Licensure

The United States has a system for evaluating applicants for Medical Licensure, the United States Medical Licensing Examination (USMLE-ECFMG), a three step test. This is part of the ISMS curriculum and Students are eligible to take it.
 
Examination Requirements
Applicants for ECFMG Certification must satisfy both the medical science examination and the clinical skills requirements. To satisfy these requirements, applicants must pass Step 1 and Step 2 of the United States Medical Licensing Examination (USMLE). Step 2 of the USMLE has two separately administered components, the Clinical Knowledge (CK) component and the Clinical Skills (CS) component.
ECFMG and its organizational members define an international medical graduate as a physician who received his/her basic medical degree or qualification from a medical school located outside the United States and Canada. For more information visit www.ecfmg.org/2009ib/ibcert.html#note
United States citizens who have completed their medical education in schools outside the United States and Canada are considered international medical graduates. Non-U.S. citizens who have graduated from medical schools in the United States and Canada are not considered international medical graduates.
Registration Entity and Test Delivery Entity
Step 1 and Step 2
ECFMG serves as the registration entity for international medical students/graduates taking Step 1 and Step 2 (CK and CS). This means that ECFMG processes your application and payment, determines your eligibility, and notifies you of the outcome of your application. The NBME serves as the registration entity for students/graduates of U.S. and Canadian medical school programs accredited by the Liaison Committee on Medical Education (LCME) and U.S. medical schools accredited by the American Osteopathic Association (AOA).
For eligible Step 1/Step 2 CK applicants, ECFMG forwards registration information to NBME, and NBME issues the exam scheduling permits. Scheduling and test centers for USMLE Step 1 and Step 2 CK are provided by Prometric. Prometric serves as the test delivery entity for all examinees taking Step 1/Step 2 CK. Step 1 and Step 2 CK are delivered at Prometric test centers worldwide. ECFMG is not responsible for errors or any associated computer problems that may occur in issuing Step 1/Step 2 CK scheduling permits or in delivering these exams. These functions are the responsibility of NBME and/or Prometric.
For eligible Step 2 CS applicants, ECFMG issues the exam scheduling permits. The Clinical Skills Evaluation Collaboration (CSEC), a collaboration of ECFMG and NBME, is responsible for delivery of the Step 2 CS exam. Step 2 CS is delivered to all examinees at regional CSEC Centers in the United States.
NBME is responsible for determining the results of USMLE exams and for issuing the score reports. ECFMG notifies international medical students/graduates when their Step 1, Step 2 CK, and Step 2 CS score reports are available and provides them with secure, web-based access to the score reports.
Step 3
The FSMB serves as the registration entity for all Step 3 applicants. To be eligible for Step 3, international medical graduates must have passed Step 1 and Step 2 and must be certified by ECFMG, among other requirements. See Eligibility in the USMLE Bulletin of Information. If you have not met all eligibility requirements, your application for Step 3 will not be accepted. For detailed information and application procedures for Step 3, contact the individual medical licensing authorities or the FSMB (see Communicating about USMLE in the USMLE Bulletin of Information
Scheduling and test centers for Step 3 are provided by Prometric, which serves as the test delivery entity for all Step 3 examinees. USMLE Step 3 is delivered at Prometric test centers in the United States.
NBME is responsible for determining the results of USMLE exams and for issuing the score reports. FSMB notifies examinees when their Step 3 score reports are available and provides them with secure, web-based access to the score reports.
Notice: Step 2 CS has replaced the former ECFMG CSA. ECFMG-certified physicians, and physicians who have successfully completed Fifth Pathway programs, must have taken and passed either Step 2 CS or the CSA in order to register for Step 3. See the Who Is Required to Take Step 2 CS section in the USMLE Bulletin of Information
Medical School Students
To be eligible for Step 1, Step 2 CK, and Step 2 CS, you must be officially enrolled in a medical school located outside the United States and Canada that is listed in IMED, available on the ECFMG website, both at the time that you apply and at the time you take the exam. In addition, the “Graduation Years” in IMED for your medical school must be listed as “Current” at the time you apply and at the time you take the exam. 
Your Medical School Dean, Vice Dean, or Registrar must certify your current enrollment status; instructions will be provided at the time of application. As soon as you graduate and receive your medical diploma, you must send two photocopies of your medical diploma and one full-face, passport-sized, color photograph to ECFMG (see Provision of Credentials and Translations). The photograph that you send must be current; it must have been taken within six months of the date that you send it. A photocopy of a photograph is not acceptable.
In addition to being currently enrolled as described above, to be eligible for Step 1, Step 2 CK, and Step 2 CS, you must have completed at least two years of medical school. This eligibility requirement means that you must have completed the basic medical science component of the medical school curriculum by the beginning of your eligibility period.
Although you may apply for and take the examinations after completing the basic medical science component of your medical school curriculum, it is recommended that you complete your core clinical clerkships, including actual patient contact, before taking Step 2 CK and Step 2 CS.
ECFMG reserves the right to recertify with the medical school the eligibility of medical school students who are registered for an exam. When a medical school does not participate in the ECFMG Medical School Web Portal (EMSWP), ECFMG’s recertification of the status of the school’s students may include ECFMG sending a written request for recertification by postal mail to the medical school. If such recertification is requested by ECFMG, the student’s score report will be issued only after ECFMG has received recertification of the student’s status directly from the medical school.
More information is also available at:
Educational Commission for Foreign Medical Graduates
3624 Market Street, 4th Floor
Philadelphia, PA 19104-2685
http://www.ecfmg.orghttp://www.toefl.org
Federation of State Medical Boards
400 Fuller Wiser Road, Suite 300
Euless, TX 76039
http://www.fsmb.org