TX license and Ross

[Tacdoc]

Anyone from Ross with a TX. license. I am currently enrolled in a fellowship (not seeing patients) and have completed 3 yrs of residency and have an Ohio license with DEA. Even still, TX board states I am ineligible for licensure at this time because of a core rotation I did in Florida. Any other Ross grads have this problem? What did you do?:(

[guest00]

Hi,

I am currently in my residency in texas right now and have two more years to go..I would like to get a texas license if i could but i know how strict they could be. Did they tell you that you would need to redo some rotations before they would grant you a license? what other loopholes could you go through without having to redo rotations?

thanks

[Tacdoc]

No, they said I have to just get board certified in order to receive my license. It's pretty ridiculous since I already have a license in another state.

[guest00]

ok so if you get board certified they told you for sure they will grant you a license then? no need to redo any rotations? even if more than one is not greenbook?

[Tacdoc]

But getting board certified could take up to a 1 yr. I am currently in a fellowship at this time. Therefore, I can't fulfill my duties for my fellowship.

[AUCMD2006]

can yo take vacation and redo the rotation at a greenbook site?

[Genossa maximillian]

The guy is already licensed in another state, it is what Asiandoc and me have been saying all along, some states just like to harass IMG grads, make them get tired of their games so they can give up and stop the licensing process. Texas is very famous for this, what else do you think they mean by ..." will be evaluated on a case by case basis". In other words, we will screw you good on a case by case basis.


can yo take vacation and redo the rotation at a greenbook site?

[guest00]

would texas allow you to work in a VA hospital like in dallas or houston if you have a license from another state while you are trying to get board certified in order to get a texas license if some of your med student rotations were not greenbook?
thanks

[Chianti]

You only need ONE valid state license from ANY state to work in ANY VA hospital.

For example, if you have a NY state license you can work in ANY VA hospital anywhere in Texas. Why? Because VA hospitals are federal property and not under the jurisdiction of the state they are located in.

[MDJack]

I am currently working in Texas with an unrestricted Texas license. I received the license before being board certified in family medicine.

TacDoc, what kind of fellowship are you in that doesn't involve patient care? Also, why can't you sit for your board certification after finishing residency? Why would sitting for your board certification inhibit you from fulfilling your fellowship duties? My understanding is once a person completes residency, his/her board will allow that individual to sit for the one day exam, unless there is an oral section. The exam result is posted within 4-6 weeks, and if passed, the person would be "Board Certified in ...". This exam is 8 hours long and may be taken on any day of your choosing, including Saturdays, so why would it interfere with patient care, especially if your fellowship doesn't have patient care? Texas licensure requires a total of 130 weeks of approved rotation (ACGME or AOA) and basic science weeks. Since Ross is classified as "equivalent to Texas schools", all of our basic science courses are counted toward the 130 weeks. If any of your rotation are not ACGME or AOA certified, then you must be board certified before receiving your license. Texas does not grant reciprocity with other states; hence, it doesn't matter how many other state license(s) you hold. As Ross graduates, Texas requires a few additional step (Dominica letter, birth certificate or passport and complete three years of residency). Everyone seeking licensure also must pass the medical jurisprudence exam within three trials. Although Texas doesn't require an applicant to utilize FCVS, the usage of the service does expedite your process and you may use this service for other states, i.e. Ohio.

[Genossa maximillian]

On behalf of all those involved in this post, thank you for your post, extremely helpful and informative. Thank you Doctor!


I am currently working in Texas with an unrestricted Texas license. I received the license before being board certified in family medicine.

TacDoc, what kind of fellowship are you in that doesn't involve patient care? Also, why can't you sit for your board certification after finishing residency? Why would sitting for your board certification inhibit you from fulfilling your fellowship duties? My understanding is once a person completes residency, his/her board will allow that individual to sit for the one day exam, unless there is an oral section. The exam result is posted within 4-6 weeks, and if passed, the person would be "Board Certified in ...". This exam is 8 hours long and may be taken on any day of your choosing, including Saturdays, so why would it interfere with patient care, especially if your fellowship doesn't have patient care? Texas licensure requires a total of 130 weeks of approved rotation (ACGME or AOA) and basic science weeks. Since Ross is classified as "equivalent to Texas schools", all of our basic science courses are counted toward the 130 weeks. If any of your rotation are not ACGME or AOA certified, then you must be board certified before receiving your license. Texas does not grant reciprocity with other states; hence, it doesn't matter how many other state license(s) you hold. As Ross graduates, Texas requires a few additional step (Dominica letter, birth certificate or passport and complete three years of residency). Everyone seeking licensure also must pass the medical jurisprudence exam within three trials. Although Texas doesn't require an applicant to utilize FCVS, the usage of the service does expedite your process and you may use this service for other states, i.e. Ohio.

[Tacdoc]

MD Jack,
My fellowship does require that I see patients. It is just that I can't right now because of this license crap! My fellowship is being very tolerant of my situation and waiting for me to resolve this. Did you go to Ross? If you did, where did you do your FP clerkship? I am an EM physician and my boards are offered once a yr. Once I pass the written, then I am officially board eligible. They then assign a date ( either 1 of 2 dates) to take my oral boards and if I pass, then I am board certified. If I am assigned my orals in the next fall, then it will be a yr since residency to become board certified. I have already passed my TX JP exam and completed 3 yrs of residency. I am acknowledged by ABEM (American Board of Emergency Medicine) as a recognized EM physician. The hold up is that they are saying a core clerkship is not in the "greenbook." Can I ask, what process did you go through in order to receive your unrestricted license?

[Tacdoc]

MD Jack, can you do me a favor and read what I wrote you in this thread?

[MDJack]

MD Jack,
My fellowship does require that I see patients. It is just that I can't right now because of this license feces! My fellowship is being very tolerant of my situation and waiting for me to resolve this. Did you go to Ross? If you did, where did you do your FP clerkship? I am an EM physician and my boards are offered once a yr. Once I pass the written, then I am officially board eligible. They then assign a date ( either 1 of 2 dates) to take my oral boards and if I pass, then I am board certified. If I am assigned my orals in the next fall, then it will be a yr since residency to become board certified. I have already passed my TX JP exam and completed 3 yrs of residency. I am acknowledged by ABEM (American Board of Emergency Medicine) as a recognized EM physician. The hold up is that they are saying a core clerkship is not in the "greenbook." Can I ask, what process did you go through in order to receive your unrestricted license?

Hi TacDoc,

I am a graduate of RUSM and did my Family Medicine (no longer known as FP) at Catholic Medical Center in Jamaica, NY. As far as I know, RUSM does not have any core rotation that is not ACGME or AOA certified. Texas did question some of my elective rotations, stating they were not ACGME or AOA certified. I contacted RUSM graduate affair office for assistance, which resulted in a letter being sent to my analyst explaining/clarifying the rotations. In my email request to RUSM, I listed the rotations and links to teaching institutions that the rotations are affiliated, hence proving that they are ACGME or AOA certified. If your rotation in FL has a FamMed residency program or has FamMed residents rotating there, it is likely ACGME or AOA certified. Just find out where the residents are rotating from and use that teaching hospital as the sponsoring instution for the rotation.

It seems that you are currently in Texas right now after finishing 3 yrs of EM residency in Ohio? I still don't understand why your fellowship program not allow you to see patient. As a fellow, you don't need an unrestricted license. You are part of a teaching institution, working and learning under an attending, hence qualify for restricted license, as stated within the first chapter of the TX JP manual. You can't moonlight w/ that license but at least you can fulfill your fellowship obligation.

[MDJack]

The guy is already licensed in another state, it is what Asiandoc and me have been saying all along, some states just like to harass IMG grads, make them get tired of their games so they can give up and stop the licensing process. Texas is very famous for this, what else do you think they mean by ..." will be evaluated on a case by case basis". In other words, we will screw you good on a case by case basis.

I don't believe TX is deliberately harrassing IMGs since AMGs also must endure the same bureaucracy hurdle. As of last year, Texas had only 6 full time analysts but Texas congress just passed legislation to add 4 more analysts. Also keep in mind that RUSM graduates no longer must personally come to Austin for an interview now that the school is considered equivalent. The bottom line is Texas is amongst the most difficult states to obtain a license ... but you can do it.

[Tacdoc]

MD Jack,

I did my FM rotation in Miami ( in fact almost all students now do their FM rotation in Miami). They have also questioned my elective rotations, but I have letters to prove they were ACGME affiliated. I also have documentation which shows that the hospital in question is ACGME accredited (but for some reason, they say it is not). It has gotten to the point where I may have to get an attorney. Note: this will affect all future Ross students going through the Ross program is this is not resolved.
As for why I can't see patients, because I work in the ED, I have to have an unrestricted license in order to work there because I would be an instructing attending to the students. As a fellow, you do not present to an attending, you are the attending. Can I ask, when did you graduate RUSM, and when did you start working in TX?

[MDJack]

I also have documentation which shows that the hospital in question is ACGME accredited (but for some reason, they say it is not).

Is the hospital ACGME certified in Family Medicine? If so, you may have a solid case against Texas. I am certain that you know the hospital must be accredited in the specialty in which you are doing your rotation, regardless of core or elective, in order for acceptance by the TMB (Texas Medical Board). For the benefit of other readers, ACGME accreditation information may be found at AMA (FREIDA) FREIDA Online (http://www.ama-assn.org/ama/pub/category/2997.html).

I graduated from residency last year. It took me five months to obtain my temporary unrestricted Texas license but that's because I entered an underserved area. For the benefit of others: a temp license allow you to start working while waiting for the next TMB meeting, usually every 2-3 months, to grant you a regular license. My brother, who also graduated from Ross, received his license after ten months because he does surgery, which apparently requires more investigative work by the TMB. He holds multiple other state licenses but Texas does not offer reciprocity.

If for some reason, your rotation is not ACGME or AOA certified for Family Med, then you will have to wait until you are Board Certified, at which time the TMB no longer cares where you did your rotation.

[cubmd]

Sorry to interrupt this informative discussion between doctors, but I just wanted to add that FP rotation is only ACGME at Jackson Memorial Hospital in Miami and I doubt it that being an IMG they would let you do the rotation there, is more likely that you did your FP at Larkin which is not green. Anyway, fight for your license that you well deserved…Good Luck