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. 

Return to Top ↑

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. 

Return to Top ↑

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. 

Return to Top ↑

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. 

Return to Top ↑

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). 
• 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. 

Return to Top ↑

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.” 

Return to Top ↑

The COMLEX-USA transcript is required by many ACGME-accredited residency programs as part of a DO applicant’s application to be considered for their positions. 

• You should research programs individually to verify your requirements related to the COMLEX-USA transcript (e.g., minimum scores). 
• The National Board of Osteopathic Medical Examiners (NBOME) receives and fulfills all COMLEX-USA requests from residency applicants applying through the MyERAS portal. 

In this Section:

• Authorizing the Release for the COMLEX-USA Transcript
• Assigning the COMLEX-USA Transcript
• Paying for the COMLEX-USA Transcript
• Viewing the COMLEX-USA Requests Status Report 
• Resending New Scores

Authorizing the Release for the COMLEX-USA Transcript

You must authorize (give permission for) the release of your COMLEX-USA transcript to make assignments of the COMLEX-USA transcript to the programs you designate. 

• You must authorize the NBOME to release your COMLEX-USA transcript by selecting “Authorize Release” under the Actions column; entering or confirming your NBOME ID; selecting “Yes” or “No”; and selecting “Save.” 
• If you select “No” to authorizing the release of your COMLEX-USA transcript, you may update your answer to “Yes” anytime throughout the application season; however, once “Yes” is selected, the selection cannot be changed. 

Return to Top ↑

Assigning the COMLEX-USA Transcript

You must make assignments and apply to programs to send requests to NBOME indicating which programs you designated your COMLEX-USA transcript be sent to. 

• You must authorize the release of your COMLEX-USA transcript to make assignments of the COMLEX-USA transcript to the programs you designate. 
• The COMLEX-USA transcript can be assigned to any saved or applied to programs from the Additional Documents page by selecting “Assign” under the Actions column for the COMLEX-USA transcript. 
• Programs listed with a disabled checkbox already have the COMLEX-USA transcript assigned to them and have been applied to. 
• You can assign the COMLEX-USA transcript to programs by using the Assign option under the Actions column on both the Saved Programs and Programs Applied To pages. 
• Once the COMLEX-USA is assigned to a program that has been applied to, it cannot be unassigned. 
• The COMLEX-USA cannot be assigned to programs that are closed. 

Return to Top ↑

Paying for the COMLEX-USA Transcript

The NBOME charges a fee of $80 (and tax where applicable) for sending COMLEX-USA transcripts to the programs you designated. 

• The fee is fixed and assessed one time per application season regardless of the number programs the COMLEX-USA transcript is requested for. 
• The transcript fee will appear on the invoice for the first program you to that has been assigned the COMLEX-USA transcript. Once paid, the COMLEX-USA transcript fee will not appear as part of any future invoices. 
• This fee cannot be paid before applying to programs. 

Return to Top ↑

Viewing the COMLEX-USA Requests Status Report 

You can view the COMLEX-USA Requests Status Report to track the status of your COMLEX-USA requests by program. 

• Each row will show a program and the status of the request to the NBOME that it was included in. 
• Possible statuses include: 
  • Processing Request: Request is being processed by the NBOME. 
  • Successful: A transcript was received from the NBOME. 
  • Not Matched: The NBOME was not able to match the applicant information provided in the MyERAS application. You should verify the following information was correctly entered under the Personal Information of your MyERAS application: 
    • First Name.  
    • Last Name. 
    • NBOME ID.  
    • Date of birth.  
  • No Scores: The NBOME does not have any reportable exam scores information for 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 reportable). 
    • You are certified on previous examinations but have requested the COMLEX-USA transcript. 
  • For further assistance with “No Score” or “Not Matched” statuses, please contact the NBOME for more information about your transcript request. 
• Once the request has been fulfilled by the NBOME and the ERAS program has successfully received the COMLEX-USA 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., Step 1) along with the associated date for each exam step will populate under the respective columns. 
• Any subsequent requests for a program sent to the NBOME 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 NBOME and the ERAS program has successfully received the latest COMLEX-USA 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 along with the associated date for each exam step will be updated to include any recently released exam steps (if available) under the respective columns. 

Return to Top ↑

Resending New Scores

You must take action in the MyERAS portal to resend COMLEX-USA scores to programs previously designated to receive them. 

• If you would like to resend your COMLEX-USA transcript to programs (e.g., new scores were released by the NBOME), you will simply need to select “Resend My Scores” under the Actions column on the Additional Documents page and confirm your selection. 
• You can resend your COMLEX-USA transcript beginning the day your new score is available with the NBOME. An updated COMLEX-USA transcript cannot be sent to only a subset of programs; your COMLEX-USA transcript will be sent 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 scores included can be verified in the COMLEX-USA transcript Request Report once the request’s transmission status becomes “successful.” 

Return to Top ↑

Uploading the MSPE

Residency applicants’ Designated Dean’s Office is responsible for uploading the MSPE into the ERAS system. 

• IMGs Only: IMG residency applicants must indicate in the MyERAS portal if they themselves or their medical school will provide a MSPE to the ERAS Documents office at the ECFMG. Instructions for submission can be found here: https://www.ecfmg.org/eras/applicants-documents-index.html#submission. 

Assigning the MSPE

• Residency applicants do not assign the MSPE; it is automatically sent to all the programs to which an applicant applies. Applicants will see “No Available Action” in the Additional Documents section. 
• Fellowship applicants must make assignments of the MSPE to the programs they designate: 
  • The MSPE can be assigned at any time, including before it is uploaded. 
  • The MSPE can be assigned to any saved or applied to programs from the Additional Documents page by selecting “Assign” under the Actions column. 
  • Programs listed with a disabled checkbox already have the MSPE assigned and have been applied to. 
  • The MSPE can be assigned by program using the Assign option under the Actions column for any program on both the Saved Programs and Programs Applied To pages. 
  • Once the MSPE is assigned to a program that has been applied to, it cannot be unassigned. 
  • The MSPE cannot be assigned to programs that are closed. 

Uploading the MS Transcript

Residency applicants’ Designated Dean’s Office is responsible for uploading the MS transcript into the ERAS system. 

• IMGs Only: IMG residency applicants must indicate in the MyERAS portal if they themselves or their medical school will provide a MS transcript to the ERAS Documents office at ECFMG. Instructions for submission can be found on the ECFMG website. 
• The EFDO is responsible for uploading the MS transcript into the ERAS system for fellowship applicants. Applicants should visit the EFDO website for information about submitting the MS transcript for upload. 

Assigning the MS Transcript

• Residency applicants do not assign the MS transcript; it is automatically sent to all the programs to which an applicant applies. Applicants will see “No Available Action” in the Additional Documents section. 
• Applicants must make assignments of the MS transcript to the programs they designate: 
  • The MS transcript can be assigned at any time, including before it is uploaded. 
  • The MS transcript can be assigned to any saved or applied to programs from the Additional Documents page by selecting “Assign” under the Actions column. 
  • Programs listed with a disabled checkbox already have the MS transcript assigned and have been applied to. 
  • The MS 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 MS transcript is assigned to a program that has been applied to, it cannot be unassigned. 
  • The MS transcript cannot be assigned to programs that are closed. 

The photo is most often used by programs to help identify you when you report for an interview. You should research programs individually to verify their requirements and use of the photo. 

Uploading the Photo

USMG applicants must upload their own photo in the MyERAS portal by selecting “Upload New Photo” in the Actions column, browsing for image file, and selecting “Upload.” 

• Photo file must meet the following requirements: 
• File type: JPG/JPEG or PNG. 
• Maximum file size: 150 KB. 
• Maximum dimensions: 2.5 in.×3.5 in. 
• Maximum resolution: 150 DPI. 
  • IMGs Only: The ECFMG is responsible for uploading the photo into the ERAS system for IMG residency applicants. Applicants should visit the ECFMG website for information about submitting the photo for upload. 
  • The EFDO is responsible for uploading the photo into the ERAS system for fellowship applicants. Applicants should visit the EFDO website for information about submitting the photo for upload. 

Assigning the Photo

You must make assignments of the photo to the programs you designate. 

• The photo can be assigned at any time, including before it is uploaded. 
• The photo can be assigned to any saved or applied to programs from the Additional Documents page by selecting “Assign” under the Actions column. 
• Programs listed with a disabled checkbox already have the photo assigned and have been applied to. 
• The photo 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 photo is assigned to a program that has been applied to, it cannot be unassigned. 
• The photo cannot be assigned to programs that are closed. 

The ABSITE transcript may be required for surgical fellowship training programs only. You should research the programs’ requirements for the ABSITE before uploading or assigning. 

Uploading the ABSITE

The EFDO is responsible for uploading the ABSITE into the ERAS system for fellowship applicants. 

• You should visit the EFDO website for information about submitting the ABSITE for upload. 

Assigning the ABSITE

You must make assignments of the ABSITE to the programs you designate. 

• The ABSITE can be assigned at any time, including before it is uploaded. 
• The ABSITE can be assigned to any saved or applied to programs from the Additional Documents page by selecting “Assign” under the Actions column. 
• Programs listed with a disabled checkbox already have the ABSITE assigned and have been applied to. 
• The ABSITE 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 ABSITE is assigned to a program that has been applied to, it cannot be unassigned. 
• The ABSITE cannot be assigned to programs that are closed. 

About the ECFMG Status Report

The ECFMG Status Report confirms the ECFMG certification status for an IMG residency applicant. 

• The ECFMG Status Report contains the month and year that examinations were passed for ECFMG Certification. 
• The ECFMG Status Report does not include your USMLE scores, which can be reported only as part of an official USMLE transcript. 

Uploading the ECFMG Status Report

The ECFMG is responsible for uploading the ECFMG Status Report into the ERAS system for IMG residency applicants. Once the ECFMG has released the ECFMG Status Report to the ERAS system, the status on the Additional Documents page will update to “uploaded.” 

Assigning the ECFMG Status Report

The ECFMG Status Report is automatically assigned to all programs applied to by IMG residency applicants 

• “No Available Action” will always be displayed under the Actions column on the Additional Documents page by default when users manage the ECFMG Status Report on the Additional Documents page.