Table of Contents

 

 

 

 

List of Tables

xiii

 

Foreword

xiv

 

Acknowledgments

xv

1

Licensure Policies and Regulations of State Medical/Osteopathic Boards

1

 

Administration of the United States Medical Licensing Examination Steps 1 and 2

1

 

Administration of the United1 States Medical Licensing Examination Step 3

2

 

Administration of the Comprehensive Osteopathic Medical Licensing Examination: Time Limits for Completion

11

 

Endorsement Policies for Physicians Holding an Initial License

14

 

Licensure Policies Related to the Federation Licensing Examination (FLEX)

19

 

Additional Requirements for Endorsement of Licenses Held by International Medical Graduates (IMGs)

22

 

Policies About the Special Purpose Examination (SPEX) and Comprehensive Osteopathic Medical Variable-Purpose Examination (COMVEX)

25

 

Initial Licensure of US Medical/Osteopathic School Graduates

28

 

Initial Licensure of Canadian Citizens Who Are Graduates of Accredited Canadian Medical Schools

31

 

Initial Licensure of International Medical Graduates (IMGs)

34

 

Medical Student Clerkship Regulations

39

 

Additional Policies Concerning International Medical Graduates (IMGs)

42

 

Additional Policies Concerning Doctors of Osteopathic Medicine (DOs)

45

 

Accredited Subspecialties and Nonaccredited Fellowships That Satisfy Graduate Medical Education Requirements for Licensure

48

 

Licensure Requirement Exemptions for Eminent Physicians and Medical School Faculty

51

 

Teaching (Visiting Professor) Licenses

55

 

Initial Licensure Fees and Requirements

59

 

Licensure Endorsement and Reregistration Fees, Intervals, and Requirements

62

 

Continuing Medical Education for Licensure Reregistration

65

 

Resident/Fellow Physician Licenses

69

 

Resident/Fellow Physician Licenses: Documentation and Verification

73

 

Noneducational Temporary or Limited Licenses

76

 

Physician Re-entry

81

 

Regulations on the Practice of Telemedicine and Out-of-state Consulting Physicians

86

 

Regulations Related to Violations of Ethical Standards

89

 

Universal Licensure Application Form

92

2

Licensing Board Statistics

95

3

Medical Licensing Examinations and Organizations

101

 

The United States Medical Licensing Examination® (USMLE®)

101

 

The Three Steps of the USMLE: Step 1, Step 2, and Step 3

102

 

USMLE Eligibility Requirements and Examination Policies

102

 

Computer-based Testing

103

 

Step 2 CS Testing

103

 

Description of the Examinations

103

 

Preparation for the Examinations

104

 

USMLR Minimum Passing Scores

105

 

The Comprehensive Review ofUSMLE

106

 

Communicating About USMLE

106

 

Comprehensive Osteopathic Medical Licensing Examination of the United States (COMLEX-USA)

107

 

COMLEX-USA Level 1

107

 

COMLEX-USA Level 2 Cognitive Evaluation (CE)

107

 

COMLEX-USA Level 2 Performance Evaluation <PE)

108

 

COMLEX-USA Level 3

108

 

COMLEX-USA Level 1, Level 2-CE, and Level 3 Examination Scoring

108

 

NBOME Contact Information

109

 

The Federation of State Medical Boards (FSMB) of the United States, Tnc

110

 

Physician Data Center

110

 

Licensure and Assessment Services

110

 

Federation Credentials Verification Service (FCVS)

110

 

Government Relations and Policy

111

 

Publications

111

 

Education

111

 

Post-Licensure Assessment System (PLAS)

112

 

Contact Information

112

 

National Board of Medical Examiners® (NBME® )

113

 

United States Medical Licensing Examination® (USMLE®)

113

 

Services for Medical Schools and Health Professional Organizations

113

 

Services for the International Community

113

 

Services for Practicing Physicians

114

 

Assessment of Professional Behaviors

114

 

Innovation

114

 

NBME Certification and Endorsements

114

 

NBME Website

115

 

National Board of Osteopathic Medical Examiners (NBOME)

116

 

Comprehensive Osteopathic Medical Variable-Purpose Examination (COMVEX)

116

 

Contact Information

117

4

Information for International Medical Graduates

119

 

Educational Commission for Foreign Medical Graduates (ECFMG®)

119

 

Application for ECFMG Certification

120

 

ECFMG Examination Requirements

120

 

Time Limit for Completing Examination Requirementst

121

 

Medical Education Credential Requirements

121

 

Standard ECFMG Certificate

121

 

Validity of Examinations for Entry into GME

122

 

Step 1 and Step 2 of the USMLE

122

 

Standard ECFMG Certificates Issued in 2010

123

 

Electronic Residency Application Service (ERAS®)

124

 

Visas

125

 

Exchange Visitor Sponsorship Program

125

 

Certification Verification Service (CVS)

127

 

Contact Information

127

 

Immigration Overview for International Medical Graduates

128

 

Immigration Law Overview

128

 

Temporary, Nonimmigrant Classifications

128

 

J-1 Waiver Strategies

129

 

H1-B Temporary Worker

130

 

Permanent Residence Strategies

130

 

Final Word

131

5

Federal and National Programs and Activities

133

 

Licensure in the US Armed Forces

133

 

Department of the Air Force

133

 

Department of the Army

133

 

Department of the Navy

134

 

Federal Controlled Substances Registration

135

 

National Practitioner Data Bank and Healthcare Integrity and Protection Data Bank

137

 

Data Availability and Confidentiality

137

 

Reporting, Statements, and Disputing Reports

137

 

Responsibilities of State Licensing Authorities

139

 

Available Materials

139

6

Other Organizations and Programs

141

 

American Board of Medical Specialties (ABMS)

141

 

The Member Boards of ABMS

141

 

Associate members of ABMS

142

 

Board Certification

142

 

Career-long learning and improvement

142

 

Verifying Physician Certification

143

 

American Osteopathic Association Bureau of Osteopathic Specialists (BOS)

144

 

Contact Information

145

 

Accreditation Council for Graduate Medical Education (ACGME)

146

 

ACGME General Competencies

146

 

Contact Information

146

 

Accreditation Council for Continuing Medical Education (ACCME)

147

 

Contact Information

147

 

American Medical Association Survey and Data Resources

148

 

Department of Data Integration and Quality Analysis

148

 

Department of Data Survey and Verification Services

148

 

Department of eCommunication and Data Release Services

149

 

Contact Information

150

 

American Medical Association Continuing Medical Education

151

 

The AMA Physician's Recognition Award

151

 

AMA-certified CME Activities

152

 

International CME

152

 

Contact Information

153

 

The Joint Commission

154

 

Accreditation Programs

154

 

Certification Programs

154

 

Benefits of Accreditation and Certification

154

 

Major Initiatives

155

 

Origins/Governance

155

 

Contact Information

155

 

National Committee for Quality Assurance (NCQA)

156

 

Origins and Scope

156

 

MCO Accreditation

156

 

Recognition Programs

156

 

Performance Measurement

157

 

Contact Information

157

 

Administrators in Medicine (AIM)

158

 

The AIM DocFinder

158

 

Appendixes

159

Appendix A

Boards of Medical Examiners in the United States and Possessions

159

Appendix B

Boards of Osteopathic Medical Examiners in the United States and Possessions

164

Appendix C

Member Organizations of the Federation of Medical Regulatory Authorities of Canada

166

Appendix D

Glossary of Medical Licensure Terms

167

Appendix E

AMA Policy on Medical Licensure

174