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ECFMG will modify the USMLE application process and the process for requesting Step 1/Step 2 CK eligibility period extensions for international medical graduates. Once this change takes effect, ECFMG will not register an international medical graduate for USMLE, or extend his/her eligibility period, before receiving verification of the applicant’s status as a medical school graduate directly from his/her medical school. This status will be verified in one of three ways:

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