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  1. #1
    goldengate is offline Newbie 510 points
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    State licensure eligibility to do residency?

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    I know that there are certain states that have a limit on USMLE attempts to qualify for initial medical licensure, as displayed on the following table - FSMB. My question is, do residency programs require you to be licensable in their state in order to match in the program, assuming you do not plan to practice in that state once completing the program?

  2. #2
    billroth is offline Junior Member
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    no. temporary licenses are sponsored by your program and are not governed by the same requirements as the states own regulations. so, you could qualify for a residency in a program but after you are done there you will have to relocate to another state if you don't meet it's criteria.

  3. #3
    goldengate is offline Newbie 510 points
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    Quote Originally Posted by billroth View Post
    no. temporary licenses are sponsored by your program and are not governed by the same requirements as the states own regulations. so, you could qualify for a residency in a program but after you are done there you will have to relocate to another state if you don't meet it's criteria.
    Thank you for your reply! I wonder if selection committees will take into account the fact that I am ineligible for practice in their state...or do they not care? And a temporary license is all you need to do residency?

  4. #4
    Chianti is offline Senior Member
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    I don't believe the above post is accurate.

    I know some states (Louisiana for sure) simply give a list of residents in their programs to the state board.

    I know other states (like Texas and Ohio for sure) have a part in their by-laws regarding having hearings for residents who are denied a temporary license to complete residency. Thus, it seems like these states actually approve/deny residents for training licenses.

  5. #5
    jim
    jim is offline Elite Member
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    there is one other thing you need to realise. statitistically, most people end up practicing in the states they do residency. therefore, most states look at their respective residency programs as a "pipeline" of new docs for their state. therefore, they take a dim light on the possibility that you would leave when done. in other words, residency directors are going to go for the people who they think are going to stick around after they complete.

  6. #6
    wcb22 is offline Elite Member
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    jim, what about states like texas? texas can be really rough when it comes to permanent licensure, but i've heard that getting residency isn't so bad, from schools not on their list of "substancially equivalent."
    M.D., PGY-3 Internal Medicine

  7. #7
    Picard is offline Elite Member
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    The need for training licenses vary widely from state to state. In one extreme, you have California that puts IMG"s through the entire licensing process before allowing IMG's to do residency in California, and will arrest you on felony charges if you somehow slipped through without going through the process (ie uninformed program director ranking/matching IMG's who start without the "CA letter"). On the other hand, there are states that simply ask programs to submit a list of their residents to the state board for record keeping and do not issue any sort of "training license." And there are everything in between the two extremes.

    Yes, it is possible for unsuspecting/uninformed program directors to rank you and even match you without realizing that you may not be legally able to do residency in their states. NRMP process does not include "licensing eligiblity" checks. It is up to you to make sure that you meet the states legal " training/temporary licensing" requirements for residency, if any. Because if anything goes wrong, you will be the one left holding the bag (and criminal convictions for illegal practice of medicine, if applicable).

    And yes, it is entirely possible to qualify for training license in a state, complete residency, and not be eligible for permenent licensure in that same state. This is because in many states, training license is a formality only and are not processed the same as permenent license with stricter requirements.

    Bottom line, do your home work. Don't violate any state licensing laws, including training license, even if you can (and others have) get away with it.

    P
    Jean Luc Picard
    Academic Hospitalist/Asst. Professor of Medicine, Star Fleet Medical, Earth, United Federation of Planets
    Tactical Physician, Metro ESU/SWAT

    In Glock, We Trust... Everyone Else... Keep Your Hands Where I Can See Them.

  8. #8
    goldengate is offline Newbie 510 points
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    Thank you Picard for your comprehensive reply...I recently received my "CA Letter" which allows me to do residency in CA. But I am not as concerned with CA b/c they do not have a limit on USMLE attempts. 10 other states, however, do limit to 2 or 3 attempts per Step which disqualifies me from licensure. So in those states I guess it depends on whether or not the program requires the permanent license or just a training permit. Which is the norm? For example, programs in TX and MN....
    Last edited by goldengate; 10-04-2006 at 02:51 PM.

  9. #9
    nevisbutterfly's Avatar
    nevisbutterfly is offline Senior Member 523 points
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    Louisiana training permit

    Quote Originally Posted by Chianti View Post
    I don't believe the above post is accurate.

    I know some states (Louisiana for sure) simply give a list of residents in their programs to the state board.

    I know other states (like Texas and Ohio for sure) have a part in their by-laws regarding having hearings for residents who are denied a temporary license to complete residency. Thus, it seems like these states actually approve/deny residents for training licenses.

    This is NOT accurate. I just went through the GETP licensing process and you must fill out the application, go before the board and pay 200 dollars.

  10. #10
    The Trifling Jester's Avatar
    The Trifling Jester is offline Member 510 points
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    Quote Originally Posted by Chianti View Post
    I don't believe the above post is accurate.

    I know some states (Louisiana for sure) simply give a list of residents in their programs to the state board.

    I know other states (like Texas and Ohio for sure) have a part in their by-laws regarding having hearings for residents who are denied a temporary license to complete residency. Thus, it seems like these states actually approve/deny residents for training licenses.
    Louisiana requires a training license issued by the Lousiana state board of medical examiners. You'll have to sit for an interview and they do verify your credentials etc. It's not just a rubber stamp.

    -The Trifling Jester

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