Use Your ECFMG Email to Set Up MyIntealth
A Step-by-Step Guide to MyIntealth Setup for IMGs (2026)For international medical graduates (IMGs), residency application season always comes with new systems, portals, and deadlines. The biggest procedural change in recent years was the launch of MyIntealth β the centralized platform that replaced OASIS for all ECFMG-related services.
If you are setting up your account for the first time, there is one rule that overrides everything else: you must use your ECFMG email to set up MyIntealth. Using any other email address will prevent your account from connecting to your existing ECFMG records. This guide walks through the setup process, the common mistakes that cause delays, and what to do when something goes wrong.
For the broader certification process this MyIntealth setup sits inside, see ECFMG Certification: Simple Step-by-Step Guide for IMGs.
What is MyIntealth? MyIntealth is the official applicant portal operated by Intealth β the parent organization of ECFMG. It replaced the older OASIS system and now serves as the single dashboard where IMGs manage ECFMG Certification services, Pathway applications, J-1 visa sponsorship, document uploads, and the ERAS Token used to open the residency application.
The launch of MyIntealth consolidated what used to require several portals into one. The trade-off: every IMG must now correctly link their MyIntealth account to their existing ECFMG records β and that link is made through the email address you use during setup.
Your ECFMG email is the digital identity that connects your existing records β certification application, exam registrations, Pathway history, ERAS Token requests β to the new MyIntealth portal. If you create your MyIntealth account using a different email address, the system will not recognize you as an existing ECFMG applicant. Your account will technically work, but it will not be linked to your real ECFMG record.
The most common β and most expensive β MyIntealth setup mistake: creating a MyIntealth account with a personal email like Gmail or Hotmail when ECFMG already has a different email on file. The result is two records: one in MyIntealth that has no ECFMG history, and one in ECFMG’s database that has no MyIntealth login. Resolving this requires contacting ECFMG support, providing identity verification, and waiting for a manual record merge β which can delay your Pathway application or Step exam registration by weeks.
Your ECFMG email is the email address that appears on your existing ECFMG record. For most applicants, this is the email used when first applying for ECFMG Certification or first registering for a USMLE Step exam through ECFMG.
Email no longer active? If the email address ECFMG has on file is one you no longer use β a school email that has since expired, or an old work email β contact ECFMG to update it on your record before you set up MyIntealth. Setting up MyIntealth with a new email while ECFMG still has the old one creates exactly the linkage problem this guide is designed to help you avoid.
Once you have confirmed which email is your ECFMG email, the actual MyIntealth setup is straightforward. The whole process takes under ten minutes if everything goes smoothly.
Start by visiting the official Intealth website and clicking through to the MyIntealth Applicant Portal. Bookmark the portal URL β you will use it frequently throughout the certification and Match process.
Click “Access MyIntealth.”
This is the step that determines whether your account links correctly to your ECFMG record. Move slowly and check each entry.
If the verification code does not arrive within a few minutes, check spam, then try again. If it still does not arrive, the email on file may not match what you entered β see the troubleshooting section below.
Choose a strong, secure password for your MyIntealth account. You will use it frequently across the certification and residency application timeline. Save it in a password manager β losing access to MyIntealth at the wrong moment can cost you a Pathway application deadline or Step exam registration window.
Read and accept the Terms and Conditions and the Privacy Notice. These cover how Intealth handles your data and what you are agreeing to as a MyIntealth user.
Once inside, you can access the full set of services from a single dashboard:
If your MyIntealth setup did not go smoothly, you are not alone. These are the most common problems IMGs encounter β and what to do about each one.
Check your spam folder first. If still missing after 10 minutes, the email you entered may not match what ECFMG has on file. Try the alternate email you might have used. If neither works, contact ECFMG support to verify your registered email before retrying setup.
If you completed setup with a personal email instead of your ECFMG email, do not create a second account. Contact ECFMG support, explain that your MyIntealth and ECFMG records are not linked, and request a manual record merge. Provide identity documentation when asked.
This means a MyIntealth account already exists for that email. If you created one previously and forgot, use the password reset flow on the login page. If someone else may have used your email, contact ECFMG support immediately to investigate.
If your account is set up but you cannot see your existing ECFMG records inside MyIntealth, the link between accounts did not complete. Contact ECFMG support and request manual reconciliation. Have your USMLE/ECFMG ID number ready.
Use the password reset flow on the login page. If reset emails do not arrive, the email may be misconfigured or no longer accessible β in which case you will need to contact ECFMG support to update the email on file before regaining access.
If your registered ECFMG email is from a school account that has expired or a workplace you have left, contact ECFMG to update the email on your record before attempting MyIntealth setup. Setting up first and trying to fix it later creates the linkage problem.
MyIntealth setup is a technical step IMGs handle themselves. The strategic decisions that determine your match outcome β program selection, application positioning, interview preparation β are where an experienced advisor makes the biggest difference. IMGPrep has guided IMGs through these decisions for over two decades.
Once your MyIntealth account is active and linked to your ECFMG record, MyIntealth becomes the workspace for several major decisions in the certification timeline. The most important to plan for, in order:
ECFMG Certification: Simple Step-by-Step Guide for IMGs (2026) β
Direct answers to the questions IMGs ask most often about MyIntealth setup.
MyIntealth setup is the technical first step. Everything else β ECFMG Certification, Pathway selection, exam strategy, residency program selection, application positioning, interview preparation β is the strategic work that determines whether certification converts into a matched residency.
The Match itself is a deliberate, methodical academic selection process β programs evaluate each applicant against their selection criteria step by step, looking for goodness of fit between the applicant and the program. Plan your path to residency. Prepare well from day one and increase your chance to match.
For more than two decades, IMGPrep has been matching IMGs into top programs across the vast majority of specialties β including some of the most competitive spots in the country.
Sources: Official MyIntealth procedures verified against intealth.org and ecfmg.org. USMLE Step exam registration procedures verified against usmle.fsmb.org (effective January 12, 2026). Procedures and requirements are subject to change β always verify current setup procedures directly with Intealth and ECFMG before creating an account. IMGPrep is not affiliated with Intealth, ECFMG, FSMB, USMLE, NRMP, ERAS, or any related body.