In this Section:
- About the USMLE Transcript
- Authorizing the Release for the USMLE Transcript
- Assigning the USMLE Transcript
- Paying for the USMLE Transcript
- Viewing the USMLE Requests Status Report
- Resending New Scores
About the USMLE Transcript
The USMLE transcript is required by many ACGME-accredited residency programs as part of an application to be considered for their positions.
- You should research programs individually for requirements related to the USMLE transcript (e.g., minimum scores).
- The NBME and the ECFMG receive and fulfill all USMLE requests for U.S. and IMG residency applicants, respectively.
- Note: If applicable, passing NBME Part scores will be sent to designated programs by mail. For students/graduates of international medical schools, passing NBME Part results will be included in your ECFMG status report, provided you were certified by ECFMG based on these examinations.
- Note: FLEX scores are not available through the ERAS program. For FLEX scores, you will need to contact the Federation of State Medical Boards at www.fsmb.org. For students/graduates of international medical schools, your passing FLEX result (FLEX weighted average) will be included in your ECFMG status report, provided you were certified by ECFMG based on FLEX.
Authorizing the Release for the USMLE Transcript
You must authorize (give permission for) the release of your USMLE transcript and assign it to the programs you designate.
- You must authorize the NBME or ECFMG (for IMG residency) to release your USMLE transcript by selecting “Authorize Release” under the Actions column; entering or confirming your USMLE ID; selecting “Yes”; and selecting “Save.”
- If you select “No” to authorizing the release of your USMLE transcript, you may update your answer to yes anytime throughout the application season; however, once “Yes” is selected, the selection cannot be changed.
Assigning the USMLE Transcript
You must make assignments and apply to programs to send requests to NBME or ECFMG (for IMG residency) indicating which programs you designated your USMLE transcript be sent to.
- You must authorize the release of your USMLE transcript to assign the USMLE transcript to the programs you designate.
- The USMLE transcript can be assigned only to ACGME-accredited programs.
- The USMLE transcript can be assigned to saved or applied to programs from the Additional Documents page by selecting “Assign” under the Actions column for the USMLE transcript.
- Programs listed with a disabled checkbox already have the USMLE transcript assigned.
- The USMLE transcript can be assigned by program using the Assign option under the Actions column on both the Saved Programs and Programs Applied To pages.
- Once the USMLE transcript is assigned to an applied program, it cannot be unassigned.
- The USMLE cannot be assigned to programs that are closed.
Paying for the USMLE Transcript
The NBME or ECFMG (for IMG residency) charges a fee of $80 (and tax where applicable) for sending USMLE transcripts to the programs you designated.
- This is a flat fee assessed once per application season regardless of the number programs the USMLE transcript is requested for.
- The transcript fee will be included in the first invoice shown when applying to programs that have the USMLE assigned to at least one of those programs. Once paid, the USMLE transcript fee will not appear as part of any future invoices.
- This fee cannot be paid before applying to programs.
Viewing the USMLE Requests Status Report
You can view the USMLE Requests Status Report to track the status of your USMLE requests by program.
- Each row will show a program and the status of the request to the NBME or ECFMG (for IMG residency) that it was included in.
- Possible statuses include:
- Processing Request: Request is being processed by the NBME or ECFMG (for IMG residency).
- Successful: A transcript was received from the NBME or ECFMG (for IMG residency).
- NBME score history only, no USMLE score history. If applicable, passing NBME Part scores will be sent to designated programs by mail.
- Not Matched: The NBME or ECFMG (for IMG residency) was not able to match the information you provided in the MyERAS portal. You should verify that the following information was correctly entered under the Personal Information section of your MyERAS application:
- First name.
- Last name.
- USMLE ID.
- Date of birth.
- No Scores: The NBME or ECFMG (for IMG residency) does not have any reportable exam scores information on the you at this time. The possible reasons include:
- Scores have not been reported yet.
- You have registered but not yet taken the exam.
- Noncandidate score history only (scores are not reported).
- FLEX history only (FSMB must be contacted).
- You are certified on previous examinations but have requested the USMLE transcript.
- For assistance with “No Score” or “Not Matched” statuses, contact the NBME or ECFMG (for IMG residency).
- Not Matched: The NBME or ECFMG (for IMG residency) was not able to match the information you provided in the MyERAS portal. You should verify that the following information was correctly entered under the Personal Information section of your MyERAS application:
- Once the request has been fulfilled by the NBME or ECFMG (for IMG residency) and the ERAS program has successfully received the USMLE transcript, the transmission status will update to “successful”; the date and time will populate under Most Recent Successful Request Date; and the scores included (e.g., for Step 1) and the associated date for each exam step will populate under the respective columns.
- Any subsequent requests for a program sent to the NBME or ECFMG (for IMG residency) after selecting “Resend My Scores” will be reflected under Most Recent Request Date and Transmission Status.
- Once any subsequent requests for a program have been fulfilled by the NBME or ECFMG (for IMG residency) and the ERAS program has successfully received the latest USMLE transcript, the transmission status will update to “successful”; the latest date and time will populate under Most Recent Successful Request Date; and the scores included and the associated date for each exam step will be updated to include any recently released exam steps (if available) under the respective columns.
Resending New Scores
You must take action in the MyERAS portal to resend USMLE scores to programs previously designated to receive them.
- To resend your USMLE transcript to programs (e.g., new scores were released by the NBME or ECFMG), you should select the “Resend My Scores” option under the Actions column on the Additional Documents page and confirm your selection.
- You can resend your USMLE transcript beginning the day your new score is available with the NBME or ECFMG (for IMG residency).
- An updated USMLE transcript cannot be sent to only a subset of programs; the USMLE transcript will be delivered to every program that previously received it.
- You can select “Resend My Scores” only ONCE a day. This option will be disabled for 24 hours after each request to resend scores.
- New exam steps included can be verified in the USMLE transcript Request Report once the request’s transmission status becomes “successful.”