When is the CSA Exam taken?

CSA Clinical Skills Assessment, formerly administered by ECFMG

The clinical skills requirement. Step 2 CS of the USMLE is the exam currently administered that satisfies this requirement. Specific time limits for passing Step 2 CS for ECFMG Certification may apply.

For detailed information, including information on time limits for completing the examinations for ECFMG Certification and using a passing performance on former exams to satisfy these requirements, see Examination Requirements.

In order to practice medicine in the United States, students must take and pass the step 2 CS  examination. It is therefore strongly recommended that all students wishing to practice medicine in the United States take this exam during the final year of clinical rotations. However, in order to receive their M.D. degree, ISMS University does not require students to take the CSA.


Important Note: Prior to June 14, 2004, passing performances on an English language proficiency test and the ECFMG Clinical Skills Assessment (CSA) were requirements for ECFMG Certification. Passing performances on these exams were subject to expiration for the purpose of entering U.S. programs of graduate medical education; Standard ECFMG Certificates based on these exams may list “valid through” dates, the dates through which the passing performances are valid for this purpose. Effective June 14, 2004, some of these examinations are no longer subject to expiration, regardless of whether a “valid through” date is listed on the Standard ECFMG Certificate. See Validity of Examinations for Entry into Graduate Medical Education.

Applicants may use the Standard ECFMG Certificate to enter an accredited program of graduate medical education in the United States.


Important Note: Passing performance on an English language proficiency test (such as the Test of English as a Foreign Language™ [TOEFL®]) is no longer a requirement for ECFMG Certification.