Medical Council Step exam for International Medical Graduates / ECFMG Certification Syllabus

Medical Council Step exam for International Medical Graduates / ECFMG Certification covers 7 subjects: ECFMG Certification Pathway & Examination Administration, USMLE Step 1: Foundational & Basic Sciences, USMLE Step 1 & Step 2: Organ Systems Pathophysiology, USMLE Step 2 CK: Internal Medicine & Subspecialties, USMLE Step 2 CK: Surgery, OB-GYN, Pediatrics & Psychiatry, USMLE Step 2 CK: Patient Safety, Communication & Foundations of Practice and USMLE Step 3: Advanced Clinical Management & Computer-Based Case Simulations. Together they contain 33 chapters and 155 named topics.

The full Medical Council Step exam for International Medical Graduates / ECFMG Certification outline breaks down into 33 chapters, 155 topics and 69 sub-topics. USMLE Step 1 & Step 2: Organ Systems Pathophysiology is the largest single subject with 41 topics across 7 chapters.

Roughly 130 hours for one full pass. That estimate allows about 45 minutes per topic plus 12 minutes per sub-topic, so it is first-pass coverage — revision, past papers and mock tests sit on top of it. At 3 hours a day that is about 6 weeks.

Yes — 391 question-and-answer flashcards across 7 decks, one per subject, written against this syllabus. A sample of every deck is readable on this site for free, and the complete decks are in the Examius app.

Yes. Every page here is free to read, and importing the Medical Council Step exam for International Medical Graduates / ECFMG Certification syllabus into the Examius app to tick off topics as you finish them is free too, in United States and everywhere else. No account is needed to start.