Step-by-Step Guide for ECFMG Registration for Residency Match - A guide by IMG Rotations
- TBC
- Feb 18
- 4 min read
Updated: Feb 19

Step 1: Visit the ECFMG Website and Create Your ECFMG Account
Start by visiting the official ECFMG website
Click on "Apply for ECFMG Certification" to begin the registration process. This will guide you to the portal where you can create your account and complete the registration steps.
On the ECFMG website, you’ll need to create an account to begin your registration.
You’ll be asked to provide:
Your personal details (name, date of birth, address, etc.)
Email address and contact information.
Ensure that you enter all the details accurately as they will be used for all future communications and records.
Step 2: Verify Your Medical School Credentials
One of the key steps in registering with the ECFMG is verifying that your medical school is listed in the World Directory of Medical Schools. If your school is not listed, you will need to provide additional documentation for verification.
To proceed with verification, you must submit the following:
Medical school diploma (or proof of enrollment if you are still in school).
Transcripts showing your academic performance.
ECFMG will then evaluate your school’s credentials and confirm if you meet the eligibility requirements.
Step 3: Complete the Application for ECFMG Certification
Once your credentials are verified, you can complete the Application for ECFMG Certification.
You will need to provide details such as:
Medical school information.
Details about your medical education.
Language proficiency (you must prove that you have sufficient knowledge of English, which is required for U.S. medical practice).
It’s important to be accurate when filling out the application for registration because any mistakes can cause delays or rejections as while you don't need to have your ECFMG certificate to register for the match, some programs may choose not to invite IMGs to residency interview if the ECFMG certificate is not submitted.
Step 4: Pay the Application Fees
After submitting your application, you’ll be required to pay the application fee. The fee varies depending on the services and exams you choose to register for, but it typically includes:
The cost of the ECFMG Certification application.
USMLE registration fees (for each step of the exam).
Payment can usually be made online via credit card or bank transfer. Be sure to review the fee schedule on the ECFMG website to understand the total cost.
Step 5: Submit Required Documents
Along with your application and payment, you will need to submit several supporting documents to ECFMG, such as:
Official transcripts from your medical school.
Proof of graduation or expected graduation date.
Identification documents (passport, national ID card, etc.).
These documents will be used to validate your eligibility and ensure that you meet the requirements to take the USMLE exams.
Step 6: Wait for ECFMG Approval and Issuance of Your ECFMG Certification
After submitting all required documents, you will need to wait for ECFMG to review your application and documents.
Once your application is approved, ECFMG will issue your ECFMG Certificate, which is required to apply for U.S. residency programs and take the USMLE Step 1 and Step 2 exams.
You will receive an email notification once your certification is approved, and you can access your ECFMG status through your account portal.
Step 7: Schedule Your USMLE Exams
Once you have your ECFMG certification, you can register for the USMLE Step 1 and Step 2 exams.
You will need to log in to the Prometric website to schedule your exam date. The ECFMG website also allows you to track your eligibility for the exams and view the status of your applications.
Additional Tips for IMGs
Stay Organized: Keep copies of all documents you submit to ECFMG. This will help if there are any discrepancies or if you need to reference them later.
Review Your Credentials: Double-check that all the information you provide about your school and education is accurate. Any errors or inconsistencies could delay the process.
Follow Up: If you don’t receive confirmation from ECFMG or have any doubts, don’t hesitate to reach out to their support team to ensure everything is on track.
Why ECFMG Registration is Crucial for IMGs Applying for the Residency Match
For IMGs, ECFMG registration is a gateway to entering the U.S. medical system. By completing this process, you gain access to the USMLE exams, which are required for residency applications and licensure in the United States. Successfully registering with ECFMG also boosts your credibility when applying to residency programs and ensures that you meet the standards required by U.S. hospitals and academic institutions.
At IMG Rotations, we understand the challenges of the residency match process and are here to support you through every step, whether it’s with ECFMG registration, USMLE preparation, or securing clinical rotations. If you need any help with your registration process or guidance on taking the next steps toward residency, don’t hesitate to reach out!