The individual’s medical school must meet requirements established by ECFMG. To be eligible for certification by ECFMG, an IMG must meet the following requirements. What are the requirements for ECFMG Certification? Additional information will be provided on the USMLE and ECFMG websites as it becomes available. When this change takes effect, it will likely modify USMLE registration and ECFMG Certification requirements for students and graduates of Canadian medical schools. Effective July 1, 2025, CACMS will become the sole accrediting body for medical schools in Canada. ![]() Important Note: Currently, medical education programs leading to the MD degree in Canada are accredited by the Liaison Committee on Medical Education (LCME) and the Committee on Accreditation of Canadian Medical Schools (CACMS). citizens who graduated from medical schools in the United States and Canada are not considered IMGs. citizens who graduated from medical schools outside the United States and Canada are considered IMGs. The location of the medical school, not the citizenship of the individual, is what determines whether they are IMGs.
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