Intealth ECFMG

ECFMG 2026 Information Booklet

Examination Requirements for ECFMG Certification


Certain Former Exams Not Accepted

All IMGs pursuing ECFMG Certification must meet the current examination requirements. Passing performance on the following former examinations cannot be used to meet the examination requirements for ECFMG Certification:

  • ECFMG Examination;
  • Federation Licensing Examination (FLEX);
  • Visa Qualifying Examination (VQE);
  • Foreign Medical Graduate Examination in the Medical Sciences (FMGEMS);
  • NBME Part I and Part II; and
  • ECFMG Clinical Skills Assessment (CSA).

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[Last update: January 9, 2026]

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