Intealth ECFMG

Educational Commission for Foreign Medical Graduates

ECFMG 2026 Information Booklet

Medical Education Credentials


ECFMG Policy on Transfer Credits

Transfer credits are credits earned for a course taken at one institution (such as a medical school) that are accepted by a medical school toward meeting its degree requirements. For example, a student attends a medical school for one year and earns credits for 12 courses. The student transfers to another medical school, which accepts the credits for those 12 courses toward meeting its degree requirements. The credits for those 12 courses are then referred to as transfer credits.

If you transferred credits to the medical school that awarded or will award your medical degree, you must disclose and document these credits when you apply to ECFMG for examination, regardless of when the credits were earned. See Credentials for ECFMG Certification in Medical Education Credentials. Failure to disclose and document these credits may have a number of negative consequences, including delaying exam registration and certification by ECFMG, and may result in a finding of irregular behavior and permanent annotation of your record. See Policies and Procedures Regarding Irregular Behavior.

Additionally, for the purpose of ECFMG Certification, credits that are transferred to the medical school that awarded or will award your medical degree must meet all of the following criteria, if that medical school does not meet the requirements of the Recognized Accreditation Policy:

  • All credits must have been transferred from a medical school that is either:
    • located in the United States and listed in the World Directory , or
    • listed in the World Directory with an ECFMG note stating it meets ECFMG eligibility requirements.
  • Credits must be for courses that were passed at the medical school at which the course was taken.
  • Credits may only be transferred from one medical school to the medical school which awards the final degree.

If your medical school does not meet the requirements of the Recognized Accreditation Policy and your transferred credits do not comply with all the criteria listed above, you will not meet the requirements to be registered by ECFMG for examination or the requirements to be certified by ECFMG, and your Application for ECFMG Certification will be rejected. If your transferred credits do not meet all the criteria listed above, you may request an exception from the ECFMG Medical Education Credentials Committee.

Important Notes: If your degree medical school meets the requirements of the Recognized Accreditation Policy, the criteria for transfer credits listed above no longer apply. You are still required to disclose and document credits transferred to the medical school that awarded or will award your medical degree and submit transcripts to document these credits.
The requirement that credits must be transferred from a medical school that meets the criteria above does not apply to credits transferred only to the pre-medical portion of the curriculum of the medical school that awarded or will award the medical degree. If you transferred credits to the pre-medical portion of the curriculum at the medical school that awarded or will award your medical degree from an institution that does not meet the criteria listed above, you must provide ECFMG with a letter from the medical school that awarded or will award your medical degree confirming that the credits were transferred to the pre-medical portion of the curriculum only. This letter must be on the letterhead of the medical school and be signed by an authorized official of your medical school. This letter must be submitted in conjunction with the application for examination. Applications received without this letter may be rejected. This letter is in addition to disclosing and documenting all transferred credits as described above.

The intent of this policy on transfer credits is to preserve the appropriate education of medical school graduates applying to ECFMG for certification. The provisions of this policy will be applied by ECFMG in its sole discretion in order to effectuate the intent of this policy.

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[Last update: August 18, 2025]

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