FSMB & states vote

[ASIANDOC]

I was looking at the FSMB site and the results of the meeting and noticed that the states voted to approve the FSMB proposal in regard to international med schools evaluation and recommendation and for states to have the option to use CA & NY as indicator in the evaluation for licensure,if many states adopt that indicator I believe only hand full of schools will survive,CA and NY is a must and not and option now. for survival.

Personal opinion and thoughts.

[2cents]

I wonder what SMU will do?

[ASIANDOC]

Probably at least the 7 states that asked the Federation for help in the carribean issues and concerns probably they will adopt the CA list[I can't remember the all 7 but CT,NC,KY,OH ..comes to memory],the issue becoming very difficult now with CA had its strict list,NM,VT,TX,TN,the 7 states,the FSMB April 06 vote by all states for the proposal that gives all states the full option to use CA list,the Colorado road blocks,....I wonder what's left for the unapproved [CA]schools?
I believe now people can't say realistically "I do't care about CA practice" because all states voted to have the option to use its list as criteria to license applicants.
That is my understanding to the issue,correct me if I am wrong,and I do hope I am wrong.

personal opinion.

[jubes]

does this mean the school must be approved by both lists (ca and ny) for practice

[ASIANDOC]

I think state board directors will go back and discuss the proposal with all board members and create own rules using the FSMB recommendations,some might use CA and NY as an indicator and some might not,to me it does not sound good because any complaint from a rejected candidate the state will say "we simply follow what the FSMB recommending and we did not create this committee"...
for this reason not being on the California and NY list is not an option,its a must if anyone interested in training and practicing in the good old USA.

my personal feeling and opinion.

[LqdPls]

I was looking at the FSMB site and the results of the meeting and noticed that the states voted to approve the FSMB proposal in regard to international med schools evaluation and recommendation and for states to have the option to use CA & NY as indicator in the evaluation for licensure,if many states adopt that indicator I believe only hand full of schools will survive,CA and NY is a must and not and option now. for survival.

Personal opinion and thoughts.

What stops any state from using the Ca or NY list, with or without the FSMB recommendation.

[LqdPls]

...some might use CA and NY as an indicator and some might not...

So exactly how has the situation changed? Before the FSMB ruling, states had the option to use Cali or NY list, and now after the ruling it is still an option.

If I remember correctly, the apprehension around this time last year was related to the possibility that the Cali list would become the gold standard for all states. Therefore, completely disqualifying any school without Cali approval.

Furthermore, if FSMB ruling has any real impact, it seems that equal weight should be given to either the NY or Cali list. But if states decide to only follow the Cali list, it seems that the FSMB meeting accomplished little, if anything at all.

[LqdPls]

....I wonder what's left for the unapproved [CA]schools?....

The same as always. Anyone who attends a Cali unapproved school will never be a licensed physician in the state of California, and likely those states which use the Cali list.

Furthermore, I dont think that it was ever realistic to assume that being unapproved by Cali is somehow ok, or that it doesnt matter.

[tRmedic21]

Funny. As an above poster has pointed out, nothing at all has changed. The FSMB doesn't have the 'power' to tell any state that they are not allowed to use the list of California or New York to make licensure decisions... so they told them they could. Very nice. ;)

All states still make their own decisions, the lists of other states are still available as guidelines if a particular state chooses to use that list.

One thing that has changed out of all this... an increasing level of awareness of the importance of the issues at hand and communication between states' licensing boards... could this lead to some sort of change in the future? Certainly... but don't expect it to come quickly. At best, all the representatives from the respective states might adopt an FSMB suggestion regarding state licensure requirements (which may or may not follow Cali- or NY-style lists), however, each representative would then have to go back to their home state, pitch the suggested system to their respective licensing committee, and see what happens. It would be a huge mess, red tape galore, negotiations back and forth, 50 different states asking for dozens (or hundreds) of changes in the rules, exceptions, clauses, etc. Don't get the idea that these single delegates from each state have totalitarian authority to negotiate binding rules on the behalf of their respective states' licensure committees.

Personally, for those of us from relatively well-known and respected (a term I use loosely, yes) schools have little to fear from a process like this, indeed, we may embrace it, as it adds one more measure of credibility to our education and is something else we can point to when the detractors arise. As we now point out that both FMGs and USMGs take 100% exactly the same exams... USMLE Step I, Step II CS and CK, and Step III. In the future we might be able to point to a centralized committee that 'accredits' or 'approves' each medical school for licensure in all 50 states. It would make things much simpler... either you are eligible, or you aren't. No shady schools advertising licensure 'eligibility' based on the fact that they haven't yet been declined anywhere (because they have no graduates).:evil:

Anyways, just my $0.02... do I think any of this will actually happen? Not anytime soon, each state simply likes to have control of its' own medical licensure too much. Some states like it so much they tweak the rules several times a year! *cough*texas*cough*cough* ;)