applying for med licensure, carrib. school?

[TJDoc7]

Hello,

Had a question if anyone had some knowledge on the issue...2nd/3rd year medical student at small carrib. school, preparing to take step 1 in the next few months...keep reading about/hearing what states our specific school is not approved in (a handful), but then also hearing that we can apply for licensure in some of those states (through the board I guess?) after passing step 1,2,3 and completing a valid u.s. residency...I know California was an issue with a bunch of schools/legal issues and might be a seperate question, but what is the general rule regarding those other handful of states that we are not "approved" in...are you NEVER allowed to practice there regardless of record/residency, or just something that you'd need to fill out some paperwork and do an interview or something? I actually have my home state/where I want to live (why I chose the school in the first place), but am just curious as to some of these other states in case something were to change in the future, family, etc... Can you go around and apply yourself, pending passing scores/solid academic record?

Thanks in advance for any help.

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[HansHolbein]

I recently had a friend go through the process of licensing as a IMG, so I will tell you what he told me. You are barred from applying for a medical license in states that explicitly reject the school, and in some cases even if you are already licensed in another US state.

These states include CA, NJ, NY, FL, KY, IN, CO, etc. Other states review the applicant on a case-by-case basis and make a decision on it.

As a rule of thumb, if you are not in the 4 schools that are allowed to practice in all 50 states, then you will be able to practice in a max of about 30 states.

Hello,

Had a question if anyone had some knowledge on the issue...2nd/3rd year medical student at small carrib. school, preparing to take step 1 in the next few months...keep reading about/hearing what states our specific school is not approved in (a handful), but then also hearing that we can apply for licensure in some of those states (through the board I guess?) after passing step 1,2,3 and completing a valid u.s. residency...I know California was an issue with a bunch of schools/legal issues and might be a seperate question, but what is the general rule regarding those other handful of states that we are not "approved" in...are you NEVER allowed to practice there regardless of record/residency, or just something that you'd need to fill out some paperwork and do an interview or something? I actually have my home state/where I want to live (why I chose the school in the first place), but am just curious as to some of these other states in case something were to change in the future, family, etc... Can you go around and apply yourself, pending passing scores/solid academic record?

Thanks in advance for any help.

 

[TJDoc7]

gotcha...kind of heard the same thing, but what puzzled me about the school is we are approved in NY (one of the states that apparently "rejects" applicants as you mentioned) don't have Ca...but then a bunch of other eastern states that you'd "expect" to be licensed...are not guaranteed. Just strange.

Aside from contacting individual states medical boards to ask them if they are one of the "rejection" states or a "case by case basis" state, do you have any idea (aside from your friend) where you can get a list of these states? Obviously my school knows, but tends to side-step the question a great deal...if I can even get them on the phone in the first place.

 

[Tigerz_Fan]

I recently had a friend go through the process of licensing as a IMG, so I will tell you what he told me. You are barred from applying for a medical license in states that explicitly reject the school, and in some cases even if you are already licensed in another US state.

These states include CA, NJ, NY, FL, KY, IN, CO, etc. Other states review the applicant on a case-by-case basis and make a decision on it.

As a rule of thumb, if you are not in the 4 schools that are allowed to practice in all 50 states, then you will be able to practice in a max of about 30 states.

This is something I repeat every time people post regarding the IMG licensing/CA list issue. PLEASE do not post information that you hear secondhand, or information that you do not have concrete info on. There is too much gossip flying around about the CA list as it is.

Your state list is wrong. The states that bar anyone except those on the CA list are Alaska, California, Oregon, Mississippi, Arkansas, Indiana, Tennessee, and Kansas if your school is less than 15 years old. Idaho requires a grad of a school not on the CA list to be board-certified. Texas also has issues with licensure.

This has been discussed in previous threads such as:
http://forums.studentdoctor.net/showthread.php?t=648161

 

[TJDoc7]

Apologize if it looked like was adding to gossip...was asking here to try and find out if anyone actually had concrete info on the subject. Have been unable to find a solid source on the internet, or a dept. that deals with this...any ideas?

Also, just to make sure i'm understanding you correctly, any grad. from a school that is under 15 years old, they are BANNED from Alaska, California, Oregon, Mississippi, Arkansas, Indiana, Tennessee, and Kansas. Aside from that, it is a state-by state basis in which individual states (like new york for example) can approve/disapprove...additionally, if you happen to know...if it is a state that DOES NOT have approval (but not one of the aforementioned BANNED states, can you yourself apply for licensure (ex...you wanted to practice in Rhode Island, but your school is not "approved" in Rhode Island...can you yourself after completing step 1,2,3 and res. apply to the RI medical licensure comm.?

Thanks again for all the info.

 

[Tigerz_Fan]

Apologize if it looked like was adding to gossip...was asking here to try and find out if anyone actually had concrete info on the subject. Have been unable to find a solid source on the internet, or a dept. that deals with this...any ideas?

Also, just to make sure i'm understanding you correctly, any grad. from a school that is under 15 years old, they are BANNED from Alaska, California, Oregon, Mississippi, Arkansas, Indiana, Tennessee, and Kansas. Aside from that, it is a state-by state basis in which individual states (like new york for example) can approve/disapprove...additionally, if you happen to know...if it is a state that DOES NOT have approval (but not one of the aforementioned BANNED states, can you yourself apply for licensure (ex...you wanted to practice in Rhode Island, but your school is not "approved" in Rhode Island...can you yourself after completing step 1,2,3 and res. apply to the RI medical licensure comm.?

Thanks again for all the info.

You weren't adding to gossip, the poster after you did. And that's why I quoted it.

Anyway, Kansas is the only state that will not grant a license to a grad of a school that is less that 15 years old.

For all of the states that follow the CA list, neither a permanent nor temp (residency) license will be granted. Even if the applicant has completed Steps 1-3, and even board certified in their respective specialty.

If a person is interested in applying to a state that follows the CA list, then I would recommend waiting until you have passes your boards (the specialty) boards. However, I do know a person who was double boarded, and was denied a license in TN.

AMA has a website with each of the 50 state medical boards. Go to the link with the state you are interested in, find the bylaws regarding foreign medical grads and read. You need to do this before you enter the match, otherwise, it is a waste of an application.

Here is the link:
http://www.ama-assn.org/ama/pub/edu.../medical-licensure/state-medical-boards.shtml

 

[TJDoc7]

I understand the states which have automatic disapproval (the ones mentioned) and the situation regarding Ca and the "unrecognized vs. disapproved" problem...my problem is this...On that website/individual state websites (which I had read earlier), the requirements only mention things you'd expect to see (passed steps 1,2,3, residnecy, etc...)...meaning no specific information regarding specific foreign grads...Does that mean aside from those 10 or so (under the Ca list), if the bylaws of the state are ambiguous and just require the application, that they usually accept you for licensure (obviously pending no problems with aplication or test scores)? So as the school i'm graduating from is NOT on the Ca disapproval list (pending Ca approval I believe), that you'd need to apply to which ever of the 35,40 remaining states for approval, and pending no problems, should be granted?

Apologize for all the questions...partially why I came on here was the school was unable to provide an easy yes/no to "Can I practice in _______". Have my home state and where i'd like to see covered...just trying to plan for the unexpected/match as you said.

Thanks again.

 

[Tigerz_Fan]

I understand the states which have automatic disapproval (the ones mentioned) and the situation regarding Ca and the "unrecognized vs. disapproved" problem...my problem is this...On that website/individual state websites (which I had read earlier), the requirements only mention things you'd expect to see (passed steps 1,2,3, residnecy, etc...)...meaning no specific information regarding specific foreign grads...Does that mean aside from those 10 or so (under the Ca list), if the bylaws of the state are ambiguous and just require the application, that they usually accept you for licensure (obviously pending no problems with aplication or test scores)? So as the school i'm graduating from is NOT on the Ca disapproval list (pending Ca approval I believe), that you'd need to apply to which ever of the 35,40 remaining states for approval, and pending no problems, should be granted?

Apologize for all the questions...partially why I came on here was the school was unable to provide an easy yes/no to "Can I practice in _______". Have my home state and where i'd like to see covered...just trying to plan for the unexpected/match as you said.

Thanks again.

The answer to your question is yes. If the website does not specifically mention "disapproved schools" or the "CA list," then you should be able to get licensure in that state.

 

[HansHolbein]

You have failed to provide links to back up your assertions about which states allow what. Therefore you are a victim of your own histrionics and sound exquisitely hypocritical.

I hope that this has been a refreshing wave of knowledge for you.

This is something I repeat every time people post regarding the IMG licensing/CA list issue. PLEASE do not post information that you hear secondhand, or information that you do not have concrete info on. There is too much gossip flying around about the CA list as it is.

Your state list is wrong. The states that bar anyone except those on the CA list are Alaska, California, Oregon, Mississippi, Arkansas, Indiana, Tennessee, and Kansas if your school is less than 15 years old. Idaho requires a grad of a school not on the CA list to be board-certified. Texas also has issues with licensure.

This has been discussed in previous threads such as:
http://forums.studentdoctor.net/showthread.php?t=648161

 

[Tigerz_Fan]

You have failed to provide links to back up your assertions about which states allow what. Therefore you are a victim of your own histrionics and sound exquisitely hypocritical.

I hope that this has been a refreshing wave of knowledge for you.

Wow, defensive are we? I have personally participated in the process to obtain a perm license as a US IMG from a small Carib school. There are many rumors flying around about the CA list, mostly by people to scare others. I am here to keep the truth straight due to the large amount of misinformation out there..

Considering that I previously provided the AMA link that contains a link to each of the 50 states' medical board websites, I did not see the point.

However, here are your requested lilnks:

California:
http://www.medbd.ca.gov/applicant/schools_recognized.html
Kansas:
http://www.ksbha.org/medicalschoolsapprovedunapproved.html
Indiana:
http://www.state.in.us/pla/2799.htm
Arkansas:
http://www.armedicalboard.org/professional/EGTYBVCW/ORMPVBRYM/PDF/MD_AppPack.pdf
Mississippi:
http://www.msbml.state.ms.us/regchanges/30.II.02.100.pdf
Oregon:
http://www.oregon.gov/OMB/Rules/January2009/Final-020-0130.pdf
Idaho:
http://adm.idaho.gov/adminrules/rules/06codearchives/IDAPA22/0101.pdf
Texas:
http://www.tmb.state.tx.us/rules/rules/163.php
Tennessee:
http://health.state.tn.us/Downloads/BME_PolInternational.pdf
Alaska:
http://www.commerce.state.ak.us/occ/pub/MedicalStatutes.pdf

Any questions now? Find someone else to insult.

 

[HansHolbein]

Looks like I made an error in my original post. I was confusing licensing with and allowing rotations to be completed in the state. Thank you for clearing that up.

Wow, defensive are we? I have personally participated in the process to obtain a perm license as a US IMG from a small Carib school. There are many rumors flying around about the CA list, mostly by people to scare others. I am here to keep the truth straight due to the large amount of misinformation out there..

Considering that I previously provided the AMA link that contains a link to each of the 50 states' medical board websites, I did not see the point.

However, here are your requested lilnks:

California:
http://www.medbd.ca.gov/applicant/schools_recognized.html
Kansas:
http://www.ksbha.org/medicalschoolsapprovedunapproved.html
Indiana:
http://www.state.in.us/pla/2799.htm
Arkansas:
http://www.armedicalboard.org/professional/EGTYBVCW/ORMPVBRYM/PDF/MD_AppPack.pdf
Mississippi:
http://www.msbml.state.ms.us/regchanges/30.II.02.100.pdf
Oregon:
http://www.oregon.gov/OMB/Rules/January2009/Final-020-0130.pdf
Idaho:
http://adm.idaho.gov/adminrules/rules/06codearchives/IDAPA22/0101.pdf
Texas:
http://www.tmb.state.tx.us/rules/rules/163.php
Tennessee:
http://health.state.tn.us/Downloads/BME_PolInternational.pdf
Alaska:
http://www.commerce.state.ak.us/occ/pub/MedicalStatutes.pdf

Any questions now? Find someone else to insult.

 

[KyMDHopeful]

http://health.state.tn.us/Downloads/BME_PolInternational.pdf

According to this, in TN as long as the school is LCME approved then you should be able to obtain a permanent license after residency.

 

[Tigerz_Fan]

http://health.state.tn.us/Downloads/BME_PolInternational.pdf

According to this, in TN as long as the school is LCME approved then you should be able to obtain a permanent license after residency.

Carib schools are not part of LCME. In regards to Carib schools, TN follows the CA list.

 

[futureboy]

OP, you may also want to check out www.valuemd.com. This issue has been discussed extensively on that site.

 

[SolanoDoc]

Hello,

Had a question if anyone had some knowledge on the issue...2nd/3rd year medical student at small carrib. school, preparing to take step 1 in the next few months...keep reading about/hearing what states our specific school is not approved in (a handful), but then also hearing that we can apply for licensure in some of those states (through the board I guess?) after passing step 1,2,3 and completing a valid u.s. residency...I know California was an issue with a bunch of schools/legal issues and might be a seperate question, but what is the general rule regarding those other handful of states that we are not "approved" in...are you NEVER allowed to practice there regardless of record/residency, or just something that you'd need to fill out some paperwork and do an interview or something? I actually have my home state/where I want to live (why I chose the school in the first place), but am just curious as to some of these other states in case something were to change in the future, family, etc... Can you go around and apply yourself, pending passing scores/solid academic record?

Thanks in advance for any help.

California is extremely harsh on IMGs, especially those from Caribbean schools. A few other states are pretty strict as well. Colorado is one of them. The big issue with Caribbean schools is that many have you complete rotations in non ACGME hospitals, those with residency programs, and that could mess you up for licensure. I did my research, I live in the Bay Area, and found hardly any IMGs in the major hospitals here, a few DOs here and there but hardly any IMGs, and those IMGs were usually the real foreign graduates from Europe or somewhere else.