To ensure you have a smooth examination journey, please be aware of the following cautions.
For All USMLE Applicants
You must become familiar with the information referenced in this Bulletin if you are an applicant with an eligibility period in 2025. If your eligibility period crosses into the next calendar year (i.e., 2026), please note that you are responsible for reading and abiding by the policies and procedures described in the 2025 and 2026 editions of the USMLE Bulletin of Information (BOI).
If changes in the USMLE program occur after the release of this BOI, they will be effective when posted on the USMLE website. You are responsible for checking the USMLE website for updates and changes to the USMLE policies and procedures.
For Students or Graduates of a Medical School Outside the US and Canada
If you are a student or graduate of a medical school located outside the United States and Canada with an eligibility period in 2025, in addition to becoming familiar with this BOI, you must also be familiar with the contents of the 2025 Information Booklet published by ECFMG®, a division of Intealth™.
If you are a student or graduate of a medical school located outside the United States and your eligibility period extends into 2026 and you test in 2026, you must become familiar with and will be subject to the policies and procedures in the ECFMG 2026 Information Booklet.
The ECFMG Information Booklet is available on the ECFMG website. Students and graduates of medical schools located outside the United States and Canada are responsible for monitoring the ECFMG website to ensure they understand current ECFMG policies and procedures.