ECFMG Certification study materials
ECFMG Certification study resources

ECFMG Certification case studies

ECFMG Certification · Put your knowledge to work in context.

ECFMG Certification is the standard ECFMG uses to evaluate the qualifications of international medical graduates (IMGs) entering the U.S. ECFMG defines an IMG by the location of the medical school, not by citizenship: individuals who received their basic medical degree from a medical school located outside the United States are IMGs, so U.S. citizens who graduated abroad are included, while non-U.S. citizens who graduated from U.S. Topics on this exam: Medical School Requirements (World Directory listing with ECFMG Sponsor Note covering the graduation year), Application for ECFMG Certification via the MyIntealth Applicant Portal, Examination Requirements (USMLE Step 1 and Step 2 CK; ECFMG Pathway with OET Medicine or former Step 2 CS), and Medical Education Credential Requirements (four credit years and verified final medical diploma). The ECFMG Certification case studies are 5 cases and about 2,428 words.

1

Sponsor Note Period vs. Diploma Date

graduated from a medical school in Country X in June 2022. The school’s World Directory of Medical Schools entry includes an ECFMG Sponsor Note stating that it covers graduates “from 2012 through 2020.” Dr.

422 words, about 2 min
2

Name Mismatch in a MyIntealth Application

Mei Lin Chen applies for ECFMG Certification through MyIntealth. She submitted the application under “Mei Lin Chen” and uploaded the diploma and transcript as issued.

510 words, about 3 min
3

Former Step 2 CS Pass vs. a Failing OET Medicine Subtest

passed USMLE Step 1 in 2018 and Step 2 CK in 2024. She also passed the former USMLE Step 2 CS in 2019.

526 words, about 3 min
4

Transfer Credit and the Four Credit-Year Requirement

began medical school at University A in Country A in 2018 and completed two academic years there. In 2020 she transferred to University B in Country B, where she completed three academic years and received her final medical diploma in 2023.

492 words, about 2 min
5

Fourth Step 2 CK Attempt and the Seven-Year Window

first took USMLE Step 1 in March 2017 and failed. He passed Step 1 in September 2017.

478 words, about 2 min