LICENSURE PROCESS-INTERNATIONAL MEDICAL SCHOOL GRADUATES. To
practice medicine in Tennessee a person must possess a lawfully issued license from the board. The
procedure for obtaining a license is as follows:
(1) An applicant shall obtain an application form from the Board Administrative Office, respond
truthfully and completely to every question or request for information contained in the form
and submit it along with all documentation and fees required by the form and this rule to the
Board Administrative Office. It is the intent of this rule that all activities necessary to
accomplish the filing of the required documentation be completed prior to filing a licensure
application and that all documentation be filed simultaneously.
(2) It is the applicant’s responsibility to request a graduate transcript from a medical school
approved by the American Medical Association or its extant accreditation program for
medical education or its successor be submitted directly from the school to the Board
Administrative Office. The transcript must show that the degree has been conferred and carry
the official seal of the institution.
(3) To be a Board approved international medical school for purposes of this rule the school shall
meet the following curriculum criteria:
(a) All courses must have been completed by personal attendance. No international
medical school accepting or providing credits for courses taken by correspondence
shall be approved.
(b) Course instruction must consist of the equivalent of at least four (4) academic years
with a minimum of thirty-two (32) weeks of relevant medical instruction each academic
year.
(c) The school shall be recognized by the World Health Organization but such recognition
is not binding on the Board.
(d) The school’s admission standards must meet or exceed those of medical schools
accredited by the Liaison Committee on Medical Education (LCME).
(e) Acceptable medical educational courses and activities must have been centrally
organized, integrated and controlled into a continuous program which was conducted,
monitored and approved by the parent institution.
GENERAL RULES AND REGULATIONS GOVERNING CHAPTER 0880-2
THE PRACTICE OF MEDICINE
(Rule 0880-2-.04, continued)
(f) If the school does not meet these requirements the applicant cannot obtain a license in
Tennessee.
(4) An applicant shall cause to be submitted a notarized copy of the original permanent
E.C.F.M.G. certificate. In lieu of the certificate the following shall be acceptable:
(a) Graduates of Mexican medical schools may submit a letter from the E.C.F.M.G. stating
all requirements for issuance of a certificate have been met.
(b) For all applicants who cannot receive the original or copies of the original certificate
due to the phase out of the E.C.F.M.G. must have submitted directly from the testing
agency to the Board’s Administrative Office proof of successful completion of the
U.S.M.L.E. Steps 1 & 2 which are the equivalent of the old E.C.F.M.G. certificates.
(c) For applicants who have completed the E.C.F.M.G. requirements by utilization of the
fifth pathway, all necessary supporting documentation from the E.C.F.M.G. and the
institution wherein the fifth pathway criteria were met.
(5) An applicant shall submit evidence satisfactory to the Board of successful completion of a
three (3) year residency program approved by the American Medical Association or its extant
accreditation program for medical education or its successor. Such evidence shall include
but not be dispositive of this requirement, a notarized certificate of completion and a letter
attesting to satisfactory completion issued by the director of the program which shows that
the residency was completed in one (1) discipline. An applicant who holds a specialty board
certification or is eligible to hold such certification may be deemed to have completed the
three (3) year residency requirement of this rule if the specialty board is recognized and is a
member of the American Board of Medical Specialties.
(6) An applicant shall submit a clear and recognizable, recently taken, bust photograph which
shows the full head, face forward from at least the top of the shoulders up.
(7) An applicant shall submit evidence of good moral character. Such evidence shall be two (2)
recent (within the six [6] months preceding the date the Board received the application)
original letters from medical professionals, attesting to the applicant's personal character and
professional ethics on the signatory's letterhead.
(8) An applicant shall submit proof of United States or Canada citizenship or evidence of being
legally entitled to live and work in the United States. Such evidence may include notarized
copies of birth certificates, naturalization papers or current visa status.
(9) An applicant shall submit the application fee and state regulatory fee as provided in rule
0880-2-.02(1) (a) and (g).
(10) All applicants shall submit or cause to be submitted a certificate of successful completion of
the examination for licensure as governed by rule 0880-2-.08.
(11) An international medical school student who has completed all but three (3) or less months of
the three (3) year residency program required by paragraph (5) of this rule may be allowed to
apply for licensure if all other requirements are met and the director of the residency program
submits a letter attesting to the applicant’s satisfactory performance in and anticipated
successful completion of the residency. However, no license shall be approved or issued until
the requirements of paragraph (5) of this rule are met.
(12) An applicant shall disclose the circumstances surrounding any of the following:

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so basically, TN is a prime example of a state that does not require you to have completed all ACGME rotations. If you are looking to practice anywhere but here:Alabama Arkansas California Conneticut DC Delaware Florida Georgia Kentucky Maine Massachusetts New Jersey New York Oklahoma Oregon Pennsylvania Texas
Virginia, then doing rotations in TN are fine.

anyone confirm?

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just to tack onto your last comment there, so getting a license in Illinois/Ohio/Michigan would be okay even after going to Tenn for clinicals?? I know there is a wait time for Chicago now and a lot of us are about to write our step and guess I need to know how to do my rotations so I can get the earliest match possible....

Do Step 2CS scores need to be reported by September to apply for residency ?

How lenient are the FM, IM, and Psych programs on this matter?

Besides Step1 and Step2CK, what needs to be completed to take part in the match?

Any help is appreciated

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*cough* bump *cough*

i got replies on another thread i made:

IMG SURVIVOR
Moderator


For question one the answer is NO
for question 3 Is what you are missing in your first question Step 2 CS and with that (having said that you already have step1 and stap 2ck)they will give you ECFMG certification. with out it you CANT sign a prematch,or start residency.

For question 2 I have no idea, lets wait for a PD to come here and give their opinion.

Or anyone that knows something about it


Skipper
Elite Member


Do Step 2CS scores need to be reported by September to apply for residency ?

Not by September...I believe the Deadline is sometime in December for IMGS

How lenient are the FM, IM, and Psych programs on this matter?

It is not the program...if you do not have your CS score by the deadline, the MATCH will remove you from the process...not up to the program...check ECFMG deadline

Besides Step1 and Step2CK, what needs to be completed to take part in the match?
YOU need STEP 1, 2CK, and 2CS....you are required to have the CS in if you are an IMG and you want to go thru the match!

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nice update. its solid info to have in mind but god does the stress keep mounting...Step 1 soon, rotations soon - Where the hell to do them without being screwed? is one big hurdle to dissect at the moment (chicago the wait time is long, Nash is iffy from what I can gather) Then Step 2...this next while is going to be insane.



Back to the original question, with all rotations done in Nash, I gather SOME states will not have a problem when it comes down to getting a license...is Michigan/Ohio part of those states? I think I'm speaking to a majority of Canadian students that would prefer to ultimately work closer to the Canadian border.

I know its been asked a few times by myself, but I'm trying to get a clear cut answer in relation to the Nashville rotations which seem more and more gray based on what is posted thus far. I know fully well that Chicago is a better option, but with wait time increasing to get into Chicago, its something I need to consider when making choices that fall into an ideal timeline for meeting the earliest eligible match date.

i checked in florida and georgia which is where i probably will end up and while the rotations don't need to be "green book" rotations meaning done in a program with a residency in that rotation..they still need to be real rotations and not observerships.

these companies that set up rotations seem to rely on students not knowing the difference and some schools appear to be less than honest at telling students what they are getting themselves into

Rotation: set up through the hospital graduate medical education office. you are a student listed with the hospital, they have your malpractice insurance information, you go through with other medical students and more importantly you are allowed to do any medical procedure on a patient. i.e. as a student i did h&ps, documented on official medical record, sutured, delivered a few babies, put in a central line, did arterial gases, put in/pulled a chest tube, and many other things along with the US med students. also the hospital is responsible for keeping a record of you there, they hold your grades and if at any time a medical board needs to confirm your education they will say you were a student there.

observership: set up through a company or through a hospital or private physician. if set up through a hospital you are processed through the GME office and are assigned to a team with other med students but you are not allowed to do anything other than observe. you can't write a note in a chart, you can't do aphysical on a patient and you can't do any procedures. if you set up an observership through a private doctor you are his/her guest at the office and the hospital they see patients at. you follow them around and again observe what they do but aren't supposed to tough patients. if a doctor is letting students who aren't there in official rotations do anything then they can get in trouble for it, if the hospital finds out they will have issues (like the atlanta hospital), if you as a student touch patients without officially being there then supposedly you can be cahrged with assault

so why do people do "observerships" different reasons. an attending i worked with brought in her nephew who wantred to goto med school and did an observership for a week, i set up my neighbor with a ER observership before he changed his major. usually though most seem to be foreign grads that need "US" hospital experience for residency applications that require them. for example at my last hospital the internal medicine dept required us clinical experience, however they were all about their scores so they interviewed anyonw with 99's, if they planned on taking them they set them up for a two month observership there...

just be very careful about rotations because licensing boards don't carer about uslme scores they care that all their burocratic crap is done the way they want it

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I see light at the end of the tunnel!!!...wait a minute its just another freakin tunnel!

^^^^
what if something like that happens and one finds himself unable to get licensed... Are we eligible to work in non clinical jobs....

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??? 4 Real

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