Getting ECFMG later than june - chances of residency

This forum made possible through the generous support of SDN members, donors, and sponsors. Thank you.

tednfs

Full Member
10+ Year Member
Joined
May 6, 2012
Messages
12
Reaction score
0
I am a 5th year medical student at the University of Debrecen - a 6 year program set to graduate in 2014. I finished my Step 1 exam in December of 2012, and was planning on taking Step 2 later this year, when I have started my clinical practice. So my query is based around a 2014 match:

I am aware to be match, that I should be ECFMG eligible (Steps 1, 2 CK and CS) before match day. At the same time I know that residency programs start in July officially, with some having a two week orientation starting in the middle of June. Also, for an IMG to start work he/she must be ECFMG certified before the commencement of residency training.

In my school, the earliest one can graduate is June, after our final state exam earlier in the same month, and we only get our final diploma at the end of the month. It takes 3-4 weeks from getting the diploma to getting verified and certified by ECFMG. Thus, I would be a month late if I were to start any programs. Is there anyway to circumvent this problem? Any information would be appreciated. If it's impossible I can apply in the upper year.
 
I am a 5th year medical student at the University of Debrecen - a 6 year program set to graduate in 2014. I finished my Step 1 exam in December of 2012, and was planning on taking Step 2 later this year, when I have started my clinical practice. So my query is based around a 2014 match:

I am aware to be match, that I should be ECFMG eligible (Steps 1, 2 CK and CS) before match day. At the same time I know that residency programs start in July officially, with some having a two week orientation starting in the middle of June. Also, for an IMG to start work he/she must be ECFMG certified before the commencement of residency training.

In my school, the earliest one can graduate is June, after our final state exam earlier in the same month, and we only get our final diploma at the end of the month. It takes 3-4 weeks from getting the diploma to getting verified and certified by ECFMG. Thus, I would be a month late if I were to start any programs. Is there anyway to circumvent this problem? Any information would be appreciated. If it's impossible I can apply in the upper year.

Passing Step 1/CK/CS = ECFMG Verified not "eligible".

You forgot to factor in the main reason why its important to be ECFMG certified earlier then May* I'd say. State licensing takes a good 4-6 weeks (longer for some other states). So if you're ECFMG certified at the end of July, then adding another 4-6 weeks will come to August/Sept. Which I don't think would go down too well.

Also, I'd say because you're not a Carib graduate, you may have a harder time getting interviews to begin with if you're not certified when applying to programs.
 
Passing Step 1/CK/CS = ECFMG Verified not "eligible".

You forgot to factor in the main reason why its important to be ECFMG certified earlier then May* I'd say. State licensing takes a good 4-6 weeks (longer for some other states). So if you're ECFMG certified at the end of July, then adding another 4-6 weeks will come to August/Sept. Which I don't think would go down too well.

Also, I'd say because you're not a Carib graduate, you may have a harder time getting interviews to begin with if you're not certified when applying to programs.
Hello Septoplasty,

Thanks for clarifying that out for me. Seems like I'd have to push it to 2015 then. As for being a non-Carib student, I'm planning on doing some months before I graduate to get USCE.

Thanks again for the response. After so many views, was wondering if anybody would respond.
 
Delaying for a year may also be in your best interest because many programs will not even interview foreign grads without the ECFMG certificate in hand.
Hello Winged Scapula,

Thanks for the heads-up. I'll keep that in mind.
 
Thanks again for the response. After so many views, was wondering if anybody would respond.

Please show a little more patience. septoplasty responded merely one day after you created the thread and wrote your original post. Surely waiting a day isn't too long to hear from busy physicians?
 
Delaying for a year may also be in your best interest because many programs will not even interview foreign grads without the ECFMG certificate in hand.

some, but not "many"...cali is probably the state with the most programs that require ECFMG certification...mainly because they require the PTAL, which can only be processed after ECFMG certification.
 
My experience (and those of SDN users) differs from yours apparently.

yes...well, most sdn users are not IMGs or FMGs...those with experience applying as an IMG frankly have a little more insight...

even if a program states ECFMG certified on the website, when you talk to the RC, they really mean verified...esp for 4th year students...if one has graduated, they may then request the certification (knowing that the certification is only possible once a person has diploma in hand)...of course there are places that do want the ECFMG certification...but that's just their "subtle" way of saying they really don't want I/FMGs...
 
Like...for instance...WS?

if (s)he is then, sorry...but when i was applying, i was pretty geographically broad and as a USIMG knew i had to look at alot of programs...there where a handful...maybe 10? out of the initial 200 some programs i looked at that truly were ECFMG certification in hand (either by interview or ROL day)...many were in Tx and Ill as well as the above mentioned Cali...most programs in the NE and the South didn't require more than verification (which is needed by ROL day anyway)...so no i don't think ~10 out of 200 is "many".

its poor advice to tell a person...oh many programs want certification up front when its not really true...it limits them in their already limited choices.

and most sdn posters are USMD or DO students...many have preconceived notions of the IMG/FMG route and repeat what they hear from friends or friends of friends...and like any telephone game, the info gets distorted...
 
Well Rokshana,

Being a USIMG Grad, this years match was fairly rough for many of us who weren't "certified". Many of us were actually denied IV's when the PC's called to book dates for IV's, and some didn't get any IV's at all (with decent scores).

I think your opinion might be have been valid when you were applying. Nowadays, along with scores, PC's look for certification because its one of those "qualifying" factors. I'm not saying every program does, but I'd say at least 1/2 of them do. When you have 1200 people applying, you need to be very selective on who you IV, and therefore this being used as a selection criteria.

Also, in terms of the OP, I feel it would be well worth it to delay the application and get certified before applying. Its definitely true that they'll get more interviews with ECFMG certified than without. This helps the financial situation as well.
 
Not too sure about that.

I applied to IM this year, 126 places total. USIMG with above average board scores, no red flags, got more than 35 interviews and eventually had to cancel. No place ever brought up the actual certificate (ie had to have diploma etc etc), but of course wanted to see verified (ie passed 1, CK, CS, etc.) (I think thats a requirement).

To say that 1/2 of them require it is wrong, once again, depends on the applicant, the school they are coming from, and everything else..

Also read their sites, alot of places put alot of "requirements," that they dont follow through with..Alot of places said certified by January of 2013, and I know multiple people from my school matched at programs like this and wont be really certified until the start of their residency. Depends on how bad they want someone, because as we know rules can always be bent.
 
Last edited:
yes...well, most sdn users are not IMGs or FMGs...those with experience applying as an IMG frankly have a little more insight...

As noted by gutonc, I am an IMG and have extensive personal experience as a residency and fellowship applicant, subsequent matching and interviewing candidates.

even if a program states ECFMG certified on the website, when you talk to the RC, they really mean verified...esp for 4th year students...

Yes, that is true, there may be exceptions to the rule.

if one has graduated, they may then request the certification (knowing that the certification is only possible once a person has diploma in hand)...of course there are places that do want the ECFMG certification...but that's just their "subtle" way of saying they really don't want I/FMGs...

The latter is absolutely true but has really nothing to do with the OP. The *reason* programs want the ECFMG certification is not important if it is required without exception.

if (s)he is then, sorry...but when i was applying, i was pretty geographically broad and as a USIMG knew i had to look at alot of programs...there where a handful...maybe 10? out of the initial 200 some programs i looked at that truly were ECFMG certification in hand (either by interview or ROL day)...many were in Tx and Ill as well as the above mentioned Cali...most programs in the NE and the South didn't require more than verification (which is needed by ROL day anyway)...so no i don't think ~10 out of 200 is "many".

There are over 4000 programs in the United States which offer PGY-1 positions and nearly 30,000 positions. Thus, your experience with 200 programs (Internal Medicine as I recall) is not broad based. I can tell you, IMHO, surgical programs often do require ECFMG certification for interview.

Thus, I contend that many of the programs I am familiar with require it. I am not interested in arguing about what constitutes "many", other than to state that its not as rare as some would believe. Whether that is a hard and fast rule or whether they do it to simply "scare" off FMGs/IMGs doesn't matter. The OP needs to realize that programs do have those rules.

In addition to my personal experience, over the years, there have been plenty of SDN users who have found that programs are much more receptive when a certificate is in hand. There is just no arguing that.

its poor advice to tell a person...oh many programs want certification up front when its not really true...it limits them in their already limited choices.

and most sdn posters are USMD or DO students...many have preconceived notions of the IMG/FMG route and repeat what they hear from friends or friends of friends...and like any telephone game, the info gets distorted...

But it is true.

As a foreign grad myself who has been through the gauntlet of the US medical education system as an applicant and now as faculty, and as someone who has worked on SDN for over 13 years, I am well aware of what is true and what are preconceived notions. My post was simply informing the OP about requirements that some programs have that he/she was unaware of. If you find it "poor advice" to advise posters about the potential problems then we will just have to agree to disagree, because I find it beneficial for applicants to know all the potential roadblocks. Better to be prepared for something that might not happen, rather than be surprised. I feel that there is too much at stake for the OP to simply be guided without being told about the issues. If he/she finds that having the certificate is not a problem, then I am thrilled for him/her as it means they can start their education earlier. Unpopular advice should not be interpreted as "poor advice".

Not too sure about that.

I applied to IM this year, 126 places total. USIMG with above average board scores, no red flags, got more than 35 interviews and eventually had to cancel. No place ever brought up the actual certificate (ie had to have diploma etc etc), but of course wanted to see verified (ie passed 1, CK, CS, etc.) (I think thats a requirement).

To say that 1/2 of them require it is wrong, once again, depends on the applicant, the school they are coming from, and everything else..

You and rokshana are speaking about IM programs; there are thousands of programs out there which are not IM and for which the OP may be applying.

Also read their sites, alot of places put alot of "requirements," that they dont follow through with..Alot of places said certified by January of 2013, and I know multiple people from my school matched at programs like this and wont be really certified until the start of their residency. Depends on how bad they want someone, because as we know rules can always be bent.

Again, you and rokshana are misinterpreting the intent of my post. It is TRUE that programs may require ECFMG certification. Is is TRUE that programs may bend the rules. It is TRUE that the OP will also not likely be ready to start residency on July 1.

Does that mean that he/she absolutely shouldn't apply? No. I never said that. I simply said he may consider delaying his application. Applying with the strongest application is especially important in this day and age. Your best chance is your first chance.

The OP needs to be aware that there are programs who require, at least state they require, ECFMG certification for interview or ROL.

I stand by my statement that telling the OP this is helpful. Telling posters you are a "special flower" and will have rules bent for you is not helpful.
 
Last edited:
Not too sure about that.

I applied to IM this year, 126 places total. USIMG with above average board scores, no red flags, got more than 35 interviews and eventually had to cancel. No place ever brought up the actual certificate (ie had to have diploma etc etc), but of course wanted to see verified (ie passed 1, CK, CS, etc.) (I think thats a requirement).

To say that 1/2 of them require it is wrong, once again, depends on the applicant, the school they are coming from, and everything else..

Also read their sites, alot of places put alot of "requirements," that they dont follow through with..Alot of places said certified by January of 2013, and I know multiple people from my school matched at programs like this and wont be really certified until the start of their residency. Depends on how bad they want someone, because as we know rules can always be bent.

Maybe I should clarify: I have no concrete evidence or reference where I got the "1/2" number from. It was from my experience, applying to 220 Family Med programs (Uni & Uni-Affiliated). Obviously anecdotal evidence doesn't mean much, but there really isn't something I can reference to.

But I'd like to emphasize that Winged Scapula has given sound advice.

Its better to have the certificate when applying, as its definitely something that helps, rather then the opposite. As for not having it, it can only go against you. Being an IMG, that's one more thing that's going against you.
 
I have non-US-citizen IMG classmates who matched despite not being ECFMG certified yet.

I also wasn't ECFMG certified, and I was very happy with my match result. But I'm a US citizen, so it might be different for me.

As long as you're ECFMG verified on time, you'll probably be fine with regard to interviews. The only issue is with licensure, but there might be a way around that.
 
I have non-US-citizen IMG classmates who matched despite not being ECFMG certified yet.

I also wasn't ECFMG certified, and I was very happy with my match result. But I'm a US citizen, so it might be different for me.

As long as you're ECFMG verified on time, you'll probably be fine with regard to interviews. The only issue is with licensure, but there might be a way around that.

I truly hope there is a way around this obstacle. I will just have to wait and see.
Thank you all for your comments!
 
I truly hope there is a way around this obstacle.

The only way would be if you can get your diploma early from your school. If you can't get your diploma until late June, there's no way to be ready to start working on July 1. ECFMG certification alone takes several weeks, and then licensing takes several more weeks.
 
Hey Shan564

I spoke to my school. Even though I would fulfill all requirements by the 1st week of June, they will not and cannot issue even a temporary diploma for ECFMG purposes. I read on another forum some student (given, he holds a US passport), studying in Hungary, was able to do it. I feel perhaps in his case, they might have been more lenient.
 
Hey Shan564

I spoke to my school. Even though I would fulfill all requirements by the 1st week of June, they will not and cannot issue even a temporary diploma for ECFMG purposes. I read on another forum some student (given, he holds a US passport), studying in Hungary, was able to do it. I feel perhaps in his case, they might have been more lenient.

Even if you got a temporary diploma, ECFMG doesn't accept "temporary or provisional degrees". Straight from the horses mouth.
 
This year, I sent my diploma to the ECFMG in mid-April, and I got my certification in the last week of June. I ended up getting my medical license on July 5, so I had to work in a medical student capacity for my first few days of residency. So it looks like you might be SOL.

On the other hand, if you're honest about the situation, you might find a program that'd let you start with a research rotation or something.
 
Top