|Overview||Exam & Biographic Information||Payment||Certification|
|Eligibility for and Overview of the Request to Extend a USMLE® Step 1/Step 2 CK Eligibility Period (EPEx)|
If you are unable to take USMLE Step 1/Step 2 CK during the eligibility period assigned to you, you may request a one-time extension. You may extend your eligibility period only through the next, contiguous eligibility period (the next eligibility period that does not overlap with your assigned eligibility period).
Example: An applicant's eligibility period is April-May-June. The eligibility period may be extended only through July-August-September.
To request an extension, you must complete a "Request to Extend a USMLE® Step 1/Step 2 CK Eligibility Period" as described below in the Overview. Payment of the appropriate fee must accompany the request.
You may request an extension of your eligibility period only once for each exam registration. You may request an extension of your eligibility period only after your original eligibility period has begun. The processing of your request must be completed by the published deadline (refer to the table below), or your request will be rejected. The time needed to complete the processing of your request may be contingent upon your medical school's response to ECFMG's request for verification of your status as a student or graduate.
If you are requesting an extension of the eligibility periods for both Step 1 and Step 2 CK at the same time and the eligibility periods are different, the processing of your request must be completed by the deadline for the earlier eligibility period. For specific information on the timing of your request, refer to the table below.
Example: Your Step 1 eligibility period is Jun 1, 2021 - Aug 31, 2021 and your Step 2 CK eligibility period is Jul 1, 2021 - Sep 30, 2021. If you are submitting a request for an extension of both eligibility periods at the same time, the processing of your request must be completed by Sep 27, 2021, the deadline for the earlier eligibility period, Jun 1, 2021 - Aug 31, 2021.
Additionally, you must continue to be eligible to take the exam during the extended
eligibility period (you must still be officially enrolled in a medical school
located outside of the United States and Canada that is listed in the
World Directory of Medical Schools (World Directory)
with an ECFMG note stating it meets eligibility requirements for its students and graduates to apply to ECFMG
for ECFMG Certification and examination, and the "Graduation Years" for your medical school must be listed as "Current,"
or you must be a graduate of such a medical school and your graduation year must be included in the school's ECFMG note
on the Sponsor Notes tab of the medical school's World Directory listing).
Refer to Eligibility for Examination in the ECFMG Information Booklet.
If you have a scheduled testing appointment during your original eligibility period and need to cancel and reschedule the appointment for your extended eligibility period, you must contact Prometric to cancel or reschedule that appointment. Requesting an extension of your eligibility period does not cancel a scheduled appointment.
Please note that if you do not take the exam during your original or extended eligibility period or if you are unable to extend your eligibility period, you must reapply by submitting a new application and fee(s), if you wish to take the exam.
There are two parts to the IWA Request to Extend a USMLE® Eligibility Period:
1. On-line Part
You must begin with the on-line part. Instructions for each item in the request are available throughout the process. You can also print the instructions for all items at any time.
When you begin an on-line request, your request will be assigned a Request Identification Code. You should write this number down and keep it in a safe place. As you move from screen to screen, the information you provide will be saved. If you are unable to finish the on-line part of your request in one session or you are disconnected, you can return to your request later by clicking the link to your saved request after logging into IWA. You may also use the Request Identification Code to reprint Certification Statement (Form 183-E), if necessary, after the on-line part of your request has been submitted to ECFMG.
You will be given the option to request an extension of a USMLE eligibility period only for those exams for which you are currently registered. Also, you will not be able to apply for an extension before the start date or after the published deadline for the original eligibility period (see above). If you meet these requirements for both USMLE Step 1 and Step 2 CK, you will be able to apply for extensions of both eligibility periods in the same request.
To complete the on-line part of the request, you must read the Certification by Applicant statement (Item 4) and click the check box to indicate that you have read, understood, and agree to the statement. If you do not click the check box, you will not be able to proceed with your request.
2. Student or Graduate Status Verification
In order to process your request for an eligibility period extension, ECFMG must verify your status as a student or graduate of the medical school you listed in your USMLE application with that medical school. ECFMG will request status verification from your medical school via the school's preferred method, either electronically through the ECFMG Medical School Web Portal (EMSWP) Status Verification program or via a paper form (Certification Statement Form 183-E). If your medical school completes status verification requests electronically, you will be notified at the end of the on-line application process. If your medical school completes status verification requests via paper form, you will be provided with the form at the end of the on-line application process.
If your medical school participates in EMSWP Status Verification, ECFMG cannot complete the processing of your request until your medical school verifies your status through EMSWP. As a result, the time needed to complete the processing of your request will be contingent upon your medical school's response to the EMSWP verification request. If your medical school does not verify your status through EMSWP by the published deadline, your request will be rejected.
If you are required to complete a Certification Statement (Form 183-E), you must print it at the end of the on-line part of the request for extension.
The Certification Statement (Form 183-E) must be completed by you and an authorized official of your medical school. The medical school official must sign and date the form and provide his/her name, official title, and the institution name. The official must affix the institution's seal in the designated section of the form. Each medical school has been requested to provide ECFMG with a list of the officials authorized by the school to certify these forms. Your form must be certified by an official on this list. Contact your medical school to determine the officials authorized by your medical school for this purpose; ECFMG will not provide this information to applicants. If your form is not signed by an authorized official, it will not be accepted. The signature of the official must be current; the official must have signed the form within 45 days of the date that it is received at ECFMG. The form must be sent to ECFMG directly from the office of this official. If the form is not sent to ECFMG from the office of the medical school official, it will not be accepted.
ECFMG must receive both the on-line part and the Certification Statement (Form 183-E) in order to process your request. The processing of your request must be completed by the published deadline, or it will be rejected.
The completed Certification Statement (Form 183-E) must be received by ECFMG as soon as possible. You will be given a deadline, based on your original eligibility period(s), by which the processing of your request must be completed. If you are requesting an extension of the eligibility periods for both Step 1 and Step 2 CK and the eligibility periods are different, the processing of your request must be completed by the deadline for the earlier eligibility period. The deadlines are shown in the table above.
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