Key takeaways
- For OET results released on or after May 14, 2026, ECFMG requires the MyIntealth ID, not the USMLE ID.
- Paper, computer, and OET@Home candidates all must give ECFMG verifier access; the method differs by OET account.
- Full name, date of birth, and MyIntealth ID must align for ECFMG to match a qualifying result.
- Allow up to three business days after correct release—or after a new Pathways submission when reusing an eligible prior score.
- ECFMG does not send detailed OET scores to ERAS programs; it reports only whether Pathway requirements were met.
The fast answer
To release a current OET Medicine result to ECFMG, give ECFMG verifier access in your OET account and give OET your MyIntealth ID. The exact account clicks differ for OET on Paper versus OET on Computer or OET@Home.
For results released on or after May 14, 2026, ECFMG requires MyIntealth ID. Do not substitute the USMLE ID; ECFMG explicitly says the two identifiers are different.
Your full name and date of birth in OET also must match the ECFMG record. After you receive a qualifying passing result and complete the sharing steps, allow up to three business days for the Pathways application to update.
A result is qualifying for the 2027 Pathways only when one OET Medicine administration on or after January 1, 2025 contains at least 350 in Listening, Reading, and Speaking and 300 in Writing.
Do not stop after clicking Share. Confirm the result appears in the 2027 Pathways application and that the application proceeds through its separate route-specific review.
| Data or action | Requirement | Where to check |
|---|---|---|
| Qualifying score | L350, R350, W300, S350 in one eligible administration. | OET Statement of Results. |
| Verifier access | Share the correct test with ECFMG. | Manage Verifier Access in OET account. |
| MyIntealth ID | Required for releases on/after May 14, 2026. | MyIntealth My Profile → Identity Information. |
| Full name | Must align with ECFMG record. | OET profile and MyIntealth. |
| Date of birth | Must match exactly. | OET profile and MyIntealth. |
| Processing time | Allow up to three business days after correct release. | 2027 Pathways application status. |
Step 1: confirm the result is eligible for the 2027 Pathways
Before troubleshooting transmission, verify that the result meets ECFMG's substantive rule. ECFMG requires a 2027 score administration on or after January 1, 2025.
The same administration must include at least 350 in Listening, 350 in Reading, 300 in Writing, and 350 in Speaking. ECFMG does not combine best scores from separate dates.
A result can be visible in OET and still not update as satisfactory in Pathways because one sub-test missed its threshold. ECFMG lists an unsatisfactory score as a reason a result may not appear in the expected way.
If one component failed, releasing it again does not cure the score. Retake all four OET Medicine sub-tests and meet all four minimums in one new administration.
| Check | Required answer |
|---|---|
| Profession | OET Medicine |
| Test date | On or after January 1, 2025 |
| Listening | 350 or higher |
| Reading | 350 or higher |
| Writing | 300 or higher |
| Speaking | 350 or higher |
| Combination | All from the same administration |
Step 2: find the correct MyIntealth ID
Log in to MyIntealth, open My Profile, and look under Identity Information. ECFMG states that the MyIntealth ID appears there.
The MyIntealth ID is permanent. ECFMG assigns only one and warns applicants not to establish another identity after one has been assigned. If you forgot the number, retrieve it from the portal; ECFMG says it will not provide the ID by telephone.
Do not copy the USMLE ID from the same profile area. Since the 2026 USMLE service transition, FSMB issues a USMLE ID for exam registration, while Intealth uses the MyIntealth ID for its services. The numbers serve different systems.
Copy and paste the identifier from the authenticated portal when possible. Do not rely on a screenshot from an old email, a handwritten note, or an ECFMG/USMLE number remembered from before the transition.
Treat the identifier as private application data. Enter it only in official MyIntealth, OET, ECFMG, or other authorized workflows; do not post it in public groups while asking for help.
| Identifier | Issuer/use | OET release role after May 14, 2026 |
|---|---|---|
| MyIntealth ID | Intealth identity for ECFMG and related services. | Required. |
| USMLE ID | USMLE examination identifier; FSMB issues to new IMGs under current transition. | Do not substitute for current release. |
The May 14, 2026 identifier transition
The release date—not merely the OET test date—determines which transition instruction matters. ECFMG states that an OET result released on or after May 14, 2026 requires MyIntealth ID.
If a result was released before May 14, 2026 and the applicant supplied the USMLE ID under the prior workflow, ECFMG says it already has the exam result and will match it to the Pathways application within three business days after application submission.
Do not re-release blindly because a test occurred before the transition. First distinguish test date, OET publication date, date shared with ECFMG, and date the new Pathways application was submitted.
For a new release now, use MyIntealth ID. This includes an older eligible 2025 test that was never shared and is being released after May 14, 2026.
| Release situation | Identifier workflow |
|---|---|
| Result released to ECFMG on/after May 14, 2026 | Provide MyIntealth ID. |
| Result released before May 14, 2026 with USMLE ID | ECFMG says it already received the result; allow matching after Pathways submission. |
| 2025 result never released and shared now | Use current MyIntealth ID workflow. |
| Unsure whether prior release occurred | Review OET sharing access and follow current official instructions. |
OET on Paper: release steps
Paper candidates use OET's paper-account interface. Log in, locate the correct OET Test booking, open the drop-down action, and select Manage Verifier Access.
Search for the full name of the receiving organization, select ECFMG when presented as the correct verifier, and save. Repeat sharing for the exact qualifying administration if multiple tests appear.
OET's ECFMG-specific instruction adds a second action: complete the official form linked on OET's support page to add your MyIntealth ID to the result.
Verifier access without the current identifier can leave ECFMG unable to match the record. Likewise, adding an ID without sharing the result may leave the verification permission incomplete. Follow both parts of OET's current instructions.
Use the form linked from the official OET support article rather than a saved third-party link. Confirm every digit before submission and retain the form confirmation without exposing the ID publicly.
- Log in to the paper OET account.
- Open the correct qualifying booking.
- Choose Manage Verifier Access.
- Search for and select the correct ECFMG organization.
- Save access.
- Use OET's linked form to add MyIntealth ID.
- Confirm name and date of birth align.
- Allow up to three business days after the required result/release.
OET on Computer and OET@Home: release steps
For OET on Computer or OET@Home, log in to the computer-based OET account, open My Results, and select Manage Verifier Access.
Search for the correct ECFMG organization and select Start sharing with this organisation for the qualifying test administration.
OET instructs computer and OET@Home candidates to provide MyIntealth ID when booking. If you omitted it, entered it incorrectly, or took the test before receiving it, use the update form linked in OET's official sharing article.
Do not assume the booking field and verifier-access toggle are interchangeable. The ID supports identity matching; verifier access permits the organization to view or verify the result.
If the account interface differs slightly from a screenshot or old tutorial, follow the current labels on OET's support page. Platform wording can change while the data requirements remain.
- Log in to the computer/@Home OET account.
- Open My Results.
- Open Manage Verifier Access.
- Select the correct ECFMG organization.
- Start sharing the qualifying administration.
- Confirm MyIntealth ID was supplied during booking.
- If not, use OET's official update form.
- Confirm name and date of birth align.
- Allow up to three business days.
Automatic transmission versus manual release
ECFMG says a passing result can be electronically transmitted when the appropriate identifier was supplied as part of OET booking. OET's current support article still directs IMG applicants to ensure verifier access and MyIntealth ID are in place.
Treat 'automatic' as a data workflow, not a reason to ignore status. Automatic transmission can fail when the identifier was omitted, mistyped, associated with the wrong person, or paired with inconsistent birth-date information.
If you are unsure whether the booking contained the correct ID, follow the official sharing and update steps. Do not submit repeated forms every few hours; allow the published processing period and create one clear support record if needed.
The only reliable completion signal is the qualifying OET status in the Pathways application, followed by ECFMG's review of the full Pathway.
When the three-business-day clock starts
For a new qualifying result with correct booking data, ECFMG says to allow three business days after you receive the passing result for information to update in the Pathways application.
If you manually release after results already are available, allow three business days after the correct release.
If ECFMG already has a qualifying result from a prior Pathways application, allow three business days after submitting the new 2027 Pathways application for the old result to attach.
Business days exclude weekends and may be affected by institutional closures. Do not escalate on the next calendar day merely because OET shows a successful share.
The three-day period is for transmission and application availability, not approval of the entire Pathway. Route documentation and final review have their own processing.
| Situation | Count up to three business days from |
|---|---|
| Passing result plus correct booking/release data | Result publication/receipt. |
| ID or sharing added after result publication | Correct manual release/update. |
| Qualifying prior-application result already at ECFMG | New 2027 Pathways application submission. |
| Result not satisfactory | No transmission wait will convert it; a qualifying retake is needed. |
Prior Pathways application: when no resend is needed
ECFMG says an applicant who took OET Medicine on or after January 1, 2025 and previously submitted satisfactory scores to ECFMG does not need to resend them for a 2027 Pathways application.
After the new application is submitted, ECFMG attaches the previously received result. Allow three business days for the status to update.
The prior Pathways application may have been rejected for a different missing requirement; that does not necessarily invalidate the qualifying OET score.
A pre-January 1, 2025 result cannot be reused for the 2027 Pathways even if ECFMG received it in an earlier season. The applicant must retake OET Medicine and submit a new satisfactory result under the current date rule.
Do not confuse reuse of OET with reuse of Pathway 6 Mini-CEX evaluations. Those clinical evaluations cannot be reused across seasons.
| Prior result | 2027 reuse |
|---|---|
| Satisfactory, on/after Jan. 1, 2025, already submitted to ECFMG | Yes; no resend, allow three business days after new application. |
| Satisfactory, on/after Jan. 1, 2025, never shared | Release now using MyIntealth ID. |
| Before Jan. 1, 2025 | No; retake under 2027 rule. |
| One or more sub-tests below ECFMG minimum | No; retake all four. |
Troubleshooting: result missing after three business days
Start with facts, not duplicate submissions. Record the OET administration, publication date, release date, delivery mode, last four digits or another nonpublic way to distinguish the ID you used, and the date the Pathways application was submitted.
First confirm the result is satisfactory and eligible for 2027. Then confirm ECFMG verifier access for that specific administration, the MyIntealth ID used under current rules, and exact date-of-birth alignment.
ECFMG lists three main reasons: the result was not released; the identifier or date of birth is inconsistent; or the candidate did not attain satisfactory scores.
Also check whether you are waiting for a prior result to attach to a newly submitted application. In that scenario, the clock starts with the 2027 Pathways submission.
Use the Pathways application and My Cases for status. ECFMG's current processing page says My Cases is the most efficient source for individual requests and cautions that customer service does not have hidden status beyond the portal and published processing guidance.
| Check | Pass condition | Next action if failed |
|---|---|---|
| Score/date | Eligible 2027 date and all four minimums in one administration. | Retake if substantive requirement is not met. |
| Three business days | Full period has elapsed from correct trigger. | Wait through published window. |
| Verifier access | Correct ECFMG organization can view correct administration. | Share through OET account. |
| MyIntealth ID | Correct ID supplied under current workflow. | Use OET's official form to update. |
| Date of birth | Exact OET–ECFMG match. | Correct OET record or contact ECFMG as directed. |
| Name | Profiles align with legal identity. | Use official correction workflow. |
| New Pathways application | Submitted and score attachment period elapsed. | Submit or wait as applicable. |
Fixing a date-of-birth or name mismatch
A date-of-birth mismatch can block release. Compare the actual OET profile—not only the test confirmation—with the official ECFMG identity record.
OET allows candidates to edit some profile information directly but requires an official request to change legal name or date of birth. Its support page gives the current form and states the normal processing estimate for those changes.
Do not create a second OET or MyIntealth identity to make records match. Correct the authoritative record through the organization that holds the error.
If MyIntealth reflects the passport-based legal information and the OET profile is wrong, use OET's correction process. If OET is accurate but the result still does not match after correct ID and timing, ECFMG directs the applicant to contact ECFMG.
Keep documentary proof available, but transmit identity documents only through official secure channels requested by the organization.
Who to contact: OET or ECFMG
Contact OET when the problem concerns the OET account, verifier access, missing or incorrect MyIntealth ID in OET, result publication, the OET update form, or inaccurate OET profile data.
Contact ECFMG when OET data is accurate, verifier access is active, the correct MyIntealth ID and date of birth are present, the qualifying result has been released, three business days have passed, and the Pathways application still has not updated.
Use one concise case with the OET test date, delivery mode, result date, release date, and Pathways submission date. Do not send passwords, complete identity documents, or sensitive identifiers in an unsecured message unless the official support channel requests them.
Avoid parallel duplicate tickets. ECFMG's processing guidance asks applicants to submit only one inquiry per issue; duplicates can fragment the evidence and do not change the underlying status.
| Problem | First contact |
|---|---|
| OET result not published | OET |
| Cannot manage verifier access | OET |
| Need to add or correct MyIntealth ID in OET | OET |
| OET name/date of birth wrong | OET |
| OET data correct but ECFMG application not updated after window | ECFMG |
| Pathway review incomplete after score appears | ECFMG |
| Unsatisfactory score | Book/prepare for OET retake; not a matching issue |
What appears in ERAS and what does not
ECFMG does not send the individual OET Medicine scores to ERAS or other residency application services through its Status Report.
The report confirms whether the applicant has met Pathway requirements. This distinction matters: a program does not receive a 370 versus 430 comparison through the ECFMG report.
Do not upload an OET Statement of Results to an unrelated ERAS document category unless a program or authorized process specifically requests it. The standard ECFMG workflow is status verification.
A result matched in the Pathways application is not automatically a final ECFMG Certificate. Step 1, Step 2 CK, route approval, credentials, and other requirements remain.
Deadlines for the 2027 Match
ECFMG recommends taking OET Medicine no later than the last scheduled test date in December 2026. It says results received after January 31, 2027 may not be processed in time for 2027 Match participation.
The 2027 Pathways application itself is due January 31, 2027, Eastern Time. Supporting evidence deadlines vary by route, but OET release is common to all Pathways.
The NRMP Rank Order List certification deadline is March 3, 2027, at 9:00 p.m. Eastern Time. ECFMG must be able to report the applicant's exam eligibility by that deadline.
Do not spend the final week diagnosing an avoidable ID mismatch. Add MyIntealth ID during booking, verify profiles before testing, release immediately when needed, and check status after three business days.
| Milestone | Date or timing |
|---|---|
| Recommended latest OET test | Last scheduled date in December 2026 |
| Expected OET receipt for normal processing | By January 31, 2027 |
| Pathways application deadline | January 31, 2027 ET |
| Result update after correct release | Allow up to three business days |
| NRMP ROL/ECFMG verification deadline | March 3, 2027, 9 p.m. ET |
Security and recordkeeping
Save the OET booking confirmation, Statement of Results, verifier-access status, ID-update form confirmation, Pathways submission confirmation, and dated screenshots of non-sensitive status messages.
Do not store portal passwords in the same tracker. Do not email full passport images or complete IDs to unofficial addresses. A public forum does not need your MyIntealth ID to answer a general question.
Use a tracker that records dates and status without exposing unnecessary identity data. For example: 'MyIntealth ID verified from portal—yes' is safer than copying the number into every shared spreadsheet.
Status evidence helps support troubleshooters reconstruct the sequence, but a screenshot cannot replace actual electronic release or correct a substantive score failure.
Common mistakes
- Using USMLE ID for a result released on or after May 14, 2026.
- Assuming MyIntealth ID and USMLE ID are interchangeable.
- Sharing a nonqualifying or pre-2025 administration for the 2027 Pathways.
- Giving verifier access but not adding MyIntealth ID.
- Adding MyIntealth ID but not sharing the result with ECFMG.
- Sharing the wrong test administration.
- Mistyping one digit of MyIntealth ID.
- Ignoring a date-of-birth mismatch.
- Creating a second account instead of correcting identity data.
- Checking before three full business days have elapsed.
- Counting from the wrong trigger for a prior application's score.
- Submitting multiple duplicate support requests.
- Assuming OET transmission means the Pathway is approved.
- Expecting detailed OET scores to appear in the ERAS Status Report.
- Waiting until January to test, release, and troubleshoot.
Final release checklist
- My OET profession is Medicine.
- The administration date is on or after January 1, 2025.
- One administration meets L350, R350, W300, and S350.
- I retrieved MyIntealth ID from My Profile → Identity Information.
- I did not substitute USMLE ID.
- My OET full name matches my ECFMG record.
- My OET date of birth matches my ECFMG record.
- I selected the correct qualifying administration.
- I gave the correct ECFMG organization verifier access.
- For paper, I used OET's form to add MyIntealth ID.
- For computer/@Home, I supplied MyIntealth ID at booking or through OET's update form.
- I saved non-sensitive confirmation of the release.
- I waited up to three business days from the correct trigger.
- I checked the 2027 Pathways application.
- If missing, I followed the score → access → ID → birth date → timing diagnostic order.
- I contacted the correct organization once, with a concise timeline.
- I will continue monitoring full Pathway review and Match eligibility.
Bottom line
Releasing OET results to ECFMG now depends on three aligned records: a qualifying OET Medicine administration, ECFMG verifier access, and correct MyIntealth identity data.
For releases on or after May 14, 2026, use MyIntealth ID—not USMLE ID. Paper candidates add it through OET's official form; computer and OET@Home candidates provide it at booking or update it through that form.
Confirm name and date of birth, allow three business days, and verify the 2027 Pathways application actually updates. If it does not, troubleshoot in a fixed sequence before opening one well-documented support case.
This guide reflects official information available July 17, 2026. OET and ECFMG can change account interfaces and instructions. Follow the current linked official pages whenever they differ from a summary.
Official resources
Common questions
How do I release OET results to ECFMG in 2026–2027?
Share ECFMG as a verifier in the OET account and provide OET with your MyIntealth ID. Paper candidates use OET's designated form to add MyIntealth ID; computer and OET@Home candidates should provide it during booking or use the same update form after testing.
Should I use my MyIntealth ID or USMLE ID for OET?
For an OET result released on or after May 14, 2026, ECFMG requires MyIntealth ID. It is different from the USMLE ID. A result released before that date with a USMLE ID already may have been received under the transition rule.
Where can I find my MyIntealth ID?
Log in to MyIntealth and open My Profile. ECFMG states that the MyIntealth ID appears under Identity Information. Do not create another account or request a second ID.
How long does ECFMG take to show my OET result?
Allow up to three business days after you receive the required passing result and it is correctly released. If a previously submitted qualifying score is being attached to a new 2027 Pathways application, allow three business days after submitting that application.
Why is my OET result missing from my Pathways application?
Common causes are failure to share the result, use of the wrong ID, a date-of-birth mismatch, an unsatisfactory score in one or more sub-tests, use of an ineligible pre-2025 administration, or checking before the three-business-day update period ends.
Do I need to resend an OET score from a previous Pathways application?
Not if ECFMG already received a satisfactory OET Medicine result from an administration on or after January 1, 2025. ECFMG says it will update the new 2027 Pathways application with that score; allow three business days after application submission.
Will ECFMG send my detailed OET scores to ERAS programs?
No. ECFMG states that the Status Report sent to ERAS and other residency application services confirms only whether the applicant met Pathway requirements; it does not include individual OET Medicine results.
Does an OET result in MyIntealth mean my Pathway is accepted?
No. It means ECFMG has matched the communication-skills evidence. The route-specific clinical-skills evidence and the full Pathways application still must be reviewed and approved.
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