Table of Contents

 

 

 

Chapter 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 United 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

70

 

Resident/Fellow Physician Licenses: Documentation and Verification

74

 

Noneducational Temporary or Limited Licenses

77

 

Physician Re-entry

82

 

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

87

 

Regulations Related to Violations of Ethical Standards

90

 

Universal Licensure Application Form

93

Chapter 2

Licensing Board Statistics

91

Chapter 3

Medical Licensing Examinations and Organizations

103

 

The United States Medical Licensing Examination® (USMLE®)

103

 

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

104

 

USMLE Eligibility Requirements and Examination Policies

104

 

Computer-based Testing

105

 

Step 2 CS Testing

105

 

Description of the Examinations

105

 

Preparation for the Examinations

106

 

USMLE Minimum Passing Scores

107

 

The Comprehensive Review of USMLE

108

 

Communicating About USMLE

108

 

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

110

 

COMLEX-USA Level 1

110

 

COMLEX-USA Level 2-Cognitive Evaluation (CE)

110

 

COMLEX-USA Level 2-Performance Evaluation (PE)

111

 

COMLEX-USA Level 3

111

 

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

111

 

NBOME Contact Information

112

 

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

113

 

Physician Data Center

113

 

Licensure and Assessment Services

113

 

Federation Credentials Verification Service (FCVS)

113

 

Government Relations and Policy

114

 

Publications

114

 

Education

114

 

Post-Licensure Assessment System (PLAS)

115

 

Contact Information

115

 

National Board of Medical Examiners® (NBME®)

116

 

United States Medical Licensing Examination® (USMLE®)

116

 

Services for Medical Schools and Health Professional Organizations

116

 

Services for the International Community

116

 

Services for Practicing Physicians

117

 

Assessment of Professional Behaviors

117

 

Innovation

117

 

NBME Certification and Endorsements

117

 

NBME Website

118

 

National Board of Osteopathic Medical Examiners (NBOME)

119

 

Comprehensive Osteopathic Medical Variable-Purpose Examination (COMVEX)

119

 

Contact Information

120

 

Application for ECFMG Certification

121

Chapter 4

Information for International Medical Graduates

121

 

Educational Commission for Foreign Medical Graduates (ECFMG®)

121

 

ECFMG Examination Requirements

122

 

Time Limit for Completing Examination Requirements

122

 

Medical Education Credential Requirements

123

 

Standard ECFMG Certificate

123

 

Validity of Examinations for Entry into GME

124

 

Step 1 and Step 2 of the USMLE

124

 

Standard ECFMG Certificates Issued in 2011

125

 

Electronic Residency Application Service (ERAS®)

125

 

Visas

127

 

Exchange Visitor Sponsorship Program

127

 

Certification Verification Service (CVS)

128

 

ECFMG Certificate Holders Office (ECHO)

129

 

Contact Information

129

 

Immigration Overview for International Medical Graduates

130

 

Immigration Law Overview

130

 

Temporary, Nonimmigrant Classifications

130

 

J-1 Waiver Strategies

131

 

H1-B Temporary Worker

132

 

Permanent Residence Strategies

132

 

Final Word

133

Chapter 5

Federal and National Programs and Activities

135

 

Licensure in the US Armed Forces

135

 

Department of the Air Force

135

 

Department of the Army

135

 

Department of the Navy

136

 

Federal Controlled Substances Registration

137

 

National Practitioner Data Bank and Healthcare Integrity and Protection Data Bank

139

 

NPDB and HIPDB Merger

139

 

Data Availability and Confidentiality

141

 

Reporting, Statements, and Disputing Reports

141

 

Responsibilities of State Licensing Authorities

141

 

Available Materials

141

Chapter 6

Other Organizations and Programs

143

 

American Board of Medical Specialties (ABMS)

143

 

The Member Boards of ABMS

143

 

Associate Members of ABMS

144

 

Board Certification

144

 

Career-long Learning and Improvement

144

 

Verifying Physician Certification

145

 

American Osteopathic Association Bureau of Osteopathic Specialists (BOS)

146

 

Accreditation Council for Graduate Medical Education (ACGME)

148

 

ACGME General Competencies

148

 

Accreditation Council for Continuing Medical Education (ACCME)

150

 

American Medical Association Survey and Data Resources

151

 

Department of Data Integration and Quality Analysis

151

 

Department of Data Survey and Verification Services

152

 

Department of eCommunication and Data Release Services

152

 

Contact Information

153

 

American Medical Association Continuing Medical Education

154

 

The AMA Physician’s Recognition Award

154

 

AMA-certified CME Activities

155

 

International CME

155

 

Contact Information

156

 

The Joint Commission

157

 

Accreditation Programs

157

 

Certification Programs

157

 

Benefits of Accreditation and Certification

157

 

Major Initiatives

158

 

Origins/Governance

158

 

Contact Information

158

 

National Committee for Quality Assurance (NCQA)

159

 

Origins and Scope

159

 

MCO Accreditation

159

 

Recognition Programs

159

 

Performance Measurement

160

 

Contact Information

160

 

Administrators in Medicine (AIM)

161

 

The AIM DocFinder

161

 

APPENDIXES

162

Appendix A

Boards of Medical Examiners in the United States and Possessions

162

Appendix B

Boards of Osteopathic Medical Examiners in the United States and Possessions

166

Appendix C

Member Organizations of the Federation of Medical Regulatory Authorities of Canada

167

Appendix D

Glossary of Medical Licensure Terms

168

Appendix E

AMA Policy on Medical Licensure

175