Medical School Transcript for IMGs: ERAS 2027 Guide

Fast answer

A medical school transcript for IMGs in ERAS 2027 is the school record showing subjects, study duration, and examination performance. It may be called a mark sheet, time sheet, or hour sheet.

If your school participates in ERAS Support Services through the MyIntealth Entity Portal, the school must upload it. If it does not participate and you hold an official student copy, upload the complete record as one PDF through the MyIntealth Applicant Portal.

Direct submissions take up to five business days. ECFMG recommends that MSPEs and medical school transcripts be uploaded no later than September 11, 2026, for availability when programs begin access on September 23.

A transcript previously used for ECFMG Certification does not move automatically to MyERAS. A last-resort transfer request can take up to eight business days and is unavailable when the school participates in the Entity Portal.

Residency applicants do not manually assign the transcript; MyERAS automatically sends the available document to all applied programs.

What counts as a medical school transcript?

International schools use different terms and formats. The decisive question is whether the official school record shows what was studied, how long it was studied, and how the applicant performed.

The transcript must include the applicant's full name. It is not the diploma, degree certificate, MSPE, USMLE transcript, or ECFMG Status Report.

Five records that applicants confuse

Putting the wrong document in the transcript slot delays quality control and can leave programs without the record they require.

A diploma proves award of a degree but does not show the course-by-course academic history expected from a transcript.

The upload owner decision

Ask the Dean's or Registrar's office specifically whether the school participates in ERAS Support Services through the MyIntealth Entity Portal.

A participating school must upload. The applicant cannot switch to self-upload or Certification-record transfer merely because the school is slow.

The MyERAS provider question

IMG residency applicants must indicate whether they or their school will provide the medical school transcript to ERAS Support Services at ECFMG.

A prior response appears for review and can be changed before certification. An unanswered question must be completed before the applicant certifies and submits.

This response declares the route; it does not upload, process, or deliver the document. Continue monitoring the actual status.

Applicant upload through MyIntealth

ECFMG accepts official student copies when applicant upload is allowed. It does not authorize an applicant-created academic record.

The public page directs applicants to the live MyIntealth screen for technical dimensions and file size. Use that current specification rather than an old third-party number.

• Obtain an official student copy issued by the school.
• Confirm the full name and complete academic record.
• Ask the school for a plain-background copy if security paper scans poorly.
• Scan every page clearly.
• Combine all pages into one PDF in correct order.
• Log in to MyIntealth.
• Select Services → ERAS Support Services.
• Open Document Upload → Upload Documents.
• Review the live transcript size and dimension rules.
• Upload to the medical school transcript slot.
• Save the preview if prompted.
• Select Submit and retain confirmation.

Busy security paper can make a valid record unusable

ECFMG warns that a transcript should not be on security paper with a busy background because the scanned text can become illegible. It advises asking the school to copy the transcript onto plain paper.

Do not digitally erase a watermark or background yourself. Ask the school for a legible authorized reproduction.

Inspect every grade, date, decimal, course title, stamp, and signature at normal zoom before upload. Compression that hides a single mark can change how the record is interpreted.

School upload through the Entity Portal

The student's first request to the Registrar is not the start of ECFMG's five-day clock. Processing begins after ECFMG receives the submitted document.

• Contact the school's authorized MyIntealth coordinator.
• Request the ERAS 2027 medical school transcript.
• Provide the identifiers the school requests.
• Confirm the transcript includes all years and final results available.
• Ask for the submission date.
• Allow ECFMG up to five business days after receipt.
• Monitor MyERAS Additional Documents.
• Watch the MyERAS Message Center for discrepancies.

Certification records do not automatically transfer

ECFMG may already have verified a medical school transcript for Certification, but the Certification service and MyERAS are separate. No automatic transfer occurs.

When you can obtain a current official copy, use the regular applicant or school upload route. The Certification-record transfer is explicitly a last resort.

This distinction prevents applicants from assuming that a “credential verified” MyIntealth status means the ERAS transcript slot is complete.

Last-resort ECFMG Certification transcript transfer

In MyIntealth, open ERAS Support Services → Document Upload → Request a Medical School Transcript Transfer from ECFMG Certification. Review the request and submit.

If the option does not appear, do not improvise with email. One or more eligibility conditions may be unmet.

The eight-business-day transfer timeline

A transfer can fail if ECFMG cannot fulfill the request. ECFMG sends that outcome by email, and the request status can be followed in My Cases.

Do not add weekends or U.S. holidays as though they were business days. A September request can collide with program review even if submitted before the calendar date.

If the transcript is not in English

The translation must preserve course titles, marks, grading scales, dates, duration, institutional annotations, and identity accurately.

Do not translate grades into a U.S. GPA unless the issuing school or certified translator provides an authorized explanation. Preserve the original grading system and its context.

If no transcript can be secured

Exhaust the authentic document routes first: school Entity Portal upload, official student copy, and eligible last-resort Certification transfer.

If no medical school transcript can be secured, indicate this on MyERAS Additional Documents before certification. ECFMG supplies a neutral placeholder.

The placeholder says: “This document is provided in lieu of the applicant’s medical school transcript. Please contact the applicant with any questions you may have.”

It makes the document slot appear complete for a program that requires a transcript before review. It does not provide course, hour, or grade evidence and does not guarantee that the program will consider the application complete under its own policy.

Transfer students: the governing question

ECFMG considers an applicant who attended more than one medical school to earn the degree a transfer student. Transcripts from every attended medical school should be submitted.

The submission path depends on whether the medical school of graduation participates in the MyIntealth Entity Portal—not whether the earlier transfer school participates.

The transfer-student email exception is narrow

When a participating graduation school cannot submit the earlier school's record because of institutional policy, ECFMG permits a transfer transcript PDF to be sent to the dedicated transfer-student address described on its current page.

If the applicant has a copy, the applicant may send it. If not, the transfer school's Dean's office should send it directly.

ECFMG states that the address is for transfer-student transcripts only, does not accept third-party services such as Parchment through that route, and will not process other supporting documents sent there.

Use the current ECFMG page to obtain the address; do not copy an email from an old forum.

Processing, quality control, and discrepancies

ECFMG checks the medical school transcript for clarity and correct document-slot placement. It may contact the applicant about discrepancies through the MyERAS Message Center.

ECFMG does not expedite MSPE or transcript processing. A clean document submitted early is the only reliable timing control.

A five-day processing window is not a guarantee that an illegible, incomplete, mistranslated, or mismatched record will become available without correction.

The September 11 planning date

September 11 is a recommendation designed around ordinary processing. It is not a safe target for a school that still needs weeks to issue the record or for a document needing certified translation.

For a last-resort transfer, plan around eight business days rather than five. Add a correction buffer.

Automatic residency delivery

The medical school transcript does not need program-by-program assignment for residency. It is automatically sent to all programs receiving an application.

MyERAS shows “No Available Action” in Additional Documents. That status is normal for an automatically delivered residency transcript.

After applying, MyERAS can display the date and time each document became available to a program. It does not reveal whether a program opened or read it.

Fellowship applicants use different EFDO assignment rules; do not follow a fellowship tutorial for residency.

Repeat applicants and replacement

Eligible ERAS 2026 participants may reuse the stored medical school transcript for 2027. ECFMG says it will upload within five business days after the 2027 Token is registered.

If grades, degree status, or other transcript content changed, obtain and submit a modified school-issued record through the correct owner route. ECFMG processes the new document and replaces the old version.

Do not edit the stored PDF personally. The updated record must remain source documentation issued by the school.

Transcript consistency audit

A difference may have a legitimate explanation, such as translated name order or degree date versus diploma issue date. Resolve unexplained conflicts with the issuing organization before submission.

Do not change one document to mimic another. Correct each record through its owner.

Common mistakes

• Assuming the ECFMG Certification transcript automatically appears in ERAS.
• Uploading a diploma instead of a transcript.
• Uploading a USMLE transcript in the medical-school slot.
• Self-uploading when the school participates in the Entity Portal.
• Waiting for the school without confirming its upload date.
• Scanning busy security paper into illegible gray patterns.
• Digitally removing security features.
• Omitting reverse sides or continuation pages.
• Uploading pages as separate files.
• Using an old portal file-size rule.
• Submitting an applicant-created spreadsheet of grades.
• Editing marks, dates, seals, or annotations.
• Submitting an uncertified translation.
• Uploading both language versions when ECFMG says English only.
• Treating five calendar days as five business days.
• Expecting expedited processing.
• Using Certification transfer before trying to secure an official copy.
• Assuming every applicant can see the transfer-request button.
• Ignoring the eight-business-day transfer timeline.
• Failing to answer the MyERAS provider question.
• Assuming a placeholder supplies academic evidence.
• Omitting a transfer school's transcript.
• Using the transfer-student email for a non-transfer document.
• Expecting Parchment records through the email exception.
• Trying to assign the residency transcript manually.
• Assuming reuse is immediate after Token registration.
• Ignoring the MyERAS Message Center.

Final checklist

• I identified every medical school attended.
• I confirmed whether my graduation school participates in the Entity Portal.
• I selected the correct upload owner.
• The record is school-issued and authentic.
• It includes my full name.
• It shows subjects, duration, and performance.
• Every page and reverse side is present.
• The scan is legible without a busy security background.
• I obtained a certified English translation if required.
• I followed the English-only upload rule.
• All pages are one ordered PDF.
• The file follows live MyIntealth specifications.
• I answered the MyERAS transcript provider question.
• I completed Submit, not only upload preview.
• I retained confirmation.
• If using Certification transfer, all eligibility gates are met.
• I allowed up to eight business days for transfer.
• If no record exists, I requested the neutral placeholder through MyERAS.
• If a transfer student, records from every school are included.
• I allowed five business days for direct processing.
• I monitored MyERAS Additional Documents and Message Center.
• I understand residency delivery is automatic.
• I verified availability to applied programs.
• If reusing, I allowed five business days after Token registration.
• All work was completed before program deadlines.

Bottom line

The 2027 IMG medical school transcript route depends on school participation: participating schools upload through the MyIntealth Entity Portal; otherwise the applicant may upload an official copy.

A prior ECFMG Certification transcript is not automatically transferred. The last-resort request can take eight business days and is available only when its eligibility conditions are met.

Use certified English translation, include every transfer school, and never alter source documentation. After ECFMG processing, the residency transcript is automatically delivered to all applied programs.

This guide reflects official information available July 18, 2026. The live MyIntealth technical requirements, ECFMG instructions, MyERAS statuses, and each residency program's deadline control.