Away rotations in residency?

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primadonna22274

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Hi all, I'm a PGY 2 FM resident in SC who has been invited to do a (very ) rural rotation in Washington state. Both my residency program and the sponsoring institution are willing to sign an affiliation agreement, but I'm curious how the rules work as a resident off -site and so far from my home program. I have a permanent SC license. It looks like WA osteopathic board allows a temporary permit for up to 90 days while awaiting permanent licensure but I don't know if I even need to pursue this option as a resident. Would like to hear from other folks how it works at your program and particular hurdles that I need to consider.
FWIW this place may be a very good fit for me after residency, hence the mutual interest.
Thanks.

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Hi all, I'm a PGY 2 FM resident in SC who has been invited to do a (very ) rural rotation in Washington state. Both my residency program and the sponsoring institution are willing to sign an affiliation agreement, but I'm curious how the rules work as a resident off -site and so far from my home program. I have a permanent SC license. It looks like WA osteopathic board allows a temporary permit for up to 90 days while awaiting permanent licensure but I don't know if I even need to pursue this option as a resident. Would like to hear from other folks how it works at your program and particular hurdles that I need to consider.
FWIW this place may be a very good fit for me after residency, hence the mutual interest.
Thanks.

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I would think you would be able to get a residency/training license for less hurdles and money...
 
You will need a license and you will need malpractice coverage. The former seems easy enough to set up. The latter is something your GME office and the group need to hash out. It's unlikely you're the first person at your institution to do something like this so start with the GME office (not your PC/PD).
 
I'm not the first, but the first in quite a while out of state. I figured I would probably just need to get a WA license. I have 7 mos lead time so that should be ok except apparently WA is one of those wacky states that has a separate osteopathic board and separate laws. I figured the malpractice would be a bit hairy. It's a FQHC so I think they're probably under the federal tort insurance but I don't know how that applies to non-employees. We are also an unopposed FM program so we don't have a separate GME office...we ARE the GME lol. But I'm sure there are admin folks who understand this far better than I do. I appreciate your help 🙂

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If your GME office will be signing an affiliation agreement, that will spell out the MedMal situation. In general, your GME program is your employer while you are doing the away rotation, and they will still cover your malpractice. If you were sued, the GME office / hospital would likely be named as your employer (and hence possibly liable for any mistake you make), so in general they will cover you also as it's easier that way.

You will need a license. You can call the osteopathic board to see what to do, they should walk you through the process. If you can get a training license, that's probably the way to go. Unless you're most certain you'll settle in the state, in that case you could consider getting a full license (if you qualify) as you'll need one anyway. But they are more expensive and slow. You're unlikely to qualify for a temporary license -- usually you need to have a full license in another state for that (unless you have a full SC license)
 
Thanks APD, you're awesome. Yes, I do have a full SC license (our program encourages us to get one as soon as we qualify, I've had mine for 2 mos now after a long wait on FCVS lol). I will contact the WA board and have considered the temp vs perm license issue...it looks like it's just as much work to get the temporary permit, it just expires in 90 days. I am likely to settle back in OR or WA anyway so it doesn't seem totally far-fetched to get the license, although it is $500 ish. It's only money right? 🙂

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Thanks APD, you're awesome. Yes, I do have a full SC license (our program encourages us to get one as soon as we qualify, I've had mine for 2 mos now after a long wait on FCVS lol). I will contact the WA board and have considered the temp vs perm license issue...it looks like it's just as much work to get the temporary permit, it just expires in 90 days. I am likely to settle back in OR or WA anyway so it doesn't seem totally far-fetched to get the license, although it is $500 ish. It's only money right? 🙂

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temporary and training licenses are two different types of licenses.
 
Yes I know. From my very quick look at WA licensing rules, I don't think I'm eligible for a training license there as an out-of-state resident, but I will call the board to clarify.

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I'm a Family Medicine resident in NJ entering my 3rd year and want to do an away elective in NY. Where can I find information about getting a NY temporary training permit to do this elective?
I'm a FMG and I understand that I can't apply for a NY license until I finish 3 years of residency.

Thanks!
 
Usually, training permits can only be obtained through a training program. So, usually you would find a spot first, and then they would arrange for the training permit.

Sometimes, you can do this with a locums license. If you have a full license in your home state, many states will give you a locums (or "visiting", or "camp") license which is good for 3 months or so.

It is very state dependent, and I don't know the rules for NY. If you have a program that is willing to take you, your best bet is to ask their GME office. They will certainly know, and will be inclined to help you.
 
I did an out-of-state rotation when I was resident. I had a training permit in my home state during my residency and for the out of state rotation, I had a rotating resident license. When I searched online, it seems that a handful of states offer this option to residents, including Nevada, Washington DC, and Texas. There could be other states.
 
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