Buy an ECFMG Certificate. Order an ECFMG diploma. The USMLE (United States Medical Licensing Examination) is the United States Medical Licensing Examination, jointly administered by the National Federation of Medical Schools (FSMB) and the National Board of Medical Examiners (NBME), with the Educational Council for Foreign Medical Graduates (ECFMG) responsible for administering the exams to international candidates.

The exam consists of three steps: Step 1 assesses the application of basic medical science concepts, focusing on the principles of health, disease, and treatment mechanisms; Step 2, Clinical Knowledge (CK), assesses the ability to provide patient care under supervision; Step 3 focuses on the medical knowledge required for unsupervised practice, emphasizing outpatient management.

Step 1 is open to medical students who have not yet graduated (providing proof of completion of basic medical science courses). Step 2 CK requires medical school graduation or completion of full medical education within at least twelve months. Step 3 requires ECFMG certification and must be taken in the United States [2-3]. Candidates must meet the educational requirements for IMED (International Directory of Medical Education) accreditation. Financial assistance programs are available for Step 1 and Step 2 CK. Exam information can be obtained through the Bulletin of Information and the official website. Starting in the fall of 2025, Step 3 will be field-tested at the Prometric testing center, and Canadian medical graduates will be classified as International Medical Graduates (IMGs) after July 1 of the same year [2]. The test rules include identity verification, violation handling procedures and biometric system, the score report shows a three-digit score and provides a retake policy, and the number of attempts will be adjusted after July 2021 [3].