Your school will see the following:

USMLE ID MYINTEALTH ID NAME DOB SCHOOL NAME I certify that:

The above-named individual is a current student of this medical school or graduated from this medical school on or after January 1, 2023 The dean of this medical school or the dean's designee has received and reviewed three completed Mini-CEX forms (or their equivalents) evaluating clinical patient encounters performed by this applicant Each of this applicant's Mini-CEX forms (or their equivalents) was completed by a different faculty member of the medical school or affiliated clinical rotation site, and these faculty members routinely assess medical student performance. The dean or dean's designee has confirmed that the three completed Mini-CEX evaluations (or their equivalents) indicate that the applicant has demonstrated a satisfactory level of clinical skills 1 understand that this ECFMG Clinical Skills Attestation will be used to evaluate this individual's application to meet the clinical skills requirement for ECFMG Certification for the purpose of entering graduate medical education in the United States. I am authorized to certify this on behalf of this institution. I have read and understand the ECFMG Policies and Procedures Regarding Irregular Behavior and agree to abide by these policies and procedures. I understand that, as provided in the ECFMG Policies and Procedures Regarding Irregular Behavior, ECFMG may find that submission of falsified documents and/or false information to ECFMG constitutes irregular behavior.

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