Name Mismatches and Document Problems at ECFMG

Your name needs to read the same way, or be explainably different, across your passport, medical diploma, transcripts, ECFMG record and USMLE permit. Small spelling or order differences are one of the most common reasons for delays, and the fix is easier before an exam or a deadline than after. This page gives the general logic. Confirm each ECFMG-specific step on ECFMG's current pages, because we could not open every ECFMG page directly and procedures are updated each year.

Where your name appears #

The general rules #

Based on ECFMG's published Information Booklet guidance (confirm in the current edition):

1. Passport first. Your ECFMG name of record should match your current, unexpired passport. If it does not, you follow ECFMG's formal name-change process before completing applications.
2. Credentials may differ, with proof. If the name on your diploma or transcript differs from your record, you submit documents showing that name is or was yours. Examples named in the guidance include an expired passport, a birth certificate, or a marriage certificate for a name changed after marriage. Attestations alone have not been enough.
3. Permit equals ID. The name on your USMLE scheduling permit must match the ID you present at the test center. ECFMG guidance has tolerated only small differences, such as capitalization or a middle name or initial present on one document and not the other.
4. Allow time. A name change must be fully processed ahead of your appointment (ECFMG's guidance has said seven business days). Do not submit a request the week of your exam.

What changed in 2026 #

In practice, review your name in both places. FSMB has its own name change and correction form, which asks for government ID plus supporting documents such as a birth certificate, court order, or marriage or divorce certificate. Confirm what is currently accepted.

Common scenarios #

Your passport and diploma differ in order or spelling #

This happens with names transliterated into the Latin alphabet, with multiple given names, or where family names are placed differently by different countries. Decide which spelling is on your current passport, then gather proof connecting the others to you (an older passport, a birth certificate, or a letter from your school if ECFMG accepts one). Do not alter documents yourself.

You changed your name after marriage or divorce #

Use your marriage or divorce certificate and your updated passport. If your diploma carries the earlier name, expect to submit the certificate. Update your passport first if it still shows the old name, since the passport is the reference.

You renew or replace your passport #

Your new passport may have a different spelling, a new document number, or both. Check whether your ECFMG and FSMB records need updating before your next exam or ERAS season.

Your name is not the same on ERAS and your certificate #

Programs see your ERAS application and your ECFMG certification status. A mismatch can create confusion in verification or in later licensing. Keep ERAS aligned with your passport name and see the ERAS token guide.

Document problems beyond names #

• Translations. Non-English documents need translations that meet ECFMG's requirements. Check the standard before you pay.
• Credential verification. The EPIC guide explains why your school sends documents directly. Do not submit altered or "corrected" copies yourself.
• Dates and degrees. If a graduation date, degree title or school name differs from the World Directory entry, resolve it with your school and ECFMG early. See World Directory.
• Honest submission. Give accurate information and genuine documents, always. See the irregular behavior policy guide.

A short checklist #

1. Put your passport, diploma, transcript, permit and ID side by side.
2. Note every difference, however small.
3. Check ECFMG's current guidance on your name of record and accepted supporting documents.
4. Check FSMB's current name-change process.
5. Request any change at least several weeks before an exam appointment or deadline.
6. Keep copies of what you submitted and any confirmation.
7. Contact ECFMG or FSMB through their official channels if you are unsure, rather than guessing.

See also common ECFMG delays for other issues that stall applications.