Match or familiarized yourself with the 2021 Pathway requirements, you should review the 2022 Pathway information carefully to ensure an understanding of 2022 Pathway eligibility and requirements. You also should review the Important Information for 2021 Pathway Applicants.