USMLE 2026 Registration Guide for Indian Doctors: Step-by-Step Intealth & FSMB Process

The USMLE registration process for Indian doctors underwent a major transformation in 2026. If you are planning your USMLE journey, it is essential to understand this new system clearly to avoid delays and confusion. Earlier, the entire process was managed through ECFMG. However, from January 2026, the system has changed completely. Now, the process is divided between two platforms-Intealth (for ECFMG certification) and FSMB (for exam registration). What Has Changed in USMLE 2026? The biggest update is that ECFMG no longer handles USMLE exam registration. Instead, the Federation of State Medical Boards (FSMB) now manages exam applications, scheduling, and related services for international medical graduates (IMGs). However, ECFMG still plays an important role. It continues to handle certification and verifies whether you are eligible to take the USMLE exams. This means Indian doctors must now use two separate systems, each with a different purpose. Step-by-Step USMLE Registration Proce