Intealth ECFMG

Educational Commission for Foreign Medical Graduates

ECFMG 2026 Information Booklet

The United States Medical Licensing Examination (USMLE)


About USMLE

The USMLE is a three-step examination for medical licensure in the United States. The USMLE provides a common system to evaluate applicants for medical licensure. The USMLE is sponsored by the Federation of State Medical Boards (FSMB) and the NBME .

To learn more, visit the USMLE website .

If you apply for examination, you are required to read the USMLE Bulletin of Information for detailed information on the USMLE.

Important Note: The USMLE co-sponsors are developing plans to centralize all USMLE service functions. As part of these plans, USMLE services currently provided to IMGs by ECFMG will transition to the USMLE co-sponsors for them to provide to IMGs. Please refer to the Important Notices section of this booklet for more information.

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[Last update: August 18, 2025]

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