The Complete IMG Residency Guide: USMLE, ECFMG, OET and the Match
By Doctor Sebas × Project IMG · Updated October 19, 2026
One complete Doctor Sebas guide to USMLE study, ECFMG, OET, clinical experience, research, applications, interviews, Step 3 and residency planning.
Turn this guide into a connected training plan
Read a chapter, practice the related skill, review what you missed and return to your route. These activities complement your exam-specific preparation and official application resources. Choose the tools that fit your current stage. Each tool keeps its own progress.
CardioLab: Practice ECG interpretation and murmur recognition. Explain what you noticed before revealing an answer. Next: Then explain the same finding aloud, as if presenting to your team. Practice with CardioLab →
EndoLab: Choose an endocrine topic, read the explanation, then practice its questions. Compare your reasoning with the explanation after answering. Next: Return to your question bank and look for the same reasoning pattern. Practice with EndoLab →
ChartSim EMR: Work through a simulated patient chart. Justify your orders and next steps, then review the case feedback. Use it alongside your exam-specific preparation. Next: Write the assessment and plan in Note Lab. Practice with ChartSim EMR →
Note Lab: Practice a focused H&P, SOAP note, consult or discharge summary. Make the problem representation, assessment and plan easy for another clinician to follow. Next: Give a concise verbal handoff without reading the entire note. Practice with Note Lab →
Doctor Sebas Languages: Practice listening, speaking and patient-facing language. Use this to build communication habits alongside the official OET preparation materials. Next: Try a short patient explanation and check whether it is clear and jargon-free. Practice with Doctor Sebas Languages →
Personal Statement Lab: Choose your specialty and build a statement from real moments. Explore patient stories, teamwork, leadership, volunteering or a personal turning point. You can also paste a draft and review what is missing. Next: Use the same facts to prepare interview examples. Final application prose should be in English. Practice with Personal Statement Lab →
Practice Filling Out ERAS: Open the Lab and select ERAS Practice. Organize education, experiences, meaningful reflections, scholarly work and document assignments. Check character counters and download a backup before copying to MyERAS. Next: Compare the practice draft with the current AAMC worksheet and your actual MyERAS portal. This tool does not submit applications. Practice with Practice Filling Out ERAS →
Letters of Recommendation Lab: Open Letters in the Lab. Prepare a request and a factual achievement sheet for a supervisor who knows your work. Include examples they personally observed. Next: Confirm the request, deadline and official submission instructions with the writer. Practice with Letters of Recommendation Lab →
Interview Prep: Choose an interview, practice timed answers and review the feedback. Use your actual ERAS experiences and personal statement so your spoken answers tell a consistent story. Next: Practice “why this specialty,” teamwork and an example of growth. Use outlines, not memorized scripts. Practice with Interview Prep →
Use the interactive guide to choose your next activity. Its training checklist and notes save on your device; you can download your practice plan. Open the USMLE guide →
Use the contents below to jump to a chapter. Read the explanations here, then follow the practice links when you are ready to work on a skill.
Contents
1. Start here: eligibility, ECFMG, accreditation and registration
Understanding the USMLE
The United States Medical Licensing Examination (USMLE) is a three-Step medical licensing examination sequence used on the U.S. physician licensure pathway. For an IMG it also does a second job: Step 1 and Step 2 CK are part of the requirements for ECFMG Certification, which you need to enter a U.S. residency.
Step 1 Basic science applied to medicine 1 day · 14 blocks · Pass/Fail
Step 2 CK Clinical knowledge and reasoning 1 day · 16 blocks · 3-digit score , numerically scored
Step 3 Independent practice and management 2 days · MCQ + CCS cases · numerically scored
Who does what
Organization: USMLE program (FSMB + NBME) · What it does for you: Owns the exams, the rules and the Bulletin of Information.
Organization: FSMB · What it does for you: Since January 12, 2026, handles USMLE registration, permits, scores and transcripts for all IMGs and for all three Steps.
Organization: Intealth / ECFMG · What it does for you: Verifies your medical school and diploma, runs the Pathways, and grants ECFMG Certification. Your account is MyIntealth.
Organization: NBME · What it does for you: Writes the exams and sells the official self-assessments (CBSSA, CCSSA, CCMSA).
Organization: Prometric · What it does for you: Runs the test centers where you sit the exam.
Organization: OET · What it does for you: Runs OET Medicine, the English communication test ECFMG requires.
What changed in 2026
IMG exam registration moved to FSMB. IMGs now apply for Step 1, Step 2 CK and Step 3 through the FSMB USMLE portal. ECFMG still decides eligibility and certification.
Shorter blocks. Step 1 (from May 14, 2026) and Step 2 CK (from May 7, 2026) now use 30-minute blocks of up to 20 questions, with a new interactive testing software.
Same fees for 2026 and 2027: $695 for Step 1, $695 for Step 2 CK, $955 for Step 3. Testing outside the U.S. and Canada adds an international surcharge.
The order most IMGs follow
You can take Step 1 and Step 2 CK in either order once you are eligible. Most IMGs go Step 1 → Step 2 CK → OET → Pathway → ECFMG Certification → ERAS and the Match → Step 3, often during residency. Your situation (graduation status, license, Match year) can change that order. The next stops walk through each piece.
Dr. Sebas tip: Step 1 is Pass/Fail, so programs look harder at your Step 2 CK score. Treat Step 1 as your foundation and Step 2 CK as your number.
Official sources: USMLE Bulletin · Service transition · FSMB fees
Am I eligible? Your school and ECFMG
Before you study a single page, make sure your medical school and your documents will be accepted. This is the step people skip, and it is the one that can block everything later.
Check these in order
Find your school in the World Directory of Medical Schools (WDOMS). Open the ECFMG tab and read the Sponsor Notes. Being listed is not enough: the notes say which graduation years are eligible.
Create your MyIntealth account and complete the application for ECFMG Certification. Use the name and identity details required by MyIntealth and your exam registration organization; resolve inconsistencies before testing.
Verify your credentials. Intealth contacts your school to confirm your diploma and transcript. Ask your school who handles this, because a slow response delays your exams.
Students: you can test while enrolled if your school confirms you are an officially enrolled student. Graduates: your diploma must be verified.
Then apply for the exam in the FSMB USMLE portal (next stop).
Time limits you must track yourself
Rule: Seven-year window · What it means: For ECFMG, your exam requirements must be met within seven years starting from the first exam you pass. Your Pathway must also be accepted inside that window. ECFMG does not send reminders.
Rule: Attempt limits · What it means: No more than three attempts at the same Step in 12 months. A fourth attempt needs at least 12 months since your first attempt and 6 months since your most recent one. If you have attempted a Step four or more times without passing (incomplete attempts count), you can no longer apply for any Step.
Rule: Retaking a passed Step · What it means: You cannot retake a Step you passed to improve your score. Limited exceptions can apply under the USMLE policy for time limits imposed by recognized authorities. Check the official rule for your situation.
Before you pay anyone: no agency can make you eligible, speed up verification, or guarantee a result. Eligibility comes only from WDOMS, Intealth and the USMLE rules.
Dr. Sebas tip: Every attempt stays on your transcript. Book the exam when your practice data says you are ready, not when the calendar says so.
Official sources: WDOMS · ECFMG Certification · Pathways (7-year rule) · Attempt limits
Your school’s accreditation and the WFME
The World Federation for Medical Education (WFME) does not accredit medical schools. It reviews the agencies that accredit them, and recognizes the ones that meet international standards. Intealth (ECFMG) uses that recognition in two places.
1. The Recognized Accreditation Policy
What it says: When · A school meets the policy if it is accredited by an agency recognized by the WFME or by the U.S. NCFMEA (National Committee on Foreign Medical Education and Accreditation), and it meets ECFMG’s medical school requirements.: Introduced by ECFMG in 2010 (first called the “2023 requirement”). Implementation began in November 2024.
What it says: Does it block the USMLE? · A school meets the policy if it is accredited by an agency recognized by the WFME or by the U.S. NCFMEA (National Committee on Foreign Medical Education and Accreditation), and it meets ECFMG’s medical school requirements.: No. Intealth states that the policy does not affect eligibility to take the USMLE.
What it says: Does it block ECFMG Certification? · A school meets the policy if it is accredited by an agency recognized by the WFME or by the U.S. NCFMEA (National Committee on Foreign Medical Education and Accreditation), and it meets ECFMG’s medical school requirements.: No. Intealth states it has no impact on eligibility for ECFMG Certification. You can apply even if your school does not meet it.
What it says: How to check · A school meets the policy if it is accredited by an agency recognized by the WFME or by the U.S. NCFMEA (National Committee on Foreign Medical Education and Accreditation), and it meets ECFMG’s medical school requirements.: Find your school in WDOMS, open the Sponsor Notes tab, and look for the accreditation notation below the ECFMG Sponsor Note.
Why care if it does not block you? Intealth says the policy will keep evolving, and accreditation is how residency programs and state boards judge where you trained. It also decides which Pathway you can use.
2. Pathways 3 and 4
Pathway 3 is for students and recent graduates of schools accredited by a WFME-recognized agency. Pathway 4 is for schools accredited by an agency with an NCFMEA comparability decision. Also review Pathway 5 for eligible joint-degree schools. Pathway 6 applies when Pathways 1–5 do not apply, or when required because of a prior Step 2 CS failure. The current ECFMG eligibility details determine your route.
Check yourself in four steps
Search your school in WDOMS and read the ECFMG Sponsor Notes for your graduation year.
Look for the Recognized Accreditation Policy notation under the Sponsor Note.
Find your country in the World atlas and see which agency is WFME-recognized there and until when.
Ask your dean’s office which agency accredits your school and when its accreditation was last renewed.
All WFME-recognized agencies by country
Some agencies work in many countries (for example CAAM-HP and ACCM in the Caribbean, IAAR and ECAQA in Central Asia, TEPDAD in the Middle East). Dates show the end of the recognition period listed by WFME.
Agencies currently applying for WFME recognition
Croatia (ASHE), Bangladesh (BMEAC), selected French-speaking countries such as Cameroon, Morocco and Tunisia (CIDMEF), Greece (HAHE), Nepal (MEC), Bulgaria (NEAA), Uzbekistan (NQAAE), Vietnam (VNU-HCM Center for Education Accreditation) and Yemen (CAQA, process paused).
Dr. Sebas tip: Ask your school for its accreditation in writing early. It takes one email now, and saves you weeks when you fill out your Pathway application.
Official sources: Intealth accreditation policy · WFME agencies · WDOMS · 2027 Pathways
Apply, pay and schedule your exam
From application to a seat at Prometric
Create your FSMB account and apply for the Step in the USMLE portal. Pay the fee and choose a three-month eligibility period.
Wait for ECFMG to confirm eligibility. Once approved, your scheduling permit appears in the portal. Download it.
Check the name on the permit against your passport, letter by letter. If it does not match, fix it before exam day.
Book at Prometric with the number on your permit. Seats go first come, first served, and you can book up to about six months ahead.
Save everything: permit, confirmation number, receipts and dates.
Build a current exam budget
Check the FSMB fee schedule and your checkout total for the Step application, international delivery charges, taxes, eligibility changes and rescheduling. Record the source and date; do not assume a figure from a screenshot applies to your testing region.
Application fees are non-refundable and non-transferable. If you do not test in your eligibility period, you have to apply and pay again.
Test accommodations
If you have a documented disability, request accommodations through the USMLE accommodations process before you schedule. Approval takes time.
Dr. Sebas tip: Pick your eligibility period backwards from the date you want to test, and leave room to move the date once. Don’t buy a nonrefundable flight until your appointment is confirmed.
Official sources: FSMB USMLE · Applying & scheduling · Prometric USMLE · Accommodations
Check your understanding
Since January 2026, where does an IMG apply for Step 1?
The FSMB USMLE portal — FSMB now manages USMLE registration for all IMGs. ECFMG still decides eligibility and grants certification.
Which Step is reported only as Pass/Fail?
Step 1 — Step 1 has been Pass/Fail since January 26, 2022. Step 2 CK and Step 3 keep a three-digit score.
What is the minimum passing score for Step 2 CK?
218 — 218, for exams taken on or after July 1, 2025.
Your school appears in WDOMS. Are you automatically eligible?
No, read the ECFMG Sponsor Notes for your graduation year — The Sponsor Notes say which students and graduation years ECFMG accepts.
How many times can you take the same Step in 12 months?
Three — Three attempts within 12 months, with extra waiting rules for a fourth attempt.
Who does the WFME recognize?
Accrediting agencies — WFME recognizes accrediting agencies. Agencies accredit schools.
Your school does not meet the Recognized Accreditation Policy. Can you still take the USMLE?
Yes — Intealth states the policy does not affect USMLE eligibility or ECFMG Certification eligibility.
Which Pathway is for schools accredited by a WFME-recognized agency?
Pathway 3 — Pathway 3. Pathway 4 is the NCFMEA equivalent.
How long is a USMLE eligibility period?
Three months — Check the current application instructions, eligibility period and fee schedule before booking or making a change.
Which document do you need to book at Prometric?
Your scheduling permit — The scheduling permit, downloaded from the portal once eligibility is confirmed.
2. Step 1 and Step 2 CK: formats and a study system
Step 1: the foundation
Step 1 tests whether you can apply basic science to clinical situations: mechanisms, pathophysiology, pharmacology, microbiology, behavior, biostatistics and ethics. Memorizing isolated lists is not enough. You have to explain why a finding happens and what it changes.
Exam day format (from May 14, 2026)
The blocks are shorter than before. Practice switching blocks often and deciding when to use your breaks.
A study system that works
Piece: One main question bank · How to use it: Tutor mode by system at first, then timed random blocks. · How you know it’s working: Accuracy goes up and the same mistakes stop repeating.
Piece: Error log · How to use it: Write why you missed it (knowledge, reasoning, reading, timing, language) and one short rule. · How you know it’s working: You have short rules you review on a schedule.
Piece: Targeted content · How to use it: Videos or text only for the weak areas your questions show you. · How you know it’s working: Less passive reading.
Piece: Active recall · How to use it: Explain without looking. Use flashcards selectively. · How you know it’s working: You remember it on new questions.
Piece: NBME CBSSA · How to use it: The official Step 1 self-assessment, every few weeks. · How you know it’s working: A clear trend and named weak areas.
How long should you study?
Length: 8 weeks · Hours / week: 45–60 h · Shape: Baseline, intense question bank, error review, CBSSA in weeks 1, 4 and 7–8.
Length: 12 weeks · Hours / week: 25–40 h · Shape: Targeted foundations, questions by system then mixed, CBSSA every 3–4 weeks.
Length: 16 weeks · Hours / week: 20–35 h · Shape: Rebuild weak bases, progressive questions, mixed final phase.
Length: 24 weeks · Hours / week: 15–25 h · Shape: Basic science plus systems, gradual questions, dedicated final period.
Build your own week-by-week version in Your study toolkit.
How to work a question
Read the last line first. What mechanism or relationship is being tested?
Separate the key data from the noise.
Before reading the explanation, say why you chose your answer.
Label the error and write one short rule. Don’t copy the whole explanation.
Test the rule on a different question 3–7 days later.
The last 14 days
Do at least one full simulation with breaks.
Practice the official testing software and sample questions on usmle.org.
Stop adding new resources.
Check your ID, permit, center and transport.
Protect sleep and meals.
If you are retaking
More hours alone won’t fix it. Look at your score report, your error types, the exam-day logistics, your health and how you used your resources. Then build a different plan.
Dr. Sebas tip: There is no universal CBSSA score that means ‘book it’. Look at the trend across several assessments, your timing, and whether you can explain your mistakes.
Official sources: Step 1 content · Step 1 materials · NBME CBSSA
Step 2 CK: your score
Step 2 CK tests clinical knowledge for supervised patient care: diagnosis, choosing tests, treatment, prevention, communication, safety and professionalism. Read every question as a clinical decision. Because Step 1 is Pass/Fail, this score carries a lot of weight in your residency application.
Exam day format (from May 7, 2026)
Nine hours is long. Plan your breaks so you are not exhausted for the last blocks.
A reasoning framework for every question
Is the patient stable or unstable? How urgent is it?
What is the task: diagnosis, test, treatment, prevention, prognosis, ethics or safety?
Tell apart best initial test, most accurate test and next best step.
Factor in age, pregnancy, other conditions and timing.
Remove options that are too early, too late, too invasive or irrelevant.
Include communication and what the patient wants.
High-yield areas people underestimate
Screening and prevention (follow the USPSTF, CDC, ACOG and AAP guidelines)
Ethics, consent, capacity and confidentiality
Quality improvement and patient safety
Communication and disclosing medical errors
Obstetric and pediatric emergencies
First steps for an unstable patient
Biostatistics and reading studies
Plans and self-assessments
Length: 8 weeks · Best for: Full-time dedicated study · Shape: Intense question bank, selected CMS forms, CCSSA, timed mixed blocks, close gaps.
Length: 12 weeks · Best for: Working or on rotations · Shape: Questions by system, error log, mixed phase, CCSSA monthly.
Length: 16 weeks · Best for: Uneven clinical base · Shape: Targeted clinical review, progressive questions, CMS, simulations.
CCSSA is the NBME self-assessment for Step 2 CK. Clinical Science Mastery Series (CMS) forms let you test one discipline at a time. After each one, write down the date, your weak areas and one concrete action.
Timing it with ERAS
For the 2027 Match, programs began reviewing applications on September 23, 2026. Scores usually take about four weeks to report. If your Step 2 CK score is part of your application, test early enough for it to arrive.
Dr. Sebas tip: Set your target score from your specialty and the programs you want, then adjust it with real data from your self-assessments. Other people’s scores on social media are not your plan.
Official sources: Step 2 CK content · Step 2 CK materials · NBME CCSSA · NBME CMS
Current block structure
For examinations on or after May 14, 2026, Step 1 uses fourteen 30-minute blocks within an eight-hour session. Step 2 CK uses sixteen 30-minute blocks within a nine-hour session for examinations on or after May 7, 2026. Each block contains up to 20 questions. Use the official practice interface for your exam date.
More Doctor Sebas study guidance
Practice the system you just studied
After reviewing cardiovascular reasoning, use CardioLab for additional ECG, murmur and cardiovascular practice. After reviewing endocrine topics, use EndoLab to connect concepts with visual study and questions. Return to your error log afterward and record what you still need to clarify.
Check your understanding
How long is each Step 1 block in the 2026 format?
30 minutes — 14 blocks of 30 minutes, up to 20 questions each.
What is the official NBME self-assessment for Step 1?
CBSSA — CBSSA (Comprehensive Basic Science Self-Assessment). CCSSA is for Step 2 CK and CCMSA for Step 3.
What goes in your error log?
The reason you missed it and one short rule — Short rules you can re-test are what make the log useful.
How many 30-minute blocks are in Step 2 CK?
16 — 16 blocks in a 9-hour day.
What should you decide first in a clinical vignette?
Whether the patient is stable — Stability and urgency come first. They change what the next step can be.
3. OET Medicine and the ECFMG Pathways
OET Medicine and the Pathways
The examination components of ECFMG Certification include medical science (Step 1 and Step 2 CK), clinical skills (a Pathway) and communication skills (OET Medicine). All applicants using a Pathway must meet its OET Medicine requirement, regardless of native language or citizenship. Applicants who already satisfied the clinical and communication requirements through a former accepted examination follow their applicable ECFMG rules.
The four OET Medicine subtests
Subtest: Listening · Time: ≈ 40–45 min · What you do: Consultation extracts, workplace audio and presentations · ECFMG minimum: 350
Subtest: Reading · Time: 60 min · What you do: Quick scanning and detailed healthcare texts · ECFMG minimum: 350
Subtest: Writing · Time: 45 min · What you do: One letter (usually referral) from case notes · ECFMG minimum: 300
Subtest: Speaking · Time: ≈ 20 min · What you do: Two role-plays with a patient played by an interlocutor · ECFMG minimum: 350
All four minimums in one sitting. If you miss one, you retake all four.
Scores must be from a test taken on or after January 1, 2025.
No limit on retakes, as long as there are dates available.
For results released on or after May 14, 2026, give OET your MyIntealth ID (not your USMLE ID) when you book, so results reach ECFMG.
Results usually come about 10 business days after the test, and take about 3 more business days to show in your Pathways application.
Formats: paper or computer at a venue. OET@Home counts only if your country has no venue. Check OET’s booking portal for the current total for your test format and location.
The six Pathways (clinical skills)
Pathway: 1 · For whom: Currently or recently licensed to practice without supervision in another country. If you qualify, you must use Pathway 1.
Pathway: 2 · For whom: Passed a licensing OSCE given by your school and required by your country’s regulator.
Pathway: 3 · For whom: Student or recent graduate of a school accredited by a WFME-recognized agency.
Pathway: 4 · For whom: Student or recent graduate of a school accredited by an agency with an NCFMEA comparability decision.
Pathway: 5 · For whom: School that grants a joint degree with a U.S. LCME-accredited school.
Pathway: 6 · For whom: Everyone else. Licensed physicians evaluate your clinical skills with the ECFMG Mini-CEX for Pathway 6. Required if you ever failed Step 2 CS.
Deadlines for the 2027 Match
Take OET Medicine by the last test date in December 2026.
Submit your Pathway application, OET scores and documents by January 31, 2027.
All exam requirements must be met by the NRMP Rank Order List deadline.
A certificate based on a Pathway can expire with that Pathway unless it is revalidated, so read the expiration rules for your cycle.
Dr. Sebas tip: Treat OET like a clinical exam, not an English class. Practice speaking role-plays out loud with a partner and get your letters corrected. Our Project IMG Discord is a good place to find a study buddy.
Official sources: ECFMG OET rules · 2027 Pathways · OET
A weekly OET practice routine
Choose a recurring appointment for each skill rather than practicing only the section you enjoy. Record one speaking role-play, identify one communication habit to improve, rewrite one referral letter after feedback, and review the reason for each listening or reading error. Track your next action, not just the practice score.
Check your understanding
What OET Writing score does ECFMG require?
300 — 300 on Writing, and 350 on Listening, Reading and Speaking, all in one sitting.
You passed three OET subtests and missed Speaking. What now?
Retake all four subtests — ECFMG requires all four minimums in a single administration.
You are licensed in your country. Which Pathway applies?
Pathway 1 — If you qualify for Pathway 1 you must use it, unless you failed Step 2 CS.
4. Exam day, score reports and retakes
Exam day at Prometric
What happens when you arrive
Arrive at least 30 minutes early with your scheduling permit (paper or electronic) and a valid, unexpired government photo ID with your signature, usually your passport. The name must match the permit exactly. If you are more than 30 minutes late you will not be admitted and must pay to reschedule.
Check-in: Prometric verifies your ID, takes your photo and runs a security check. Everything goes in a locker. Phones and devices must be turned off, not just silenced.
In the room: staff give you laminated writing surfaces and markers, and your station has headphones. You may bring only your locker key and ID. Soft-foam earplugs without strings are an approved item.
Breaks: taken only between blocks. You sign out and back in each time. If you use more than your break time, the extra is taken from your testing time.
A technical problem? Tell the test center staff right away, then email testadmin@nbme.org within 10 calendar days with your name, USMLE ID, exam, date and what happened. If you skip either step you may lose the right to a remedy.
Your break strategy
You get at least 55 minutes of break time for Step 1 and Step 2 CK (more if you skip the tutorial). A common plan is a short break every two or three blocks and a longer break in the middle for food. Practice the plan in your simulations.
Dr. Sebas tip: Your break time is a resource. Don’t spend it rereading notes or talking about questions. Eat, drink water, rest your eyes, go back in.
Official sources: Exam day & testing · Prometric USMLE
Scores, transcripts and ECFMG Certification
When results arrive
Results are usually ready within four weeks of your test date. Allow up to eight weeks before you worry. You get an email when your score report is available in the portal.
Exam: Step 1 · Reported as: Pass / Fail · Minimum to pass: Pass (standard set internally)
Exam: Step 2 CK · Reported as: 3-digit score · Minimum to pass: 218
Exam: Step 3 · Reported as: 3-digit score · Minimum to pass: 200
Transcripts for ERAS
Check the current FSMB fee schedule and the amount shown for your specific service, exam and testing region before paying. Include taxes, travel and any rescheduling costs in your budget.
If you did not pass
Read the performance profile: it shows your weaker areas.
Check the waiting rules before you reapply (Stop 2).
Change the method, not just the hours. Talk to a mentor before you book again.
Becoming ECFMG certified
When Step 1, Step 2 CK, OET and your Pathway are complete and your diploma is verified, ECFMG issues your certificate. You need it to start residency, and as an IMG you need it before you can apply for Step 3.
Dr. Sebas tip: A failed attempt is information, not the end of your path. Many residents had one. What programs look for is what you changed and how you did after.
Official sources: Results & scoring · FSMB transcripts
Before planning another attempt
Review your score report, preparation method and exam-day conditions. Check the current attempt limit, waiting periods and any licensing-board time limits before booking. The USMLE eligibility policy addresses incomplete attempts and restricted exceptions for retaking a previously passed Step.
Check your understanding
What can you take into the testing room?
Your locker key and ID; staff give you the writing surfaces — Everything else goes in the locker. Staff provide laminated writing surfaces and markers.
You have a technical problem during a block. What do you do?
Tell staff right away, then email USMLE within 10 days — Tell the staff on the day and email testadmin@nbme.org within 10 calendar days. Survey comments do not count.
How long do results usually take?
About four weeks — Typically within four weeks; allow up to eight.
Which organization sends your USMLE transcript to ERAS for 2026–2027?
FSMB — FSMB handles USMLE transcripts for ERAS.
5. Step 3 and CCS practice
Step 3: ready for independent practice
Step 3 is the last exam in the series. It asks whether you can manage patients without supervision. Many IMGs take it during residency. Some take it before the Match because it can help with certain visa sponsorships, but that decision depends on your situation.
Who can apply
An MD or equivalent degree
Passed Step 1 and Step 2 CK
ECFMG Certification (for IMGs)
Apply through the FSMB portal. Testing is only in the U.S. and its territories.
Passing Step 3 does not give you a license. Each state has its own extra requirements.
Two exam days
: Focus · Day 1: Applied science, pharmacology, epidemiology, ethics, biostatistics · Day 2: Diagnosis, management, prognosis, prevention, follow-up
: Prepare with · Day 1: Biostatistics, reading abstracts, applied basic science · Day 2: Clinical management and CCS practice
CCS: Computer-based Case Simulations
You manage a virtual patient in simulated time, writing orders the way you would in an electronic chart. Work every case in this order:
Check stability and immediate threats.
Do urgent interventions without waiting for tests when needed.
Order relevant studies. Avoid ordering everything.
Choose the right care setting and consults.
Reassess results and response.
Add prevention, counseling and follow-up.
Close the case with a coherent plan.
Practice CCS-style cases with the Project IMG EMR simulator on doctorsebas.com, and use the official CCS practice software on usmle.org to learn the real interface.
Common mistakes
Studying Step 3 as a repeat of Step 2 CK
Leaving CCS until the last days
Ignoring pharmacology, biostatistics and ethics on Day 1
Ordering too much in CCS without priorities
Not planning around call schedules and fatigue
CCMSA is the NBME self-assessment for Step 3 (200 questions).
Dr. Sebas tip: Start CCS practice in week one, not week six. The interface is a skill of its own, and it only gets faster with reps.
Official sources: Step 3 content · Step 3 materials · FSMB Step 3 · NBME CCMSA
Make CCS practice measurable
After a fictional case, write down the task you missed: identifying instability, prioritizing the first action, choosing a care setting, reviewing a result or arranging follow-up. Repeat the case with one improvement target. The Doctor Sebas simulator provides additional practice; use official USMLE software to learn the actual examination interface.
Practice communicating your clinical reasoning
Use Note Lab to turn a fictional case into a clear clinical note. Practice explaining your reasoning, writing a focused assessment and organizing the plan. These tools support study and rehearsal; they do not grant clinical privileges or replace supervised training.
Check your understanding
Can you take Step 3 in Canada?
No, only in the U.S. and its territories — Step 3 is only offered in the U.S. and its territories.
In a CCS case, what comes first?
Assess stability and treat immediate threats — Stabilize first. Tests and follow-up come after.
6. USCE, research, applications, interviews and the Match
From the exams to the Match
Passing the required exams is one part of eligibility. Your complete application helps programs decide whom to interview. Start preparing well before your application service opens.
Use Match data carefully
Review the current NRMP reports for your applicant group and specialty. A group match rate describes a population; it does not predict an individual applicant’s chance of matching.
Build your application calendar
Use the AAMC timeline for ERAS programs, the application service used by your specialty, the NRMP calendar and each program’s instructions. Submission, review, interview, ranking and Match Week dates are different milestones. Certification and document deadlines need their own buffer.
U.S. clinical experience (USCE)
Type: Elective · What it is: A rotation for enrolled students · Check before you commit: Active enrollment, VSLO and the hospital’s rules
Type: Hands-on / externship · What it is: Supervised clinical participation · Check before you commit: Legal scope, insurance and a written policy
Type: Observership · What it is: Observing, no clinical responsibility · Check before you commit: Don’t assume patient contact or a letter
Type: Research · What it is: Work on a project or in a group · Check before you commit: Your role, mentor, ethics approval and authorship
What goes into a residency application
Personal information, education and training
Experiences, including your most meaningful ones
Publications, research, volunteering
Exams and certifications (your USMLE transcript from FSMB)
Personal statement and photo
Letters of recommendation, now through the AAMC Letter Writer Portal
MSPE and medical school transcript
Program signals, where your specialty uses them
A 12-month plan
Months before: 12–9 · Goals: Step 2 CK, ECFMG and OET, CV, research and USCE
Months before: 9–6 · Goals: Ask for letters, draft your personal statement, first list of programs
Months before: 6–3 · Goals: ERAS token, documents, photo, signals, budget
Months before: 3–0 · Goals: Submit, interviews, professional follow-up, NRMP registration
Months before: Match Week · Goals: Results, SOAP if needed, next steps
Red flags: anyone who guarantees an interview, a letter or a Match; paid experiences with no written contract; and invented experiences or publications. Programs check.
When interviews come, practice with the Project IMG interview simulator on doctorsebas.com and our live interview prep Discord.
Dr. Sebas tip: Rank programs by where you truly want to train, not by where you think you will match. The algorithm works in your favor when your list is honest.
Official sources: AAMC ERAS 2027 timeline · NRMP calendar · AMA observerships · VSLO
Finding research you can contribute to
Start with a question you want to understand and a mentor whose work fits it. Offer a concrete, realistic contribution: a literature review, supervised data work, an approved project task or help organizing a study. State your current skills honestly, ask how supervision works and clarify the time commitment. Research is not a substitute for clinical eligibility or a guarantee of an interview.
Keep a record of your actual contribution, the project’s approval requirements, team responsibilities, deliverables and publication status. Do not call a submitted paper published or assume authorship before the team discusses it.
Prepare for interviews with your own stories
Build a small story bank covering teamwork, feedback, a challenge, patient communication and why your specialty fits you. Practice speaking aloud, listen for vague answers and refine one response at a time. Use the simulator as rehearsal, then discuss your application with a trusted mentor.
Application services differ
Check the service used by your specialty and each program. ERAS is an application service, while the NRMP operates a matching process; registering with one does not automatically register you with the other. Some specialties use other application or matching systems. Keep those accounts and deadlines separate.
Practice communicating your clinical reasoning
Use Note Lab to turn a fictional case into a clear clinical note. Practice explaining your reasoning, writing a focused assessment and organizing the plan. These tools support study and rehearsal; they do not grant clinical privileges or replace supervised training.
Check your understanding
Does an observership usually include hands-on patient care?
No, it is usually observation only — Confirm in writing what you will be allowed to do.
How do letter writers submit letters for the 2027 ERAS season?
Through the AAMC Letter Writer Portal — AAMC moved letters to the Letter Writer Portal starting with ERAS 2027.
7. Visa sponsorship and medical licensure planning
Start with the program and the official sponsor
Visa sponsorship, permission to work, a training permit, an unrestricted medical license and specialty board certification are different requirements. A program’s willingness to interview an applicant does not establish that it can sponsor that applicant’s training.
Questions to ask before you apply
Ask which immigration categories the institution supports for the current cycle, which office handles sponsorship, what examination or document deadlines it sets, and whether the policy applies to your track. Request the current written instructions rather than relying on an old program list.
J-1 physician sponsorship
Intealth’s Exchange Visitor Sponsorship Program administers J-1 sponsorship for eligible foreign national physicians in U.S. clinical training. Read its current application and training rules with your institution’s responsible office. Ask about the documents required for your circumstances, renewal timing, permitted activities and obligations after training.
Employer-sponsored options
Some institutions consider an H-1B or another appropriate category. Availability and eligibility depend on the petition, your circumstances, institutional policy and applicable law. Confirm the plan with the institution’s immigration office or qualified counsel. Do not base your application budget on a generalized social-media claim about fees or exemptions.
Licensure after the exams
Passing the USMLE sequence does not itself issue a medical license. Each state medical board sets its application, credential, training and examination requirements. Read the board’s current instructions for the state where you intend to train or practice, including rules that may depend on your educational background.
Your planning sheet
Record: institution and track; sponsorship office; current policy source and date; required documents; examination timing; training-permit requirements; renewal steps; and questions awaiting written clarification. Review it before committing to an offer or an application expense.
This section explains how to research the process. It does not determine personal immigration or licensure eligibility.
8. Study toolkit and common IMG questions
Build a plan from your available time
Choose the exam you are preparing for, a realistic number of weeks and the hours you can consistently protect. Set a baseline assessment, schedule question blocks and error review, then reserve time to reassess before your intended test date. Your plan should change when the results show a different need.
Use all six planning tools
Study plan: list the weekly question and review tasks. Budget: separate official fees from your own estimates and update them before paying. Self-assessment tracker: record the date, assessment, result and next action. Error log: classify the reason for a mistake. Biostatistics practice: explain the meaning of each measure rather than memorizing formulas alone. Registration checklist: track identity, eligibility, permit, appointment and travel.
A useful error log
For each missed question, label the main problem: knowledge, reasoning, reading, timing or language. Write one short rule, test it on a new question and return to it later. Copying a long explanation creates notes; applying the rule shows learning.
How to review your self-assessments
Compare assessments over time and note the circumstances: interrupted study, fatigue, a changed test format or an unfamiliar question style. A single practice result cannot promise an examination outcome. Use the official assessment interpretation and a mentor’s input when deciding whether to test.
Common USMLE and IMG questions
Do I have to take Step 1 before Step 2 CK?
No. Once you are eligible you can take them in either order. Most people take Step 1 first because it builds the base for Step 2 CK.
Is Step 1 still important if it is Pass/Fail?
Yes. Passing Step 1 is part of ECFMG’s medical science examination requirement. Prepare for a confident pass and use the foundation to support later clinical learning.
Where do I register now?
In the FSMB USMLE portal, for all three Steps. ECFMG (Intealth) still handles your eligibility, credentials, Pathway and certification through MyIntealth.
Can I take Step 3 outside the United States?
No. Step 3 is given only in the U.S. and its territories, such as Puerto Rico and Guam.
Do I need Step 3 to match?
Step 3 is not a universal prerequisite for matching. Check your own eligibility and each program’s requirements before deciding when to take it.
Does passing Step 3 give me a license?
No. Each state has its own requirements, including residency training.
What OET scores does ECFMG need?
350 in Listening, Reading and Speaking and 300 in Writing, all in the same sitting, from a test taken on or after January 1, 2025.
Can I take OET at home?
For ECFMG, only if your country has no physical OET venue. Otherwise take it on paper or computer at a venue.
Which Pathway is mine?
Use the current ECFMG eligibility page for all six Pathways. Licensed applicants may qualify for Pathway 1; other routes depend on accepted OSCEs, school criteria or supervised clinical encounter evaluations. Prior Step 2 CS failures have a specific Pathway 6 rule. Do not select a route from a short summary alone.
How many times can I take a Step?
At most three times in 12 months. A fourth attempt needs 12 months since the first and 6 months since the last. Four or more attempts at any one Step without passing (incomplete attempts count) make you ineligible for every Step.
Can I retake a Step I passed to improve my score?
You generally cannot retake a passed Step to raise your score. The USMLE policy describes limited exceptions for time limits imposed by recognized authorities.
Is there a time limit to finish everything?
ECFMG applies a seven-year window to its examination requirements, including Pathway acceptance. Pathway expiration and state licensing-board time limits are separate issues; track them separately.
How long do scores take?
Usually within four weeks of your test date. Allow up to eight weeks.
Is an observership hands-on?
Usually not. It is observation. Get in writing what you will be allowed to do, and don’t assume a letter of recommendation comes with it.
Which resources should I buy?
Start with the free official materials on usmle.org and plan the NBME self-assessments. Add one main question bank. Add other resources only to fix a specific weakness your data shows.
What is the WFME?
The World Federation for Medical Education. It recognizes accrediting agencies that meet international standards. It does not accredit individual schools. See the Accreditation stop and the agency finder.
If my school does not meet the Recognized Accreditation Policy, can I still take the USMLE?
Yes. Intealth states the policy does not affect USMLE eligibility or eligibility for ECFMG Certification. It does matter for Pathway 3, and Intealth says the policy may evolve.
How do I know if my school meets the accreditation policy?
Search your school in WDOMS, open the Sponsor Notes tab and look for the notation below the ECFMG Sponsor Note.
Is there a WFME-recognized agency in Latin America?
Yes. Argentina (CONEAU), Brazil (SAEME), Chile (CNA-Chile), Colombia (CNA), and Mexico, Costa Rica, Panama, El Salvador and Guatemala (COMAEM). The Caribbean has CAAM-HP and ACCM. Check the World atlas for every country.
What is on each Step?
Each Step stop has the official content outline from usmle.org as interactive bars, by system, discipline and physician task.
Can I trust dates I see on social media?
No. Use the official sites: USMLE, FSMB, NBME, Intealth/ECFMG, OET, Prometric, AAMC and NRMP.
Choose a practice tool for your next task
9. Country reference: test centers, accreditation and the 213-record atlas
World atlas: where to test and how your school is accredited
Every country and territory in one place. Switch the layer to see where you can sit Step 1 and Step 2 CK, or which countries have a WFME-recognized accrediting agency. Tap any country for its full card.
How to read the test-center layer
Reported means the country appeared in 2026 Prometric USMLE listings. Centers open, close and fill up, so confirm a real seat in the Prometric locator before you plan anything.
Step 3 is only given in the U.S. and its territories, wherever you live.
Testing Step 1 or Step 2 CK outside the U.S. and Canada adds the international surcharge.
OET runs at venues in many countries on paper or computer. ECFMG accepts OET@Home only if your country has no venue.
How to read the accreditation layer
It shows whether an accrediting agency that works in that country is recognized by the World Federation for Medical Education (WFME). That is about the agency, not your school. The next stop explains why it matters and how to check your own school.
Dr. Sebas tip: Testing abroad? Book the seat first, then the trip. Arrive the day before, find the building, and time the route at the same hour as your appointment.
Official sources: Prometric locator · USMLE scheduling · WFME recognized agencies · OET booking
Build a country-specific plan
Check the current Prometric locator for the exact examination, country and dates. A country appearing in a past list does not establish that an appointment is available today. An accreditation agency’s presence in a country does not determine your individual school’s ECFMG eligibility.
Country and accreditation research checklist
Record your country of residence, intended test country, travel-document requirements, test-center appointment, total checkout fee, transport and contingency plan. Separately record the medical school’s full name, campus, graduation year, ECFMG Sponsor Note and the school’s accrediting agency.
Use the complete interactive country directory
The original roadmap contains a country-and-territory atlas with a test-center layer, WFME agency information and a country search. Use it to begin your research, then confirm current availability with Prometric, school eligibility with WDOMS and recognition status with WFME.
Country and territory reference: 213 roadmap records
This is the country reference contained in the interactive roadmap, published here as readable text on October 19, 2026. It is a planning snapshot, not a live appointment inventory or a determination of school eligibility. “Reported” means listed in the roadmap’s 2026 test-center layer. Recheck the official Prometric locator for your examination and dates, WFME for agency recognition, and WDOMS for the actual school’s Sponsor Note.
The agency information below describes the roadmap record for an agency operating in a country. It does not mean every school in that country is accredited by that agency or is ECFMG eligible. A recognition end date is not your medical school’s accreditation expiry date.
North America
Canada
Testing reference: Canada record for Step 1/Step 2 CK; Step 3 is not offered in Canada.
Agencies listed in the roadmap record: Committee on Accreditation of Canadian Medical Schools (CACMS) (recognition end date recorded: 2034-03). Confirm the current status with WFME.
Mexico
Testing reference: Reported in the roadmap’s 2026 Step 1/Step 2 CK test-center layer; confirm a current seat.
Agencies listed in the roadmap record: Mexican Board for Accreditation of Medical Education (COMAEM) (recognition end date recorded: 2029-04). Confirm the current status with WFME.
United States
Testing reference: U.S. record; confirm the examination and a current appointment.
Agencies listed in the roadmap record: Liaison Committee on Medical Education (LCME) (recognition end date recorded: 2034-08); AOA Commission on Osteopathic College Accreditation (COCA) (recognition end date recorded: 2032-08). Confirm the current status with WFME.
U.S. territories
American Samoa
Testing reference: U.S. territory record; confirm the examination and a current appointment.
No WFME-recognized agency was listed in this roadmap record. This is not a decision about your school’s ECFMG eligibility; read the school’s Sponsor Note and current Intealth policy.
Guam
Testing reference: U.S. record; confirm the examination and a current appointment.
No WFME-recognized agency was listed in this roadmap record. This is not a decision about your school’s ECFMG eligibility; read the school’s Sponsor Note and current Intealth policy.
Northern Mariana Islands
Testing reference: U.S. territory record; confirm the examination and a current appointment.
No WFME-recognized agency was listed in this roadmap record. This is not a decision about your school’s ECFMG eligibility; read the school’s Sponsor Note and current Intealth policy.
Puerto Rico
Testing reference: U.S. record; confirm the examination and a current appointment.
No WFME-recognized agency was listed in this roadmap record. This is not a decision about your school’s ECFMG eligibility; read the school’s Sponsor Note and current Intealth policy.
U.S. Virgin Islands
Testing reference: U.S. record; confirm the examination and a current appointment.
No WFME-recognized agency was listed in this roadmap record. This is not a decision about your school’s ECFMG eligibility; read the school’s Sponsor Note and current Intealth policy.
Central America
Belize
Testing reference: Not reported in this roadmap snapshot; check the current locator before ruling out a location.
Agencies listed in the roadmap record: Independent Agency for Accreditation and Rating (IAAR) (recognition end date recorded: 2028-01); Caribbean Accreditation Authority for Education in Medicine and Other Health Professions (CAAM-HP) (recognition end date recorded: 2033-05). Confirm the current status with WFME.
Nearby options noted in the roadmap for further research: Mexico, Guatemala. Availability, entry rules and travel requirements need separate confirmation.
Costa Rica
Testing reference: Reported in the roadmap’s 2026 Step 1/Step 2 CK test-center layer; confirm a current seat.
Agencies listed in the roadmap record: Mexican Board for Accreditation of Medical Education (COMAEM) (recognition end date recorded: 2029-04). Confirm the current status with WFME.
El Salvador
Testing reference: Not reported in this roadmap snapshot; check the current locator before ruling out a location.
Agencies listed in the roadmap record: Mexican Board for Accreditation of Medical Education (COMAEM) (recognition end date recorded: 2029-04). Confirm the current status with WFME.
Nearby options noted in the roadmap for further research: Guatemala, Mexico. Availability, entry rules and travel requirements need separate confirmation.
Guatemala
Testing reference: Reported in the roadmap’s 2026 Step 1/Step 2 CK test-center layer; confirm a current seat.
Agencies listed in the roadmap record: Mexican Board for Accreditation of Medical Education (COMAEM) (recognition end date recorded: 2029-04). Confirm the current status with WFME.
Honduras
Testing reference: Not reported in this roadmap snapshot; check the current locator before ruling out a location.
No WFME-recognized agency was listed in this roadmap record. This is not a decision about your school’s ECFMG eligibility; read the school’s Sponsor Note and current Intealth policy.
Nearby options noted in the roadmap for further research: Guatemala, Costa Rica, Mexico. Availability, entry rules and travel requirements need separate confirmation.
Nicaragua
Testing reference: Not reported in this roadmap snapshot; check the current locator before ruling out a location.
No WFME-recognized agency was listed in this roadmap record. This is not a decision about your school’s ECFMG eligibility; read the school’s Sponsor Note and current Intealth policy.
Nearby options noted in the roadmap for further research: Costa Rica, Guatemala. Availability, entry rules and travel requirements need separate confirmation.
Panama
Testing reference: Not reported in this roadmap snapshot; check the current locator before ruling out a location.
Agencies listed in the roadmap record: Mexican Board for Accreditation of Medical Education (COMAEM) (recognition end date recorded: 2029-04). Confirm the current status with WFME.
Nearby options noted in the roadmap for further research: Costa Rica, Colombia. Availability, entry rules and travel requirements need separate confirmation.
Caribbean
Anguilla
Testing reference: Not reported in this roadmap snapshot; check the current locator before ruling out a location.
Agencies listed in the roadmap record: Caribbean Accreditation Authority for Education in Medicine and Other Health Professions (CAAM-HP) (recognition end date recorded: 2033-05). Confirm the current status with WFME.
Nearby options noted in the roadmap for further research: Puerto Rico, Dominican Republic. Availability, entry rules and travel requirements need separate confirmation.
Antigua and Barbuda
Testing reference: Not reported in this roadmap snapshot; check the current locator before ruling out a location.
Agencies listed in the roadmap record: Caribbean Accreditation Authority for Education in Medicine and Other Health Professions (CAAM-HP) (recognition end date recorded: 2033-05). Confirm the current status with WFME.
Nearby options noted in the roadmap for further research: Puerto Rico, Dominican Republic, Trinidad and Tobago. Availability, entry rules and travel requirements need separate confirmation.
Aruba
Testing reference: Not reported in this roadmap snapshot; check the current locator before ruling out a location.
Agencies listed in the roadmap record: Accreditation Commission on Colleges of Medicine (ACCM) (recognition end date recorded: 2032-08). Confirm the current status with WFME.
Nearby options noted in the roadmap for further research: Colombia, Dominican Republic. Availability, entry rules and travel requirements need separate confirmation.
Bahamas
Testing reference: Not reported in this roadmap snapshot; check the current locator before ruling out a location.
Agencies listed in the roadmap record: Caribbean Accreditation Authority for Education in Medicine and Other Health Professions (CAAM-HP) (recognition end date recorded: 2033-05). Confirm the current status with WFME.
Nearby options noted in the roadmap for further research: United States. Availability, entry rules and travel requirements need separate confirmation.
Barbados
Testing reference: Not reported in this roadmap snapshot; check the current locator before ruling out a location.
Agencies listed in the roadmap record: Independent Agency for Accreditation and Rating (IAAR) (recognition end date recorded: 2028-01); Caribbean Accreditation Authority for Education in Medicine and Other Health Professions (CAAM-HP) (recognition end date recorded: 2033-05). Confirm the current status with WFME.
Nearby options noted in the roadmap for further research: Trinidad and Tobago. Availability, entry rules and travel requirements need separate confirmation.
Bermuda
Testing reference: Not reported in this roadmap snapshot; check the current locator before ruling out a location.
No WFME-recognized agency was listed in this roadmap record. This is not a decision about your school’s ECFMG eligibility; read the school’s Sponsor Note and current Intealth policy.
Nearby options noted in the roadmap for further research: United States. Availability, entry rules and travel requirements need separate confirmation.
British Virgin Islands
Testing reference: Not reported in this roadmap snapshot; check the current locator before ruling out a location.
Agencies listed in the roadmap record: Accreditation Commission on Colleges of Medicine (ACCM) (recognition end date recorded: 2032-08). Confirm the current status with WFME.
Nearby options noted in the roadmap for further research: Puerto Rico, U.S. Virgin Islands. Availability, entry rules and travel requirements need separate confirmation.
Cayman Islands
Testing reference: Not reported in this roadmap snapshot; check the current locator before ruling out a location.
Agencies listed in the roadmap record: Accreditation Commission on Colleges of Medicine (ACCM) (recognition end date recorded: 2032-08). Confirm the current status with WFME.
Nearby options noted in the roadmap for further research: Mexico. Availability, entry rules and travel requirements need separate confirmation.
Cuba
Testing reference: Not reported in this roadmap snapshot; check the current locator before ruling out a location.
No WFME-recognized agency was listed in this roadmap record. This is not a decision about your school’s ECFMG eligibility; read the school’s Sponsor Note and current Intealth policy.
Nearby options noted in the roadmap for further research: Dominican Republic, Mexico. Availability, entry rules and travel requirements need separate confirmation.
Curaçao
Testing reference: Not reported in this roadmap snapshot; check the current locator before ruling out a location.
Agencies listed in the roadmap record: Accreditation Commission on Colleges of Medicine (ACCM) (recognition end date recorded: 2032-08); Agency for Accreditation of Educational Programs and Organizations (AAEPO) (recognition end date recorded: 2032-03); Caribbean Accreditation Authority for Education in Medicine and Other Health Professions (CAAM-HP) (recognition end date recorded: 2033-05). Confirm the current status with WFME.
Nearby options noted in the roadmap for further research: Colombia, Dominican Republic. Availability, entry rules and travel requirements need separate confirmation.
Dominica
Testing reference: Not reported in this roadmap snapshot; check the current locator before ruling out a location.
Agencies listed in the roadmap record: Accreditation Commission on Colleges of Medicine (ACCM) (recognition end date recorded: 2032-08); Independent Agency for Accreditation and Rating (IAAR) (recognition end date recorded: 2028-01); Caribbean Accreditation Authority for Education in Medicine and Other Health Professions (CAAM-HP) (recognition end date recorded: 2033-05). Confirm the current status with WFME.
Nearby options noted in the roadmap for further research: Trinidad and Tobago, Puerto Rico. Availability, entry rules and travel requirements need separate confirmation.
Dominican Republic
Testing reference: Reported in the roadmap’s 2026 Step 1/Step 2 CK test-center layer; confirm a current seat.
Agencies listed in the roadmap record: Caribbean Accreditation Authority for Education in Medicine and Other Health Professions (CAAM-HP) (recognition end date recorded: 2033-05). Confirm the current status with WFME.
Grenada
Testing reference: Not reported in this roadmap snapshot; check the current locator before ruling out a location.
Agencies listed in the roadmap record: Grenada Medical and Dental Council (GMDC) (recognition end date recorded: 2032-09); Caribbean Accreditation Authority for Education in Medicine and Other Health Professions (CAAM-HP) (recognition end date recorded: 2033-05). Confirm the current status with WFME.
Nearby options noted in the roadmap for further research: Trinidad and Tobago. Availability, entry rules and travel requirements need separate confirmation.
Haiti
Testing reference: Not reported in this roadmap snapshot; check the current locator before ruling out a location.
No WFME-recognized agency was listed in this roadmap record. This is not a decision about your school’s ECFMG eligibility; read the school’s Sponsor Note and current Intealth policy.
Nearby options noted in the roadmap for further research: Dominican Republic. Availability, entry rules and travel requirements need separate confirmation.
Jamaica
Testing reference: Not reported in this roadmap snapshot; check the current locator before ruling out a location.
Agencies listed in the roadmap record: Caribbean Accreditation Authority for Education in Medicine and Other Health Professions (CAAM-HP) (recognition end date recorded: 2033-05). Confirm the current status with WFME.
Nearby options noted in the roadmap for further research: Dominican Republic, Puerto Rico. Availability, entry rules and travel requirements need separate confirmation.
Montserrat
Testing reference: Not reported in this roadmap snapshot; check the current locator before ruling out a location.
Agencies listed in the roadmap record: Caribbean Accreditation Authority for Education in Medicine and Other Health Professions (CAAM-HP) (recognition end date recorded: 2033-05). Confirm the current status with WFME.
Nearby options noted in the roadmap for further research: Puerto Rico. Availability, entry rules and travel requirements need separate confirmation.
Saint Kitts and Nevis
Testing reference: Not reported in this roadmap snapshot; check the current locator before ruling out a location.
Agencies listed in the roadmap record: Accreditation Commission on Colleges of Medicine (ACCM) (recognition end date recorded: 2032-08); Caribbean Accreditation Authority for Education in Medicine and Other Health Professions (CAAM-HP) (recognition end date recorded: 2033-05). Confirm the current status with WFME.
Nearby options noted in the roadmap for further research: Puerto Rico, Dominican Republic. Availability, entry rules and travel requirements need separate confirmation.
Saint Lucia
Testing reference: Not reported in this roadmap snapshot; check the current locator before ruling out a location.
Agencies listed in the roadmap record: Caribbean Accreditation Authority for Education in Medicine and Other Health Professions (CAAM-HP) (recognition end date recorded: 2033-05). Confirm the current status with WFME.
Nearby options noted in the roadmap for further research: Trinidad and Tobago. Availability, entry rules and travel requirements need separate confirmation.
Saint Vincent and the Grenadines
Testing reference: Not reported in this roadmap snapshot; check the current locator before ruling out a location.
Agencies listed in the roadmap record: Accreditation Commission on Colleges of Medicine (ACCM) (recognition end date recorded: 2032-08); Caribbean Accreditation Authority for Education in Medicine and Other Health Professions (CAAM-HP) (recognition end date recorded: 2033-05). Confirm the current status with WFME.
Nearby options noted in the roadmap for further research: Trinidad and Tobago. Availability, entry rules and travel requirements need separate confirmation.
Sint Maarten
Testing reference: Not reported in this roadmap snapshot; check the current locator before ruling out a location.
Agencies listed in the roadmap record: Accreditation Commission on Colleges of Medicine (ACCM) (recognition end date recorded: 2032-08). Confirm the current status with WFME.
Nearby options noted in the roadmap for further research: Puerto Rico, Dominican Republic. Availability, entry rules and travel requirements need separate confirmation.
Trinidad and Tobago
Testing reference: Reported in the roadmap’s 2026 Step 1/Step 2 CK test-center layer; confirm a current seat.
Agencies listed in the roadmap record: Caribbean Accreditation Authority for Education in Medicine and Other Health Professions (CAAM-HP) (recognition end date recorded: 2033-05). Confirm the current status with WFME.
Turks and Caicos
Testing reference: Not reported in this roadmap snapshot; check the current locator before ruling out a location.
Agencies listed in the roadmap record: Caribbean Accreditation Authority for Education in Medicine and Other Health Professions (CAAM-HP) (recognition end date recorded: 2033-05). Confirm the current status with WFME.
Nearby options noted in the roadmap for further research: Dominican Republic. Availability, entry rules and travel requirements need separate confirmation.
South America
Argentina
Testing reference: Reported in the roadmap’s 2026 Step 1/Step 2 CK test-center layer; confirm a current seat.
Agencies listed in the roadmap record: Comisión Nacional de Evaluación y Acreditación Universitaria (CONEAU) (recognition end date recorded: 2035-01). Confirm the current status with WFME.
Bolivia
Testing reference: Reported in the roadmap’s 2026 Step 1/Step 2 CK test-center layer; confirm a current seat.
No WFME-recognized agency was listed in this roadmap record. This is not a decision about your school’s ECFMG eligibility; read the school’s Sponsor Note and current Intealth policy.
Brazil
Testing reference: Reported in the roadmap’s 2026 Step 1/Step 2 CK test-center layer; confirm a current seat.
Agencies listed in the roadmap record: System of Accreditation of Medical Schools (SAEME) (recognition end date recorded: 2029-04). Confirm the current status with WFME.
Chile
Testing reference: Reported in the roadmap’s 2026 Step 1/Step 2 CK test-center layer; confirm a current seat.
Agencies listed in the roadmap record: National Accreditation Commission of Chile (CNA-Chile) (recognition end date recorded: 2034-08). Confirm the current status with WFME.
Colombia
Testing reference: Reported in the roadmap’s 2026 Step 1/Step 2 CK test-center layer; confirm a current seat.
Agencies listed in the roadmap record: Consejo Nacional de Acreditación (CNA Colombia) (recognition end date recorded: 2033-06). Confirm the current status with WFME.
Ecuador
Testing reference: Not reported in this roadmap snapshot; check the current locator before ruling out a location.
No WFME-recognized agency was listed in this roadmap record. This is not a decision about your school’s ECFMG eligibility; read the school’s Sponsor Note and current Intealth policy.
Nearby options noted in the roadmap for further research: Colombia, Peru. Availability, entry rules and travel requirements need separate confirmation.
Guyana
Testing reference: Not reported in this roadmap snapshot; check the current locator before ruling out a location.
Agencies listed in the roadmap record: Accreditation Commission on Colleges of Medicine (ACCM) (recognition end date recorded: 2032-08); Caribbean Accreditation Authority for Education in Medicine and Other Health Professions (CAAM-HP) (recognition end date recorded: 2033-05). Confirm the current status with WFME.
Nearby options noted in the roadmap for further research: Trinidad and Tobago, Brazil. Availability, entry rules and travel requirements need separate confirmation.
Paraguay
Testing reference: Not reported in this roadmap snapshot; check the current locator before ruling out a location.
No WFME-recognized agency was listed in this roadmap record. This is not a decision about your school’s ECFMG eligibility; read the school’s Sponsor Note and current Intealth policy.
Nearby options noted in the roadmap for further research: Argentina, Brazil, Bolivia. Availability, entry rules and travel requirements need separate confirmation.
Peru
Testing reference: Reported in the roadmap’s 2026 Step 1/Step 2 CK test-center layer; confirm a current seat.
No WFME-recognized agency was listed in this roadmap record. This is not a decision about your school’s ECFMG eligibility; read the school’s Sponsor Note and current Intealth policy.
Suriname
Testing reference: Not reported in this roadmap snapshot; check the current locator before ruling out a location.
No WFME-recognized agency was listed in this roadmap record. This is not a decision about your school’s ECFMG eligibility; read the school’s Sponsor Note and current Intealth policy.
Nearby options noted in the roadmap for further research: Trinidad and Tobago, Brazil. Availability, entry rules and travel requirements need separate confirmation.
Uruguay
Testing reference: Not reported in this roadmap snapshot; check the current locator before ruling out a location.
No WFME-recognized agency was listed in this roadmap record. This is not a decision about your school’s ECFMG eligibility; read the school’s Sponsor Note and current Intealth policy.
Nearby options noted in the roadmap for further research: Argentina, Brazil. Availability, entry rules and travel requirements need separate confirmation.
Venezuela
Testing reference: Reported in the roadmap’s 2026 Step 1/Step 2 CK test-center layer; confirm a current seat.
No WFME-recognized agency was listed in this roadmap record. This is not a decision about your school’s ECFMG eligibility; read the school’s Sponsor Note and current Intealth policy.
Europe
Albania
Testing reference: Not reported in this roadmap snapshot; check the current locator before ruling out a location.
No WFME-recognized agency was listed in this roadmap record. This is not a decision about your school’s ECFMG eligibility; read the school’s Sponsor Note and current Intealth policy.
Andorra
Testing reference: Not reported in this roadmap snapshot; check the current locator before ruling out a location.
No WFME-recognized agency was listed in this roadmap record. This is not a decision about your school’s ECFMG eligibility; read the school’s Sponsor Note and current Intealth policy.
Austria
Testing reference: Not reported in this roadmap snapshot; check the current locator before ruling out a location.
Agencies listed in the roadmap record: Accreditation Agency in Health and Social Sciences (AHPGS) (recognition end date recorded: 2033-10). Confirm the current status with WFME.
Belarus
Testing reference: Not reported in this roadmap snapshot; check the current locator before ruling out a location.
Agencies listed in the roadmap record: Independent Agency for Accreditation and Rating (IAAR) (recognition end date recorded: 2028-01). Confirm the current status with WFME.
Belgium
Testing reference: Not reported in this roadmap snapshot; check the current locator before ruling out a location.
Agencies listed in the roadmap record: Accreditation Organisation of the Netherlands and Flanders (NVAO) (recognition end date recorded: 2028-11). Confirm the current status with WFME.
Bosnia and Herzegovina
Testing reference: Not reported in this roadmap snapshot; check the current locator before ruling out a location.
No WFME-recognized agency was listed in this roadmap record. This is not a decision about your school’s ECFMG eligibility; read the school’s Sponsor Note and current Intealth policy.
Bulgaria
Testing reference: Not reported in this roadmap snapshot; check the current locator before ruling out a location.
No WFME-recognized agency was listed in this roadmap record. This is not a decision about your school’s ECFMG eligibility; read the school’s Sponsor Note and current Intealth policy.
Agencies marked as applying in the roadmap record: National Evaluation and Accreditation Agency (NEAA). Applying is different from recognized.
Croatia
Testing reference: Reported in the roadmap’s 2026 Step 1/Step 2 CK test-center layer; confirm a current seat.
No WFME-recognized agency was listed in this roadmap record. This is not a decision about your school’s ECFMG eligibility; read the school’s Sponsor Note and current Intealth policy.
Agencies marked as applying in the roadmap record: Agency for Science and Higher Education (ASHE). Applying is different from recognized.
Cyprus
Testing reference: Not reported in this roadmap snapshot; check the current locator before ruling out a location.
Agencies listed in the roadmap record: Cyprus Agency of Quality Assurance and Accreditation in Higher Education (CYQAA) (recognition end date recorded: 2030-02). Confirm the current status with WFME.
Czechia
Testing reference: Not reported in this roadmap snapshot; check the current locator before ruling out a location.
Agencies listed in the roadmap record: National Accreditation Bureau for Higher Education (NAB) (recognition end date recorded: 2035-01). Confirm the current status with WFME.
Denmark
Testing reference: Reported in the roadmap’s 2026 Step 1/Step 2 CK test-center layer; confirm a current seat.
No WFME-recognized agency was listed in this roadmap record. This is not a decision about your school’s ECFMG eligibility; read the school’s Sponsor Note and current Intealth policy.
Estonia
Testing reference: Not reported in this roadmap snapshot; check the current locator before ruling out a location.
No WFME-recognized agency was listed in this roadmap record. This is not a decision about your school’s ECFMG eligibility; read the school’s Sponsor Note and current Intealth policy.
Finland
Testing reference: Not reported in this roadmap snapshot; check the current locator before ruling out a location.
No WFME-recognized agency was listed in this roadmap record. This is not a decision about your school’s ECFMG eligibility; read the school’s Sponsor Note and current Intealth policy.
France
Testing reference: Reported in the roadmap’s 2026 Step 1/Step 2 CK test-center layer; confirm a current seat.
No WFME-recognized agency was listed in this roadmap record. This is not a decision about your school’s ECFMG eligibility; read the school’s Sponsor Note and current Intealth policy.
Germany
Testing reference: Reported in the roadmap’s 2026 Step 1/Step 2 CK test-center layer; confirm a current seat.
Agencies listed in the roadmap record: Accreditation Agency in Health and Social Sciences (AHPGS) (recognition end date recorded: 2033-10). Confirm the current status with WFME.
Greece
Testing reference: Reported in the roadmap’s 2026 Step 1/Step 2 CK test-center layer; confirm a current seat.
No WFME-recognized agency was listed in this roadmap record. This is not a decision about your school’s ECFMG eligibility; read the school’s Sponsor Note and current Intealth policy.
Agencies marked as applying in the roadmap record: Hellenic Authority for Higher Education (HAHE). Applying is different from recognized.
Hungary
Testing reference: Not reported in this roadmap snapshot; check the current locator before ruling out a location.
Agencies listed in the roadmap record: Hungarian Accreditation Committee (MAB) (recognition end date recorded: 2032-03). Confirm the current status with WFME.
Iceland
Testing reference: Not reported in this roadmap snapshot; check the current locator before ruling out a location.
Agencies listed in the roadmap record: Agency for Quality of the University System of Catalonia (AQU) (recognition end date recorded: 2031-10). Confirm the current status with WFME.
Ireland
Testing reference: Reported in the roadmap’s 2026 Step 1/Step 2 CK test-center layer; confirm a current seat.
Agencies listed in the roadmap record: Medical Council of Ireland (MCI) (recognition end date recorded: 2030-06). Confirm the current status with WFME.
Italy
Testing reference: Reported in the roadmap’s 2026 Step 1/Step 2 CK test-center layer; confirm a current seat.
Agencies listed in the roadmap record: Italian National Agency for the Evaluation of Universities and Research Institutes (ANVUR) (recognition end date recorded: 2034-03). Confirm the current status with WFME.
Kosovo
Testing reference: Not reported in this roadmap snapshot; check the current locator before ruling out a location.
Agencies listed in the roadmap record: National Entity for Accreditation and Quality Assurance in Higher Education (NEAQA) (recognition end date recorded: 2035-05). Confirm the current status with WFME.
Latvia
Testing reference: Reported in the roadmap’s 2026 Step 1/Step 2 CK test-center layer; confirm a current seat.
Agencies listed in the roadmap record: Accreditation Agency in Health and Social Sciences (AHPGS) (recognition end date recorded: 2033-10). Confirm the current status with WFME.
Liechtenstein
Testing reference: Not reported in this roadmap snapshot; check the current locator before ruling out a location.
No WFME-recognized agency was listed in this roadmap record. This is not a decision about your school’s ECFMG eligibility; read the school’s Sponsor Note and current Intealth policy.
Lithuania
Testing reference: Not reported in this roadmap snapshot; check the current locator before ruling out a location.
Agencies listed in the roadmap record: Centre for Quality Assessment in Higher Education (SKVC) (recognition end date recorded: 2033-10). Confirm the current status with WFME.
Luxembourg
Testing reference: Not reported in this roadmap snapshot; check the current locator before ruling out a location.
No WFME-recognized agency was listed in this roadmap record. This is not a decision about your school’s ECFMG eligibility; read the school’s Sponsor Note and current Intealth policy.
Malta
Testing reference: Not reported in this roadmap snapshot; check the current locator before ruling out a location.
No WFME-recognized agency was listed in this roadmap record. This is not a decision about your school’s ECFMG eligibility; read the school’s Sponsor Note and current Intealth policy.
Moldova
Testing reference: Not reported in this roadmap snapshot; check the current locator before ruling out a location.
Agencies listed in the roadmap record: Independent Agency for Accreditation and Rating (IAAR) (recognition end date recorded: 2028-01). Confirm the current status with WFME.
Monaco
Testing reference: Not reported in this roadmap snapshot; check the current locator before ruling out a location.
No WFME-recognized agency was listed in this roadmap record. This is not a decision about your school’s ECFMG eligibility; read the school’s Sponsor Note and current Intealth policy.
Montenegro
Testing reference: Not reported in this roadmap snapshot; check the current locator before ruling out a location.
No WFME-recognized agency was listed in this roadmap record. This is not a decision about your school’s ECFMG eligibility; read the school’s Sponsor Note and current Intealth policy.
Netherlands
Testing reference: Reported in the roadmap’s 2026 Step 1/Step 2 CK test-center layer; confirm a current seat.
Agencies listed in the roadmap record: Accreditation Organisation of the Netherlands and Flanders (NVAO) (recognition end date recorded: 2028-11). Confirm the current status with WFME.
North Macedonia
Testing reference: Not reported in this roadmap snapshot; check the current locator before ruling out a location.
No WFME-recognized agency was listed in this roadmap record. This is not a decision about your school’s ECFMG eligibility; read the school’s Sponsor Note and current Intealth policy.
Northern Cyprus
Testing reference: Not reported in this roadmap snapshot; check the current locator before ruling out a location.
Agencies listed in the roadmap record: Secretariat of the Council for Undergraduate Medical Education (SCUME) (recognition end date recorded: 2029-06). Confirm the current status with WFME.
Norway
Testing reference: Not reported in this roadmap snapshot; check the current locator before ruling out a location.
No WFME-recognized agency was listed in this roadmap record. This is not a decision about your school’s ECFMG eligibility; read the school’s Sponsor Note and current Intealth policy.
Poland
Testing reference: Not reported in this roadmap snapshot; check the current locator before ruling out a location.
Agencies listed in the roadmap record: Polish Accreditation Committee (PKA) (recognition end date recorded: 2035-09). Confirm the current status with WFME.
Portugal
Testing reference: Reported in the roadmap’s 2026 Step 1/Step 2 CK test-center layer; confirm a current seat.
Agencies listed in the roadmap record: Agency for Assessment and Accreditation of Higher Education (A3ES) (recognition end date recorded: 2035-03). Confirm the current status with WFME.
Romania
Testing reference: Not reported in this roadmap snapshot; check the current locator before ruling out a location.
Agencies listed in the roadmap record: Independent Agency for Accreditation and Rating (IAAR) (recognition end date recorded: 2028-01). Confirm the current status with WFME.
Russia
Testing reference: Not reported in this roadmap snapshot; check the current locator before ruling out a location.
Agencies listed in the roadmap record: Independent Agency for Accreditation and Rating (IAAR) (recognition end date recorded: 2028-01). Confirm the current status with WFME.
San Marino
Testing reference: Not reported in this roadmap snapshot; check the current locator before ruling out a location.
No WFME-recognized agency was listed in this roadmap record. This is not a decision about your school’s ECFMG eligibility; read the school’s Sponsor Note and current Intealth policy.
Serbia
Testing reference: Not reported in this roadmap snapshot; check the current locator before ruling out a location.
Agencies listed in the roadmap record: National Entity for Accreditation and Quality Assurance in Higher Education (NEAQA) (recognition end date recorded: 2035-05). Confirm the current status with WFME.
Slovakia
Testing reference: Not reported in this roadmap snapshot; check the current locator before ruling out a location.
Agencies listed in the roadmap record: Slovak Accreditation Agency for Higher Education (SAAHE) (recognition end date recorded: 2034-08). Confirm the current status with WFME.
Slovenia
Testing reference: Not reported in this roadmap snapshot; check the current locator before ruling out a location.
No WFME-recognized agency was listed in this roadmap record. This is not a decision about your school’s ECFMG eligibility; read the school’s Sponsor Note and current Intealth policy.
Spain
Testing reference: Reported in the roadmap’s 2026 Step 1/Step 2 CK test-center layer; confirm a current seat.
Agencies listed in the roadmap record: Agency for Quality of the University System of Catalonia (AQU) (recognition end date recorded: 2031-10); National Agency for Quality Assessment and Accreditation of Spain (ANECA) (recognition end date recorded: 2032-10). Confirm the current status with WFME.
Sweden
Testing reference: Not reported in this roadmap snapshot; check the current locator before ruling out a location.
No WFME-recognized agency was listed in this roadmap record. This is not a decision about your school’s ECFMG eligibility; read the school’s Sponsor Note and current Intealth policy.
Switzerland
Testing reference: Reported in the roadmap’s 2026 Step 1/Step 2 CK test-center layer; confirm a current seat.
Agencies listed in the roadmap record: Swiss Agency of Accreditation and Quality Assurance (AAQ) (recognition end date recorded: 2033-07). Confirm the current status with WFME.
Türkiye (Turkey)
Testing reference: Reported in the roadmap’s 2026 Step 1/Step 2 CK test-center layer; confirm a current seat.
Agencies listed in the roadmap record: Association for Evaluation and Accreditation of Medical Education Programs (TEPDAD) (recognition end date recorded: 2033-07). Confirm the current status with WFME.
Ukraine
Testing reference: Not reported in this roadmap snapshot; check the current locator before ruling out a location.
No WFME-recognized agency was listed in this roadmap record. This is not a decision about your school’s ECFMG eligibility; read the school’s Sponsor Note and current Intealth policy.
United Kingdom
Testing reference: Reported in the roadmap’s 2026 Step 1/Step 2 CK test-center layer; confirm a current seat.
No WFME-recognized agency was listed in this roadmap record. This is not a decision about your school’s ECFMG eligibility; read the school’s Sponsor Note and current Intealth policy.
Middle East & North Africa
Algeria
Testing reference: Not reported in this roadmap snapshot; check the current locator before ruling out a location.
No WFME-recognized agency was listed in this roadmap record. This is not a decision about your school’s ECFMG eligibility; read the school’s Sponsor Note and current Intealth policy.
Bahrain
Testing reference: Not reported in this roadmap snapshot; check the current locator before ruling out a location.
Agencies listed in the roadmap record: Accreditation Commission on Colleges of Medicine (ACCM) (recognition end date recorded: 2032-08); Medical Council of Ireland (MCI) (recognition end date recorded: 2030-06); Education & Training Quality Authority (BQA) (recognition end date recorded: 2032-11). Confirm the current status with WFME.
Egypt
Testing reference: Reported in the roadmap’s 2026 Step 1/Step 2 CK test-center layer; confirm a current seat.
Agencies listed in the roadmap record: National Authority for Quality Assurance and Accreditation of Education (NAQAAE) (recognition end date recorded: 2029-04). Confirm the current status with WFME.
Iran
Testing reference: Not reported in this roadmap snapshot; check the current locator before ruling out a location.
Agencies listed in the roadmap record: Secretariat of the Council for Undergraduate Medical Education (SCUME) (recognition end date recorded: 2029-06). Confirm the current status with WFME.
Iraq
Testing reference: Not reported in this roadmap snapshot; check the current locator before ruling out a location.
Agencies listed in the roadmap record: National Council for Accreditation of Medical Colleges (NCAMC) (recognition end date recorded: 2034-02). Confirm the current status with WFME.
Israel
Testing reference: Reported in the roadmap’s 2026 Step 1/Step 2 CK test-center layer; confirm a current seat.
Agencies listed in the roadmap record: Council for Higher Education (CHE) (recognition end date recorded: 2035-11). Confirm the current status with WFME.
Jordan
Testing reference: Reported in the roadmap’s 2026 Step 1/Step 2 CK test-center layer; confirm a current seat.
Agencies listed in the roadmap record: Accreditation and Quality Assurance Commission for Higher Education Institutions (AQACHEI) (recognition end date recorded: 2031-09). Confirm the current status with WFME.
Kuwait
Testing reference: Reported in the roadmap’s 2026 Step 1/Step 2 CK test-center layer; confirm a current seat.
Agencies listed in the roadmap record: Association for Evaluation and Accreditation of Medical Education Programs (TEPDAD) (recognition end date recorded: 2033-07). Confirm the current status with WFME.
Lebanon
Testing reference: Reported in the roadmap’s 2026 Step 1/Step 2 CK test-center layer; confirm a current seat.
Agencies listed in the roadmap record: Association for Evaluation and Accreditation of Medical Education Programs (TEPDAD) (recognition end date recorded: 2033-07). Confirm the current status with WFME.
Libya
Testing reference: Not reported in this roadmap snapshot; check the current locator before ruling out a location.
Agencies listed in the roadmap record: National Center for Quality Assurance and Accreditation of Educational and Training Institutions (recognition end date recorded: 2034-02). Confirm the current status with WFME.
Morocco
Testing reference: Not reported in this roadmap snapshot; check the current locator before ruling out a location.
No WFME-recognized agency was listed in this roadmap record. This is not a decision about your school’s ECFMG eligibility; read the school’s Sponsor Note and current Intealth policy.
Agencies marked as applying in the roadmap record: Conférence Internationale des Doyens et des Facultés de Médecine d’Expression Française (CIDMEF). Applying is different from recognized.
Oman
Testing reference: Reported in the roadmap’s 2026 Step 1/Step 2 CK test-center layer; confirm a current seat.
Agencies listed in the roadmap record: Association for Evaluation and Accreditation of Medical Education Programs (TEPDAD) (recognition end date recorded: 2033-07). Confirm the current status with WFME.
Palestine
Testing reference: Not reported in this roadmap snapshot; check the current locator before ruling out a location.
Agencies listed in the roadmap record: Independent Agency for Accreditation and Rating (IAAR) (recognition end date recorded: 2028-01); Accreditation and Quality Assurance Commission for Higher Education Institutions (AQACHEI) (recognition end date recorded: 2031-09); Association for Evaluation and Accreditation of Medical Education Programs (TEPDAD) (recognition end date recorded: 2033-07). Confirm the current status with WFME.
Qatar
Testing reference: Reported in the roadmap’s 2026 Step 1/Step 2 CK test-center layer; confirm a current seat.
Agencies listed in the roadmap record: Association for Evaluation and Accreditation of Medical Education Programs (TEPDAD) (recognition end date recorded: 2033-07). Confirm the current status with WFME.
Saudi Arabia
Testing reference: Reported in the roadmap’s 2026 Step 1/Step 2 CK test-center layer; confirm a current seat.
Agencies listed in the roadmap record: National Center for Academic Accreditation (NCAAA) (recognition end date recorded: 2032-04). Confirm the current status with WFME.
Syria
Testing reference: Not reported in this roadmap snapshot; check the current locator before ruling out a location.
Agencies listed in the roadmap record: Accreditation and Quality Assurance Commission for Higher Education Institutions (AQACHEI) (recognition end date recorded: 2031-09). Confirm the current status with WFME.
Tunisia
Testing reference: Not reported in this roadmap snapshot; check the current locator before ruling out a location.
No WFME-recognized agency was listed in this roadmap record. This is not a decision about your school’s ECFMG eligibility; read the school’s Sponsor Note and current Intealth policy.
Agencies marked as applying in the roadmap record: Conférence Internationale des Doyens et des Facultés de Médecine d’Expression Française (CIDMEF). Applying is different from recognized.
United Arab Emirates
Testing reference: Reported in the roadmap’s 2026 Step 1/Step 2 CK test-center layer; confirm a current seat.
Agencies listed in the roadmap record: Commission for Academic Accreditation (CAA) (recognition end date recorded: 2029-06). Confirm the current status with WFME.
Yemen
Testing reference: Not reported in this roadmap snapshot; check the current locator before ruling out a location.
No WFME-recognized agency was listed in this roadmap record. This is not a decision about your school’s ECFMG eligibility; read the school’s Sponsor Note and current Intealth policy.
Agencies marked as applying in the roadmap record: Council for Academic Accreditation and Quality Assurance (CAQA), process paused. Applying is different from recognized.
Sub-Saharan Africa
Angola
Testing reference: Not reported in this roadmap snapshot; check the current locator before ruling out a location.
No WFME-recognized agency was listed in this roadmap record. This is not a decision about your school’s ECFMG eligibility; read the school’s Sponsor Note and current Intealth policy.
Benin
Testing reference: Not reported in this roadmap snapshot; check the current locator before ruling out a location.
No WFME-recognized agency was listed in this roadmap record. This is not a decision about your school’s ECFMG eligibility; read the school’s Sponsor Note and current Intealth policy.
Botswana
Testing reference: Not reported in this roadmap snapshot; check the current locator before ruling out a location.
No WFME-recognized agency was listed in this roadmap record. This is not a decision about your school’s ECFMG eligibility; read the school’s Sponsor Note and current Intealth policy.
Burkina Faso
Testing reference: Not reported in this roadmap snapshot; check the current locator before ruling out a location.
No WFME-recognized agency was listed in this roadmap record. This is not a decision about your school’s ECFMG eligibility; read the school’s Sponsor Note and current Intealth policy.
Burundi
Testing reference: Not reported in this roadmap snapshot; check the current locator before ruling out a location.
No WFME-recognized agency was listed in this roadmap record. This is not a decision about your school’s ECFMG eligibility; read the school’s Sponsor Note and current Intealth policy.
Cameroon
Testing reference: Not reported in this roadmap snapshot; check the current locator before ruling out a location.
No WFME-recognized agency was listed in this roadmap record. This is not a decision about your school’s ECFMG eligibility; read the school’s Sponsor Note and current Intealth policy.
Agencies marked as applying in the roadmap record: Conférence Internationale des Doyens et des Facultés de Médecine d’Expression Française (CIDMEF). Applying is different from recognized.
Cape Verde
Testing reference: Not reported in this roadmap snapshot; check the current locator before ruling out a location.
No WFME-recognized agency was listed in this roadmap record. This is not a decision about your school’s ECFMG eligibility; read the school’s Sponsor Note and current Intealth policy.
Central African Republic
Testing reference: Not reported in this roadmap snapshot; check the current locator before ruling out a location.
No WFME-recognized agency was listed in this roadmap record. This is not a decision about your school’s ECFMG eligibility; read the school’s Sponsor Note and current Intealth policy.
Chad
Testing reference: Not reported in this roadmap snapshot; check the current locator before ruling out a location.
No WFME-recognized agency was listed in this roadmap record. This is not a decision about your school’s ECFMG eligibility; read the school’s Sponsor Note and current Intealth policy.
Comoros
Testing reference: Not reported in this roadmap snapshot; check the current locator before ruling out a location.
No WFME-recognized agency was listed in this roadmap record. This is not a decision about your school’s ECFMG eligibility; read the school’s Sponsor Note and current Intealth policy.
Congo (Republic)
Testing reference: Not reported in this roadmap snapshot; check the current locator before ruling out a location.
No WFME-recognized agency was listed in this roadmap record. This is not a decision about your school’s ECFMG eligibility; read the school’s Sponsor Note and current Intealth policy.
Côte d’Ivoire
Testing reference: Not reported in this roadmap snapshot; check the current locator before ruling out a location.
No WFME-recognized agency was listed in this roadmap record. This is not a decision about your school’s ECFMG eligibility; read the school’s Sponsor Note and current Intealth policy.
DR Congo
Testing reference: Not reported in this roadmap snapshot; check the current locator before ruling out a location.
No WFME-recognized agency was listed in this roadmap record. This is not a decision about your school’s ECFMG eligibility; read the school’s Sponsor Note and current Intealth policy.
Djibouti
Testing reference: Not reported in this roadmap snapshot; check the current locator before ruling out a location.
No WFME-recognized agency was listed in this roadmap record. This is not a decision about your school’s ECFMG eligibility; read the school’s Sponsor Note and current Intealth policy.
Equatorial Guinea
Testing reference: Not reported in this roadmap snapshot; check the current locator before ruling out a location.
No WFME-recognized agency was listed in this roadmap record. This is not a decision about your school’s ECFMG eligibility; read the school’s Sponsor Note and current Intealth policy.
Eritrea
Testing reference: Not reported in this roadmap snapshot; check the current locator before ruling out a location.
No WFME-recognized agency was listed in this roadmap record. This is not a decision about your school’s ECFMG eligibility; read the school’s Sponsor Note and current Intealth policy.
Eswatini
Testing reference: Not reported in this roadmap snapshot; check the current locator before ruling out a location.
No WFME-recognized agency was listed in this roadmap record. This is not a decision about your school’s ECFMG eligibility; read the school’s Sponsor Note and current Intealth policy.
Ethiopia
Testing reference: Not reported in this roadmap snapshot; check the current locator before ruling out a location.
No WFME-recognized agency was listed in this roadmap record. This is not a decision about your school’s ECFMG eligibility; read the school’s Sponsor Note and current Intealth policy.
Gabon
Testing reference: Not reported in this roadmap snapshot; check the current locator before ruling out a location.
No WFME-recognized agency was listed in this roadmap record. This is not a decision about your school’s ECFMG eligibility; read the school’s Sponsor Note and current Intealth policy.
Gambia
Testing reference: Not reported in this roadmap snapshot; check the current locator before ruling out a location.
No WFME-recognized agency was listed in this roadmap record. This is not a decision about your school’s ECFMG eligibility; read the school’s Sponsor Note and current Intealth policy.
Ghana
Testing reference: Reported in the roadmap’s 2026 Step 1/Step 2 CK test-center layer; confirm a current seat.
No WFME-recognized agency was listed in this roadmap record. This is not a decision about your school’s ECFMG eligibility; read the school’s Sponsor Note and current Intealth policy.
Guinea
Testing reference: Not reported in this roadmap snapshot; check the current locator before ruling out a location.
No WFME-recognized agency was listed in this roadmap record. This is not a decision about your school’s ECFMG eligibility; read the school’s Sponsor Note and current Intealth policy.
Guinea-Bissau
Testing reference: Not reported in this roadmap snapshot; check the current locator before ruling out a location.
No WFME-recognized agency was listed in this roadmap record. This is not a decision about your school’s ECFMG eligibility; read the school’s Sponsor Note and current Intealth policy.
Kenya
Testing reference: Reported in the roadmap’s 2026 Step 1/Step 2 CK test-center layer; confirm a current seat.
No WFME-recognized agency was listed in this roadmap record. This is not a decision about your school’s ECFMG eligibility; read the school’s Sponsor Note and current Intealth policy.
Lesotho
Testing reference: Not reported in this roadmap snapshot; check the current locator before ruling out a location.
No WFME-recognized agency was listed in this roadmap record. This is not a decision about your school’s ECFMG eligibility; read the school’s Sponsor Note and current Intealth policy.
Liberia
Testing reference: Not reported in this roadmap snapshot; check the current locator before ruling out a location.
No WFME-recognized agency was listed in this roadmap record. This is not a decision about your school’s ECFMG eligibility; read the school’s Sponsor Note and current Intealth policy.
Madagascar
Testing reference: Not reported in this roadmap snapshot; check the current locator before ruling out a location.
No WFME-recognized agency was listed in this roadmap record. This is not a decision about your school’s ECFMG eligibility; read the school’s Sponsor Note and current Intealth policy.
Malawi
Testing reference: Not reported in this roadmap snapshot; check the current locator before ruling out a location.
No WFME-recognized agency was listed in this roadmap record. This is not a decision about your school’s ECFMG eligibility; read the school’s Sponsor Note and current Intealth policy.
Mali
Testing reference: Not reported in this roadmap snapshot; check the current locator before ruling out a location.
No WFME-recognized agency was listed in this roadmap record. This is not a decision about your school’s ECFMG eligibility; read the school’s Sponsor Note and current Intealth policy.
Mauritania
Testing reference: Not reported in this roadmap snapshot; check the current locator before ruling out a location.
No WFME-recognized agency was listed in this roadmap record. This is not a decision about your school’s ECFMG eligibility; read the school’s Sponsor Note and current Intealth policy.
Mauritius
Testing reference: Not reported in this roadmap snapshot; check the current locator before ruling out a location.
No WFME-recognized agency was listed in this roadmap record. This is not a decision about your school’s ECFMG eligibility; read the school’s Sponsor Note and current Intealth policy.
Mozambique
Testing reference: Not reported in this roadmap snapshot; check the current locator before ruling out a location.
No WFME-recognized agency was listed in this roadmap record. This is not a decision about your school’s ECFMG eligibility; read the school’s Sponsor Note and current Intealth policy.
Namibia
Testing reference: Not reported in this roadmap snapshot; check the current locator before ruling out a location.
No WFME-recognized agency was listed in this roadmap record. This is not a decision about your school’s ECFMG eligibility; read the school’s Sponsor Note and current Intealth policy.
Niger
Testing reference: Not reported in this roadmap snapshot; check the current locator before ruling out a location.
No WFME-recognized agency was listed in this roadmap record. This is not a decision about your school’s ECFMG eligibility; read the school’s Sponsor Note and current Intealth policy.
Nigeria
Testing reference: Not reported in this roadmap snapshot; check the current locator before ruling out a location.
No WFME-recognized agency was listed in this roadmap record. This is not a decision about your school’s ECFMG eligibility; read the school’s Sponsor Note and current Intealth policy.
Rwanda
Testing reference: Not reported in this roadmap snapshot; check the current locator before ruling out a location.
No WFME-recognized agency was listed in this roadmap record. This is not a decision about your school’s ECFMG eligibility; read the school’s Sponsor Note and current Intealth policy.
Senegal
Testing reference: Not reported in this roadmap snapshot; check the current locator before ruling out a location.
No WFME-recognized agency was listed in this roadmap record. This is not a decision about your school’s ECFMG eligibility; read the school’s Sponsor Note and current Intealth policy.
Seychelles
Testing reference: Not reported in this roadmap snapshot; check the current locator before ruling out a location.
No WFME-recognized agency was listed in this roadmap record. This is not a decision about your school’s ECFMG eligibility; read the school’s Sponsor Note and current Intealth policy.
Sierra Leone
Testing reference: Not reported in this roadmap snapshot; check the current locator before ruling out a location.
No WFME-recognized agency was listed in this roadmap record. This is not a decision about your school’s ECFMG eligibility; read the school’s Sponsor Note and current Intealth policy.
Somalia
Testing reference: Not reported in this roadmap snapshot; check the current locator before ruling out a location.
Agencies listed in the roadmap record: Independent Agency for Accreditation and Rating (IAAR) (recognition end date recorded: 2028-01). Confirm the current status with WFME.
South Africa
Testing reference: Reported in the roadmap’s 2026 Step 1/Step 2 CK test-center layer; confirm a current seat.
No WFME-recognized agency was listed in this roadmap record. This is not a decision about your school’s ECFMG eligibility; read the school’s Sponsor Note and current Intealth policy.
South Sudan
Testing reference: Not reported in this roadmap snapshot; check the current locator before ruling out a location.
No WFME-recognized agency was listed in this roadmap record. This is not a decision about your school’s ECFMG eligibility; read the school’s Sponsor Note and current Intealth policy.
Sudan
Testing reference: Not reported in this roadmap snapshot; check the current locator before ruling out a location.
Agencies listed in the roadmap record: Sudan Medical Council (SMC) (recognition end date recorded: 2028-06). Confirm the current status with WFME.
São Tomé and Príncipe
Testing reference: Not reported in this roadmap snapshot; check the current locator before ruling out a location.
No WFME-recognized agency was listed in this roadmap record. This is not a decision about your school’s ECFMG eligibility; read the school’s Sponsor Note and current Intealth policy.
Tanzania
Testing reference: Not reported in this roadmap snapshot; check the current locator before ruling out a location.
No WFME-recognized agency was listed in this roadmap record. This is not a decision about your school’s ECFMG eligibility; read the school’s Sponsor Note and current Intealth policy.
Togo
Testing reference: Not reported in this roadmap snapshot; check the current locator before ruling out a location.
No WFME-recognized agency was listed in this roadmap record. This is not a decision about your school’s ECFMG eligibility; read the school’s Sponsor Note and current Intealth policy.
Uganda
Testing reference: Reported in the roadmap’s 2026 Step 1/Step 2 CK test-center layer; confirm a current seat.
No WFME-recognized agency was listed in this roadmap record. This is not a decision about your school’s ECFMG eligibility; read the school’s Sponsor Note and current Intealth policy.
Zambia
Testing reference: Not reported in this roadmap snapshot; check the current locator before ruling out a location.
No WFME-recognized agency was listed in this roadmap record. This is not a decision about your school’s ECFMG eligibility; read the school’s Sponsor Note and current Intealth policy.
Zimbabwe
Testing reference: Not reported in this roadmap snapshot; check the current locator before ruling out a location.
No WFME-recognized agency was listed in this roadmap record. This is not a decision about your school’s ECFMG eligibility; read the school’s Sponsor Note and current Intealth policy.
Caucasus & Central Asia
Afghanistan
Testing reference: Not reported in this roadmap snapshot; check the current locator before ruling out a location.
No WFME-recognized agency was listed in this roadmap record. This is not a decision about your school’s ECFMG eligibility; read the school’s Sponsor Note and current Intealth policy.
Armenia
Testing reference: Reported in the roadmap’s 2026 Step 1/Step 2 CK test-center layer; confirm a current seat.
Agencies listed in the roadmap record: Independent Agency for Accreditation and Rating (IAAR) (recognition end date recorded: 2028-01). Confirm the current status with WFME.
Azerbaijan
Testing reference: Not reported in this roadmap snapshot; check the current locator before ruling out a location.
Agencies listed in the roadmap record: Independent Agency for Accreditation and Rating (IAAR) (recognition end date recorded: 2028-01). Confirm the current status with WFME.
Georgia
Testing reference: Not reported in this roadmap snapshot; check the current locator before ruling out a location.
Agencies listed in the roadmap record: National Center for Educational Quality Enhancement (NCEQE) (recognition end date recorded: 2028-10). Confirm the current status with WFME.
Kazakhstan
Testing reference: Not reported in this roadmap snapshot; check the current locator before ruling out a location.
Agencies listed in the roadmap record: Independent Agency for Accreditation and Rating (IAAR) (recognition end date recorded: 2028-01); Eurasian Centre for Accreditation and Quality Assurance in Higher Education and Health Care (ECAQA) (recognition end date recorded: 2032-10); Independent Agency for Quality Assurance in Education (IQAA) (recognition end date recorded: 2036-08). Confirm the current status with WFME.
Kyrgyzstan
Testing reference: Not reported in this roadmap snapshot; check the current locator before ruling out a location.
Agencies listed in the roadmap record: Independent Agency for Accreditation and Rating (IAAR) (recognition end date recorded: 2028-01); Agency for Accreditation of Educational Programs and Organizations (AAEPO) (recognition end date recorded: 2032-03). Confirm the current status with WFME.
Tajikistan
Testing reference: Not reported in this roadmap snapshot; check the current locator before ruling out a location.
Agencies listed in the roadmap record: Independent Agency for Accreditation and Rating (IAAR) (recognition end date recorded: 2028-01); Eurasian Centre for Accreditation and Quality Assurance in Higher Education and Health Care (ECAQA) (recognition end date recorded: 2032-10). Confirm the current status with WFME.
Turkmenistan
Testing reference: Not reported in this roadmap snapshot; check the current locator before ruling out a location.
No WFME-recognized agency was listed in this roadmap record. This is not a decision about your school’s ECFMG eligibility; read the school’s Sponsor Note and current Intealth policy.
Uzbekistan
Testing reference: Not reported in this roadmap snapshot; check the current locator before ruling out a location.
Agencies listed in the roadmap record: Independent Agency for Accreditation and Rating (IAAR) (recognition end date recorded: 2028-01); Eurasian Centre for Accreditation and Quality Assurance in Higher Education and Health Care (ECAQA) (recognition end date recorded: 2032-10). Confirm the current status with WFME.
Agencies marked as applying in the roadmap record: National Quality Assurance Agency for Education (NQAAE). Applying is different from recognized.
South Asia
Bangladesh
Testing reference: Reported in the roadmap’s 2026 Step 1/Step 2 CK test-center layer; confirm a current seat.
No WFME-recognized agency was listed in this roadmap record. This is not a decision about your school’s ECFMG eligibility; read the school’s Sponsor Note and current Intealth policy.
Agencies marked as applying in the roadmap record: Bangladesh Medical Education Accreditation Council (BMEAC). Applying is different from recognized.
Bhutan
Testing reference: Not reported in this roadmap snapshot; check the current locator before ruling out a location.
No WFME-recognized agency was listed in this roadmap record. This is not a decision about your school’s ECFMG eligibility; read the school’s Sponsor Note and current Intealth policy.
India
Testing reference: Reported in the roadmap’s 2026 Step 1/Step 2 CK test-center layer; confirm a current seat.
Agencies listed in the roadmap record: National Medical Commission (NMC) (recognition end date recorded: 2033-09). Confirm the current status with WFME.
Maldives
Testing reference: Not reported in this roadmap snapshot; check the current locator before ruling out a location.
No WFME-recognized agency was listed in this roadmap record. This is not a decision about your school’s ECFMG eligibility; read the school’s Sponsor Note and current Intealth policy.
Nepal
Testing reference: Reported in the roadmap’s 2026 Step 1/Step 2 CK test-center layer; confirm a current seat.
No WFME-recognized agency was listed in this roadmap record. This is not a decision about your school’s ECFMG eligibility; read the school’s Sponsor Note and current Intealth policy.
Agencies marked as applying in the roadmap record: Medical Education Commission (MEC). Applying is different from recognized.
Pakistan
Testing reference: Reported in the roadmap’s 2026 Step 1/Step 2 CK test-center layer; confirm a current seat.
Agencies listed in the roadmap record: Pakistan Medical and Dental Council (PMDC) (recognition end date recorded: 2034-02). Confirm the current status with WFME.
Sri Lanka
Testing reference: Not reported in this roadmap snapshot; check the current locator before ruling out a location.
Agencies listed in the roadmap record: Sri Lanka Medical Council (SLMC) (recognition end date recorded: 2033-03). Confirm the current status with WFME.
East & Southeast Asia
Brunei
Testing reference: Not reported in this roadmap snapshot; check the current locator before ruling out a location.
No WFME-recognized agency was listed in this roadmap record. This is not a decision about your school’s ECFMG eligibility; read the school’s Sponsor Note and current Intealth policy.
Cambodia
Testing reference: Not reported in this roadmap snapshot; check the current locator before ruling out a location.
No WFME-recognized agency was listed in this roadmap record. This is not a decision about your school’s ECFMG eligibility; read the school’s Sponsor Note and current Intealth policy.
China
Testing reference: Reported in the roadmap’s 2026 Step 1/Step 2 CK test-center layer; confirm a current seat.
Agencies listed in the roadmap record: Working Committee for the Accreditation of Medical Education (WCAME) (recognition end date recorded: 2030-06). Confirm the current status with WFME.
Hong Kong
Testing reference: Reported in the roadmap’s 2026 Step 1/Step 2 CK test-center layer; confirm a current seat.
No WFME-recognized agency was listed in this roadmap record. This is not a decision about your school’s ECFMG eligibility; read the school’s Sponsor Note and current Intealth policy.
Indonesia
Testing reference: Reported in the roadmap’s 2026 Step 1/Step 2 CK test-center layer; confirm a current seat.
Agencies listed in the roadmap record: Indonesian Accreditation Agency for Higher Education in Health (IAAHEH / LAM-PTKes) (recognition end date recorded: 2028-10). Confirm the current status with WFME.
Japan
Testing reference: Reported in the roadmap’s 2026 Step 1/Step 2 CK test-center layer; confirm a current seat.
Agencies listed in the roadmap record: Japan Accreditation Council for Medical Education (JACME) (recognition end date recorded: 2036-05). Confirm the current status with WFME.
Laos
Testing reference: Not reported in this roadmap snapshot; check the current locator before ruling out a location.
No WFME-recognized agency was listed in this roadmap record. This is not a decision about your school’s ECFMG eligibility; read the school’s Sponsor Note and current Intealth policy.
Macao
Testing reference: Not reported in this roadmap snapshot; check the current locator before ruling out a location.
No WFME-recognized agency was listed in this roadmap record. This is not a decision about your school’s ECFMG eligibility; read the school’s Sponsor Note and current Intealth policy.
Malaysia
Testing reference: Reported in the roadmap’s 2026 Step 1/Step 2 CK test-center layer; confirm a current seat.
Agencies listed in the roadmap record: Medical Council of Ireland (MCI) (recognition end date recorded: 2030-06); Malaysian Medical Council (MMC) (recognition end date recorded: 2033-04). Confirm the current status with WFME.
Mongolia
Testing reference: Not reported in this roadmap snapshot; check the current locator before ruling out a location.
No WFME-recognized agency was listed in this roadmap record. This is not a decision about your school’s ECFMG eligibility; read the school’s Sponsor Note and current Intealth policy.
Myanmar
Testing reference: Not reported in this roadmap snapshot; check the current locator before ruling out a location.
No WFME-recognized agency was listed in this roadmap record. This is not a decision about your school’s ECFMG eligibility; read the school’s Sponsor Note and current Intealth policy.
North Korea
Testing reference: Not reported in this roadmap snapshot; check the current locator before ruling out a location.
No WFME-recognized agency was listed in this roadmap record. This is not a decision about your school’s ECFMG eligibility; read the school’s Sponsor Note and current Intealth policy.
Philippines
Testing reference: Reported in the roadmap’s 2026 Step 1/Step 2 CK test-center layer; confirm a current seat.
Agencies listed in the roadmap record: Philippine Accrediting Association of Schools, Colleges and Universities (PAASCU) (recognition end date recorded: 2033-04). Confirm the current status with WFME.
Singapore
Testing reference: Reported in the roadmap’s 2026 Step 1/Step 2 CK test-center layer; confirm a current seat.
No WFME-recognized agency was listed in this roadmap record. This is not a decision about your school’s ECFMG eligibility; read the school’s Sponsor Note and current Intealth policy.
South Korea
Testing reference: Reported in the roadmap’s 2026 Step 1/Step 2 CK test-center layer; confirm a current seat.
Agencies listed in the roadmap record: Korean Institute of Medical Education and Evaluation (KIMEE) (recognition end date recorded: 2026-09). Confirm the current status with WFME.
Taiwan
Testing reference: Reported in the roadmap’s 2026 Step 1/Step 2 CK test-center layer; confirm a current seat.
Agencies listed in the roadmap record: Taiwan Medical Accreditation Council (TMAC) (recognition end date recorded: 2029-04). Confirm the current status with WFME.
Thailand
Testing reference: Reported in the roadmap’s 2026 Step 1/Step 2 CK test-center layer; confirm a current seat.
Agencies listed in the roadmap record: Institute for Medical Education Accreditation (IMEAc) (recognition end date recorded: 2028-10). Confirm the current status with WFME.
Timor-Leste
Testing reference: Not reported in this roadmap snapshot; check the current locator before ruling out a location.
No WFME-recognized agency was listed in this roadmap record. This is not a decision about your school’s ECFMG eligibility; read the school’s Sponsor Note and current Intealth policy.
Vietnam
Testing reference: Not reported in this roadmap snapshot; check the current locator before ruling out a location.
No WFME-recognized agency was listed in this roadmap record. This is not a decision about your school’s ECFMG eligibility; read the school’s Sponsor Note and current Intealth policy.
Agencies marked as applying in the roadmap record: VNU-HCM Center for Education Accreditation. Applying is different from recognized.
Oceania
Australia
Testing reference: Reported in the roadmap’s 2026 Step 1/Step 2 CK test-center layer; confirm a current seat.
Agencies listed in the roadmap record: Australian Medical Council (AMC) (recognition end date recorded: 2028-01). Confirm the current status with WFME.
Fiji
Testing reference: Not reported in this roadmap snapshot; check the current locator before ruling out a location.
No WFME-recognized agency was listed in this roadmap record. This is not a decision about your school’s ECFMG eligibility; read the school’s Sponsor Note and current Intealth policy.
Kiribati
Testing reference: Not reported in this roadmap snapshot; check the current locator before ruling out a location.
No WFME-recognized agency was listed in this roadmap record. This is not a decision about your school’s ECFMG eligibility; read the school’s Sponsor Note and current Intealth policy.
Marshall Islands
Testing reference: Not reported in this roadmap snapshot; check the current locator before ruling out a location.
No WFME-recognized agency was listed in this roadmap record. This is not a decision about your school’s ECFMG eligibility; read the school’s Sponsor Note and current Intealth policy.
Micronesia
Testing reference: Not reported in this roadmap snapshot; check the current locator before ruling out a location.
No WFME-recognized agency was listed in this roadmap record. This is not a decision about your school’s ECFMG eligibility; read the school’s Sponsor Note and current Intealth policy.
Nauru
Testing reference: Not reported in this roadmap snapshot; check the current locator before ruling out a location.
No WFME-recognized agency was listed in this roadmap record. This is not a decision about your school’s ECFMG eligibility; read the school’s Sponsor Note and current Intealth policy.
New Zealand
Testing reference: Reported in the roadmap’s 2026 Step 1/Step 2 CK test-center layer; confirm a current seat.
Agencies listed in the roadmap record: Australian Medical Council (AMC) (recognition end date recorded: 2028-01). Confirm the current status with WFME.
Palau
Testing reference: Not reported in this roadmap snapshot; check the current locator before ruling out a location.
No WFME-recognized agency was listed in this roadmap record. This is not a decision about your school’s ECFMG eligibility; read the school’s Sponsor Note and current Intealth policy.
Papua New Guinea
Testing reference: Not reported in this roadmap snapshot; check the current locator before ruling out a location.
No WFME-recognized agency was listed in this roadmap record. This is not a decision about your school’s ECFMG eligibility; read the school’s Sponsor Note and current Intealth policy.
Samoa
Testing reference: Not reported in this roadmap snapshot; check the current locator before ruling out a location.
Agencies listed in the roadmap record: Philippine Accrediting Association of Schools, Colleges and Universities (PAASCU) (recognition end date recorded: 2033-04). Confirm the current status with WFME.
Solomon Islands
Testing reference: Not reported in this roadmap snapshot; check the current locator before ruling out a location.
No WFME-recognized agency was listed in this roadmap record. This is not a decision about your school’s ECFMG eligibility; read the school’s Sponsor Note and current Intealth policy.
Tonga
Testing reference: Not reported in this roadmap snapshot; check the current locator before ruling out a location.
No WFME-recognized agency was listed in this roadmap record. This is not a decision about your school’s ECFMG eligibility; read the school’s Sponsor Note and current Intealth policy.
Tuvalu
Testing reference: Not reported in this roadmap snapshot; check the current locator before ruling out a location.
No WFME-recognized agency was listed in this roadmap record. This is not a decision about your school’s ECFMG eligibility; read the school’s Sponsor Note and current Intealth policy.
Vanuatu
Testing reference: Not reported in this roadmap snapshot; check the current locator before ruling out a location.
Agencies listed in the roadmap record: Indonesian Accreditation Agency for Higher Education in Health (IAAHEH / LAM-PTKes) (recognition end date recorded: 2028-10). Confirm the current status with WFME.
Practice with Doctor Sebas
Use official sources to confirm current requirements, fees, dates, appointment availability and program rules before you make a decision. These educational guides do not promise a score, an interview or a Match result.
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