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View Full Version : Do you need Green book hospital rotations in order to get licensed in PA?


img123
02-01-2006, 10:27 PM
i got this from their website:

§ 17.1. License without restriction.

(a) Except as provided in subsection (b) and § 17.2 (relating to license without restriction—endorsement), to secure a license without restriction an applicant shall:
(1) Have passed a licensing examination acceptable to the Board by having achieved one of the following:
(i) A passing score on Step 1, Step 2 and Step 3 of the USMLE as determined by USMLE completed within a 7-year period.
(ii) A score of 75 on FLEX I and a score of 75 on FLEX II, as determined by the Federation.
(iii) A score of 75, obtained in an individual attempt, on the licensing examination provided by the Federation from June 1968 to December 1984.
(iv) A passing score as determined by the NBME on the National Boards.
(v) A passing score on Part I of the National Boards or Step 1 of the USMLE plus Part II of the National Boards or Step 2 of the USMLE plus Part III of the National Boards or Step 3 of the USMLE completed within a 7-year period.
(vi) A score of 75 on FLEX I and Step 3 of the USMLE completed within a 7-year period.
(vii) A passing score on Part I of the National Boards or Step 1 of the USMLE plus Part II of the National Boards or Step 2 of the USMLE plus FLEX II completed within a 7-year period.
(viii) A passing score, as determined by the Medical Council of Canada, on the examination of the Medical Council of Canada taken in or after May 1970, if the examination was taken in English.
(ix) A passing score, as determined by the licensing authority of another state, territory or possession of the United States, on a state board examination taken prior to December 1973, if the examination was taken in English.
(2) Have graduated from an accredited medical college or from an unaccredited medical college.
(3) Have been certified by the ECFMG if the applicant is a graduate of an unaccredited medical college.
(4) Have successfully completed the following graduate medical training requirement:
(i) A year of graduate medical training at a first or second-year level if the applicant is a graduate of an accredited or unaccredited medical college and participated in a graduate medical training program prior to June 30, 1987.
(ii) Two years of graduate medical training at a first and second-year level if the applicant is a graduate of an accredited medical college and did not participate in a graduate medical training program prior to June 30, 1987.
(iii) Three years of graduate medical training at a first, second and third-year level if the applicant is a graduate of an unaccredited medical college and did not participate in a graduate medical training program prior to June 30, 1987.
(5) Satisfy the general qualifications for a license specified in § 16.12 (relating to general qualifications for licenses and certificates).
(b) An applicant who is a graduate of an unaccredited medical college, who files an application for a license after December 31, 1988—the application is not considered filed with the Board until it is complete—shall, in addition to satisfying the requirements in subsection (a), have completed:
(1) Four academic years totaling at least 32 months and 4,000 hours of instruction in medical curriculum. Regular attendance shall be verified. Credit will not be given toward this requirement for instruction obtained in other than an accredited or unaccredited medical college, except for clinical rotations assigned under the auspices of the medical college in which the applicant was enrolled while participating in the clinical rotations.
(2) Seventy-two weeks of clinical rotations in an institution which has a graduate medical training program in the clinical area for which credit is sought, or, if the institution is not within the United States, is either a part of a medical college or has a formal affiliation with a medical college.


its the last part that seems to suggest that Green book rotations are necessary, am I correct?

swimguy23
02-01-2006, 10:40 PM
you need to have 72 weeks of acgme approved clinical rotations.....you can do a DO rotation if you still have 72 weeks of acgme.....i emailed the director and he responded back to me with that

FoxTrot
02-05-2006, 05:52 PM
I wonder if most states are like this? I'm from Oklahoma and did a Pediatrics rotation that might not be a ACGME rotation but every other core elective I've done and will do is ACGME. I'm wondering if I can do a 4 week Peds elective that is ACGME and that will hopefully make up for that, or if Oklahoma has a minimum # of hours that has to be ACGME?

What other states have the acgme rule?

you need to have 72 weeks of acgme approved clinical rotations.....you can do a DO rotation if you still have 72 weeks of acgme.....i emailed the director and he responded back to me with that

swimguy23
02-05-2006, 06:08 PM
I wonder if most states are like this? I'm from Oklahoma and did a Pediatrics rotation that might not be a ACGME rotation but every other core elective I've done and will do is ACGME. I'm wondering if I can do a 4 week Peds elective that is ACGME and that will hopefully make up for that, or if Oklahoma has a minimum # of hours that has to be ACGME?

What other states have the acgme rule?

most other states are not like that.....as far as i know california could be an issue but is not for AUC.....Pa is an issue as above

uc89
02-08-2006, 08:53 PM
For example, if you do anesthesia in a hospital where there are ob/gyn residents and pediatric residents that rotate throught that hospital does it make it an acgme hospital and ok for pennsylvania even though there are no anesthesia residents. The other departments I guess technically make it an acgme teaching hospital, is that right?

IMG2006
03-11-2006, 11:00 PM
For example, if you do anesthesia in a hospital where there are ob/gyn residents and pediatric residents that rotate throught that hospital does it make it an acgme hospital and ok for pennsylvania even though there are no anesthesia residents. The other departments I guess technically make it an acgme teaching hospital, is that right?


Yeah... this is a sticky issue that a lot of people get twisted up on.
You should email PA and get a straight response on the question, BUT IN GENERAL:

Green Book is an actual book, which has a green cover. By the way, there is no Blue Book... it's a term that means non-ACGME.
The green book is the listing of all ACGME programs. You can view them on www.ACGME.org (http://www.ACGME.org) Of the states that look at this issue, the requirements varry, but basically what you need is a stamp on each rotation from a hospital that is affiliated with one of those programs. I know of ONE PERSON who got a residency in PA (and I believe that this is the state in which all reqs for licensure have to be met before you train there) who had rotated in hospitals which DID NOT support a residency in each of the subjects, but which were in the ACGME directory. Please, check this out for yourself.

To sum that one... if you read about a program, you will see that there may be many hospitals through which a resident will rotate in a program. This is particularly true of university based programs. As long as you can get the GME of one of those places to stamp your forms, you should be ok in most of the problem states. Again- check this one out. I haven't been looking into PA.

As far as I have read, TX is the only state the requires that a residency program exist in the SPECIFIC SUBJECT being rotated through IN the ACTUAL hospital. Your school still must be approved.

CA also has a similar requirement, but will accept anything done in affiliation with an FP program. Again, your school must be approved.

pruritis_ani
03-11-2006, 11:13 PM
(2) Seventy-two weeks of clinical rotations in an institution which has a graduate medical training program in the clinical area for which credit is sought, or, if the institution is not within the United States, is either a part of a medical college or has a formal affiliation with a medical college.

Seems pretty clear to me that the clinical education must be in a hospital with a graduate medical education program in the discipline for which you want credit. Want anesthesia credit? There has to b a residency in gas. Want neuro credit, gotta be a neuro residency. I don't see a lot of wiggle room in the way the above is worded.

mmg
03-17-2006, 09:08 AM
I am a foreign medical graduate. I have a Q. about the requirement for graduate training license in PA.
Is there a requirement of 4 weeks of clinical rotation in psychiatry as there is a requirement in Illinois state?
Thanks.

swimguy23
03-17-2006, 09:18 AM
I am a foreign medical graduate. I have a Q. about the requirement for graduate training license in PA.
Is there a requirement of 4 weeks of clinical rotation in psychiatry as there is a requirement in Illinois state?
Thanks.

go to ama website and look it up yourself.....dont take other peoples word for it.....the requirements are listed for each state