Currently, two organizations known as the ECIS and the ECFMG are faced with a problem of how best to consolidate their two medical credentials validating systems. Between these two technically separate organizations, there is considerable overlap in the requirements and procedures demanded of foreign medical students to validate their credentials, but not enough at present to merge the two organizations. If the procedures and requires credentials verification should be combined, rendered the same, or otherwise is under review, as is the confusing nature of some of the website information regarding the verification process. How should the process be streamlined and customer satisfaction be improved in the most timely, cost-effective, and efficient fashion was the business problem addressed in the yes/no survey conducted by the organization.

             However, an additional problem with using Internet information to explain procedures may be the World Wide Web's lack of interactive capability when questions arise, an inevitable occurrence during the verification procedure. According to The Internal Auditor, a survey of Internet consumers by the International Customer Service Association (ICSA) and e-Satisfy.com determined that although customers expect a reply to their e-contacts within one hour, only 12 percent receive such timely responses, and just 42 percent receive replies within 24 hours. The Internet's lag time is especially frustrating as it is supposed to save time. (Brune, 2000) The data in the study was taken from a survey of online customers purchasing goods over the Internet, and confirms the data from the study regarding the procedures at the ECIS and the ECFMG. The majority of the international medical students polled, the customers of the organization, said they would gladly pay an extra fee for a streamlined process, so they did not have to be subject to the added time created by having bureaucracies divided between two organizations, and separate requirements for each.