STATE MEDICAL LICENSING REQUIREMENTS
State
| By Endorsement/
reciprocity?
| ECFMG certificate
Required or considered?
| Which
Qualifying exams?
| Other
|
| New York
New York State Board for Medicine (Licensure)
| Yes by endorsement
However NY does NOT issue a license to practice solely on verification of license in another jurisdiction.
NY must verify medical education, pre-professional education, postgraduate training, valid license to practice medicine in another jurisdiction, etc.
If the applicant has a medical license issued by another state and have two years of professional experience, and have passed a licensing exam, he/she may qualify for licensure by endorsement.
| ECFMG certification required from all foreign graduates
| USMLE
Or
FLEX
Or
NBME
Or
Approved combination
| Educational requirements: 60 semester hours of pre-professional undergraduate college study from a NY State registered program or its equivalent; Completion of an approved medical program (NY State licensure qualifying or LCME)
Graduates of non-accredited medical programs must provide minimum of 32 months (4 academic years) in an acceptable educational program for physicians and ECFMG.
Graduates of an accredited medical programs (or fifth pathway program) must complete 1 year of postgraduate training approved by ACGME
Graduates of non-accredited medical program must provide minimum of three years of postgraduate hospital training in an ACGME accredited program
All licensed physicians in NY must be United States Citizens or Lawful Permanent Residents. This requirement may be waived for a three year limited physician license to practice in a medically underserved area.
|
| North Carolina
North Carolina Medical Board
| Yes
By reciprocity or endorsement
With acceptable education and exams requirements:
FLEX with approved passing scores
Foreign graduates must be certified by a specialty board recognized by the ABMS (American Board of Medical Specialties) within 5 years prior to application
| Must have ECFMG certification (un-expired certification only)
| USMLE
Or
FLEX
Or
LMCC
Or
NBME
Or
Combination
| US graduate must complete 1 year of post graduate training approved by the ACGME
Graduates of foreign medical schools who are not enrolled in graduate medical education in NC must submit proof of three years of postgraduate training in an ACGME approved program.
|
| North Dakota
North Dakota State Board of Medical Examiners
|
| ECFMG certification is required except graduates of medical schools in Canada, England, Scotland, Ireland, Australia and New Zealand
Or for fifth pathway program graduates or American board certified
| USMLE
Or
FLEX
Or
NBME
Or
LMCC
Or
Approved combination
| US graduates must complete one year of postgraduate training
Foreign graduates must complete three years of postgraduate training approved by the board (if the applicant completed one year of postgraduate training in the US, the board may decide that the applicant has enough professional experience and training that is equivalent to the second and third year and may waive this requirement – but the applicant must prove that he/she is American or Canadian board certified or passed the SPEX exam)
|
| Ohio
State Medical Board of Ohio
| YES
If other eligibility requirements are met, diplomate status with the National Board of Medical Examiners or licentiate status with the Medical Council of Canada may be directly endorsable to Ohio
With USMLE or acceptable examination combination
| ECFMG certification required
| USMLE
Or
FLEX
Or
NBME
Or
LMCC
Or
Approved combination
| The minimum requirement for licensure is two years of undergraduate work in a college approved by the board in addition to a high school diploma
US or Canadian graduates must complete one year of postgraduate medical training
Foreign graduates must complete two years of postgraduate medical training or complete a fifth pathway program plus one year of postgraduate training
Foreign graduates must prove proficiency in English by TSE (min. 40 or 230 if taken prior to 7/95) or completion of 2 years of undergraduate college education in the US or completion of a fifth pathway program or having a US license and have actively practiced medicine for 5 years
|
| Oklahoma
Oklahoma State Board of Medical Licensure and Supervision
| Yes by endorsement
OK must verify all states where applicant is licensed in or by FCVS
| ECFMG certification required
| USMLE 1+2+3
Or
FLEX 1+2
Or
MBME 1+2+3
Or
Approved combination
(passing score 75 or higher, not more than 6 attempts)
| US graduates must complete 12 months of postgraduate training if completed before July 1, 1995 or 24 months if completed after July 1, 1995
All applicants for initial licensure as a physician in Oklahoma must pass with a score of 75% a written medical jurisprudence examination.
Graduates of foreign medical schools must submit a tape-recorded reading of a written selection created by the Board to evaluate the applicant’s English communication skills.
Foreign applicants must provide the board with written proof of their ability to work in the US by the INS.
|
| Oregon
Oregon Board of Medical Examiners
|
| ECFMG standard certification required from all graduates of foreign medical schools
| USMLE
Or
FLEX
| LCME approved medical schools are approved by the board. The board has also approved some medical schools in England, Scotland, Ireland and Australia.
Graduates of non approved schools must have completed at least four eight-month term of instruction (at least 4 full academic years)
US graduates or approved foreign schools must complete one year of internship, residency or clinical fellowship training accredited by the ACGME
Foreign graduates from unapproved schools must complete three years of internship
|
| Pennsylvania
Pennsylvania State Board of Medicine
| No reciprocity
If physician passed a licensing exam acceptable to the board, does not have to re-take the exam
| ECFMG certification required
| USMLE
Or
FLEX
Or
Another approved federation or state exam
| US graduates must complete 2 years of post graduate training in an ACGME accredited program
Foreign graduate must complete 3 years of post graduate training in an ACGME accredited program
|
| Rhode Island
Rhode Island Board of Medical Licensure and Discipline
|
| ECFMG certification required
| USMLE
Or
NBME
Or
FLEX
Or
LMCC
Or
Approved combination
| US graduates must complete 2 years of post graduate training in an accredited program
International graduates must complete 3 years of post graduate training in an accredited program in the US
|
| South Carolina
South Carolina Department of Labor, Licensing and Regulation
|
|
| USMLE
Or
FLEX
Or
State Medical /Composite board examination
Or
SPEX
Or
Approved combination
| US graduates must complete one year of postgraduate medical training in an accredited program
International graduates must complete three years of postgraduate medical training in an accredited program in the US
|
| South Dakota
South Dakota State Board of Medical and Osteopathic Examiners
| Yes by reciprocity
To obtain licensure by reciprocity the applicant must reciprocate with the license originally obtained by examination with qualifying results
Applicants reciprocating must have completed at least two years of postgraduate medical training unless they obtained a valid license before July 1, 1987 and completed one year of postgraduate training
| ECFMG certification required
| USMLE
Or
FLEX
Or
NBME
Passing score is 75% or higher
| All applicants must complete two years of postgraduate medical training (unless they obtained a valid license before July 1, 1987 and completed one year of postgraduate training)
|
| Tennessee
Tennessee Board of Medical Examiners
|
| ECFMG certificate required from all international medical graduates (notarized copy of original permanent certificate required)
| USMLE
Or
FLEX
Or
NBME
Or
Approved combination
| US graduates must complete one year of postgraduate medical training
International graduates must complete three years of postgraduate medical training
All applicants must submit proof of US citizenship, residency or being legally entitled to live and work in the US
|
| Texas
Texas State Board of Medical Examiners
|
|
| USMLE
Or
FLEX
Or
NBME
Or
Approved combination
(all exams must be passed within three attempts)
PLUS TEXAS MEDICAL JURIS-PRUDENCE EXAM
| All applicants must be at least 21 years old and of good professional character
All applicants must have completed 60 semester hours of college courses other than in medical school and the entire primary, secondary and premedical education required in the country of medical school graduation if the medical school is located outside the US or Canada, or proof of substantially equivalent courses as determined by the board
US graduates must complete one year of approved postgraduate training
International graduates must complete three years of approved postgraduate training
|
| Utah
Utah Department of Commerce
| No reciprocity
Utah will accept previous exam results and therefore no need to re-take licensing exams if passed a licensing exam before
| Must have ECFMG certification
| USMLE
Or
FLEX
Or
NBME
Or
LMCC
Or combination
| All graduates (US and foreign) must complete two years of approved postgraduate training
|
| Vermont
Vermont Board of Medical Practice
| No reciprocity
Applicants do not have to re-take licensing exams if they have passed them before
| Must have ECFMG certification
| USMLE
Or
FLEX
Or
NBME
Or
LMCC
Or
Combination
| US graduates must complete one year of approved postgraduate training
Foreign graduates must complete three years of approved postgraduate training
|
| Virginia
Virginia Board of Medicine
|
| Must have ECFMG certification or its equivalent from all graduates of non-approved schools
| USMLE
Or
FLEX
Or
NBME
Or
LMCC
Or
approved combination
| US graduates must complete one years of satisfactory postgraduate training in a hospital approved by the ACGME
Foreign graduates must complete three years of postgraduate training in a hospital approved by the ACGME
The board may substitute training or study for up to two years of the three year requirement where such training or study has occurred in the US or Canada and is an approved fellowship program or a position teaching medical students, interns or residents in an accredited medical school program
The board may substitute continuous full time practice of five years or more and one year of postgraduate training in a foreign country, in lieu of the three years of postgraduate training.
|
| Washington
Washington Medical Quality Assurance Commission
| No reciprocity
No need to re-take licensing exams if passed them before
Verification of all medical licenses must be sent directly from licensing state board; exam results must be sent directly from the examining organization
| ECFMG certification required
| USMLE 1+2+3
Or
FLEX
Or
Another approved exam or combination
| All applicants who graduated after July 1985 must complete two years of approved postgraduate training
All applicants who graduated before July 1985 must complete one year of approved postgraduate training
All applicants must complete 4 hours AIDS/HIV course, provide their professional and training experience and any hospital privileges
|
| West Virginia
West Virginia Board of Medicine
| No reciprocity
But the WV board will accept previous exam results if were one of the national exams or state exams (therefore no need to re-take exams)
| ECFMG certification required from foreign graduates
| USMLE 1, 2, 3
Or
FLEX
Or
NBME
Or
Approved exams combination
| US graduates must complete 1 year of approved post-graduate medical training
Foreign graduates must complete 3 years of approved post-graduate medical training
|
| Wisconsin
Wisconsin Medical Examining Board
| Endorsement available of exam results
All applicants who have been credentialed in another state must submit letters of verification from that state board
An applicant who received passing scores in written examinations for a license to practice medicine by another US or Canadian jurisdiction will not be required to take further exams if obtained a passing score in substantially equivalent exams to the exams in WI.
| Foreign graduates must have ECFMG certification
OR
FMGEMS (Foreign Medical Graduate Examination in the Medical Sciences)
| USMLE
Or
FLEX
Or
NBME
PLUS open book examination on Wisconsin Statutes and Administrative Code
PLUS
Oral examination
| Both US and foreign graduates must complete 12 months of postgraduate training in a board approved facility
|
| Wyoming
Wyoming Board of Medicine
|
| ECFMG certification required from all international graduates
| USMLE
Or
FLEX
Or
National boards
Or
LMCC
Or an equivalent state exam
Or
combination
| At least 21 years of age
US graduates must complete one year of postgraduate medical training in an ACGME, AOA or RCPSC accredited program
International graduates must have completed at least two academic years of on-campus medical education at the medical school from which he/she graduated and have completed at least two years of postgraduate training in an ACGME or AOA accredited program.
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