要取得这个证书，外国医科毕业生必须向ECFMG提出申请，满足两方面的要求。第一是提供医科毕业证。ECFMG会直接同毕业证上的医科院校教务管理部门联系，要求校方确认毕业证的真实性并提供官方的成绩单。这一步，根据所在院校的不同，可能耗时比较长。ECFMG承认的医学院必须是在国际医科教育目录（International Medical Education Directory）上。这个目录是ECFMG属下一个机构FAIMER （Foundation for Advancement of International Medical Education and Research）制定的。一般所在国教育部或教育管理部门承认的医学院都在目录名单上。截至2009年7月，中国一共有171所医科院校在这一名单上。也就是说，中国有171所医科院校4年制以上的临床医学系毕业生其医科学历都被承认，如果其他条件满足，有可能在美国进行住院医培训，成为执业医师。（附171所医科院校名单）

　　第二方面的要求是通过USMLE考试的第一步和第二步。外国医科毕业生要通过ECFMG提出考试申请，这个申请可以与ECFMG本身的认证申请同时递交。如果考试通过，那就满足了ECFMG对于医学知识和临床技能的要求。因为USMLE第二步中临床技能部门考了语言交流的技能，英语托福（TOEFL）现在已经不作为考试要求了。
　　这两方面的条件都满足，ECFMG就会颁发一张证书，证明该毕业生有资格申请美国住院医培训了。在2008年，ECFMG一共颁发了10,275张证书，这些申请人毕业于135个国家的1,020所医科院校。其中2,637名毕业于印度的医学院，占总数的 25.7%；696名毕业于多米尼加共和国的学校，占总数的 6.8%；从巴基斯坦的医科院校毕业的申请人有654人，占6.4%；从中国医科院校毕业的申请人有322人，占3.1%。从这些获得证书的申请人的国籍来看，印度仍一马当先，有2,695人，占26.2%；巴基斯坦人有618名，6%；菲律宾有330人，占3.2%；中国有 323人，占3.1%。中国医科院校毕业生取得ECFMG证书的人数和比例从1995年以来急剧下降。

　　在外国医学院毕业的美国公民有2,064人，占总数的20.1%。由于美国的医科院校入学申请竞争激烈，学费高昂，很多美国学生到外国接受医学院教育，然后再通过ECFMG认证，回到美国接受住院医生教育。这些学生大多数都在加勒比海国家接受医学院教育，这些医学院也是为了迎合这种特殊需求而开设的。
　　(本节未完待续)

日期：2009-07-04　13:37:35

　　附: 中国医科院校入录国际医科教育目录（International Medical Education Directory）名单.
　　(请哪位同学帮忙翻译成中文)
　　  CHINA ACADEMY OF MILITARY MEDICAL SCIENCES BEIJING
　　  CHINA AIR FORCE SCHOOL OF MEDICINE JILIN
　　  CHINA ANHUI COLLEGE OF TRADITIONAL CHINESE MEDICINE HEFEI
　　  CHINA ANHUI MEDICAL UNIVERSITY HEFEI

　　  CHINA BAOTOU MEDICAL COLLEGE BAOTOU
　　  CHINA BEIJING COLLEGE OF ACUPUNCTURE AND ORTHOPEDICS BEIJING
　　  CHINA BEIJING MEDICAL COLLEGE BRANCH CAMPUS BEIJING
　　  CHINA BEIJING SCHOOL OF MEDICINE BEIJING
　　  CHINA BEIJING UNION UNIVERSITY/COLLEGE OF TRADITIONAL CHINESE MEDICINE BEIJING

　　  CHINA BEIJING UNIVERSITY OF TRADITIONAL CHINESE MEDICINE (BUTCM) BEIJING
　　  CHINA BENGBU MEDICAL COLLEGE BENGBU
　　  CHINA BINZHOU MEDICAL COLLEGE BINZHOU
　　  CHINA CAPITAL MEDICAL UNIVERSITY BEIJING
　　  CHINA CHANGCHUN UNIVERSITY OF TRADITIONAL CHINESE MEDICINE CHANGCHUN
　　  CHINA CHANGZHI MEDICAL COLLEGE CHANGZHI

　　  CHINA CHENGDE MEDICAL COLLEGE CHENGDE
　　  CHINA CHENGDU INSTITUTE OF PHYSICAL EDUCATION CHENGDU
　　  CHINA CHENGDU UNIVERSITY OF TRADITIONAL CHINESE MEDICINE CHENGDU
　　  CHINA CHINA ACADEMY OF TRADITIONAL CHINESE MEDICINE BEIJING
　　  CHINA CHINA MEDICAL UNIVERSITY SHENYANG
　　  CHINA CHONGQING MEDICAL UNIVERSITY CHONGQING
　　  CHINA COLLEGE OF TRADITIONAL MONGOLIAN MEDICINE TONG-LIAO

　　  CHINA DALIAN MEDICAL UNIVERSITY DALIAN
　　  CHINA FIRST MEDICAL COLLEGE OF THE NAVY QING-DAO
　　  CHINA FOURTH MILITARY MEDICAL UNIVERSITY XIAN
　　  CHINA FUJIAN COLLEGE OF TRADITIONAL CHINESE MEDICINE FUZHOU
　　  CHINA FUJIAN MEDICAL UNIVERSITY FUZHOU

　　  CHINA GANNAN MEDICAL UNIVERSITY GANZHOU
　　  CHINA GANSU COLLEGE OF TRADITIONAL CHINESE MEDICINE LANZHOU
　　  CHINA GUANGDONG MEDICAL COLLEGE ZHANJIANG
　　  CHINA GUANGDONG PHARMACEUTICAL UNIVERSITY GUANGZHOU
　　  CHINA GUANGDONG PROVINCIAL CARDIOVASCULAR INSTITUTE GUANGZHOU
　　  CHINA GUANGXI COLLEGE OF TRADITIONAL CHINESE MEDICINE NANNING

　　  CHINA GUANGXI MEDICAL UNIVERSITY NANNING
　　  CHINA GUANGZHOU MEDICAL COLLEGE GUANGZHOU
　　  CHINA GUANGZHOU UNIVERSITY OF TRADITIONAL CHINESE MEDICINE GUANGZHOU
　　  CHINA GUILIN MEDICAL COLLEGE GUILIN
　　  CHINA GUIYANG COLLEGE OF TRADITIONAL CHINESE MEDICINE GUIYANG

　　  CHINA GUIYANG MEDICAL COLLEGE GUIYANG
　　  CHINA HAINAN MEDICAL COLLEGE HAIKOU
　　  CHINA HANGZHOU NORMAL UNIVERSITY HANGZHOU
　　  CHINA HARBIN MEDICAL UNIVERSITY HARBIN
　　  CHINA HEBEI COLLEGE OF TRADITIONAL CHINESE MEDICINE SHIJIAZHUANG

　　  CHINA HEBEI MEDICAL UNIVERSITY SHIJIAZHUANG
　　  CHINA HEBEI NORTH UNIVERSITY ZHANGJIAKOU
　　  CHINA HEILONGJIANG UNIVERSITY OF TRADITIONAL CHINESE MEDICINE HEILONGJIANG
　　  CHINA HENAN COLLEGE OF TRADITIONAL CHINESE MEDICINE ZHENGZHOU
　　  CHINA HENAN MEDICAL UNIVERSITY ZHENGZHOU

　　  CHINA HENGYANG MEDICAL COLLEGE HENGYANG
　　  CHINA HEZE MEDICAL COLLEGE HEZE
　　  CHINA HUAINAN COLLEGE FOR THE COAL INDUSTRY HUAINAN
　　  CHINA HUBEI COLLEGE OF TRADITIONAL CHINESE MEDICINE WUHAN
　　  CHINA HUBEI MEDICAL COLLEGE, XIANNING BRANCH XIANNING
　　  CHINA HUBEI MEDICAL UNIVERSITY WUHAN

　　  CHINA HUNAN MEDICAL UNIVERSITY CHANGSHA
　　  CHINA HUNAN NORMAL UNIVERSITY CHANGSHA
　　  CHINA HUNAN UNIVERSITY OF CHINESE MEDICINE CHANGSHA
　　  CHINA INNER MONGOLIA MEDICAL COLLEGE HOTHOT
　　  CHINA JIANGXI COLLEGE OF TRADITIONAL CHINESE MEDICINE NANCHANG
　　  CHINA JIANGXI MEDICAL COLLEGE NANCHANG

　　  CHINA JILIN MEDICAL COLLEGE JILIN
　　  CHINA JINING MEDICAL COLLEGE JINING
　　  CHINA JINZHOU MEDICAL COLLEGE JINZHOU
　　  CHINA JIXI MEDICAL SCHOOL FOR THE COAL INDUSTRY JIXI
　　  CHINA KUNMING MEDICAL COLLEGE KUNMING

　　  CHINA LANZHOU UNIVERSITY LANZHOU
　　  CHINA LIAONING UNIVERSITY OF TRADITIONAL CHINESE MEDICINE SHENYANG
　　  CHINA LINYI SCHOOL OF MEDICINE LINYI
　　  CHINA LUOYANG SCHOOL OF MEDICINE LUOYANG
　　  CHINA LUZHOU MEDICAL COLLEGE LUZHOU
　　  CHINA MEDICAL CENTER OF FUDAN UNIVERSITY SHANGHAI

　　  CHINA MEDICAL COLLEGE OF BEIHUA UNIVERSITY JILIN
　　  CHINA MEDICAL COLLEGE OF DALI UNIVERSITY DALI
　　  CHINA MEDICAL COLLEGE OF DALIAN UNIVERSITY DALIAN
　　  CHINA MEDICAL COLLEGE OF HENAN UNIVERSITY KAIFENG
　　  CHINA MEDICAL COLLEGE OF HENAN UNIVERSITY OF SCIENCE AND TECHNOLOGY LUOYANG
　　  CHINA MEDICAL COLLEGE OF HUBEI INSTITUTE FOR NATIONALITIES ENSHI

　　  CHINA MEDICAL COLLEGE OF JIAMUSI UNIVERSITY JIAMUSI
　　  CHINA MEDICAL COLLEGE OF JIANGSU UNIVERSITY ZHENJIANG
　　  CHINA MEDICAL COLLEGE OF JILIN UNIVERSITY CHANGCHUN
　　  CHINA MEDICAL COLLEGE OF JINAN UNIVERSITY GUANGZHOU
　　  CHINA MEDICAL COLLEGE OF NANCHANG UNIVERSITY NANCHANG
　　  CHINA MEDICAL COLLEGE OF NANJING UNIVERSITY NANJING

　　  CHINA MEDICAL COLLEGE OF NANKAI UNIVERSITY TIANJIN
　　  CHINA MEDICAL COLLEGE OF NINGBO UNIVERSITY NINGBO
　　  CHINA MEDICAL COLLEGE OF QINGDAO UNIVERSITY QINGDAO
　　  CHINA MEDICAL COLLEGE OF SHANTOU UNIVERSITY SHANTOU
　　  CHINA MEDICAL COLLEGE OF SHIHEZI UNIVERSITY SHIHEZI

　　  CHINA MEDICAL COLLEGE OF SOOCHOW UNIVERSITY SUZHOU
　　  CHINA MEDICAL COLLEGE OF THE THREE GORGES UNIVERSITY YICHANG