Yikes.
How does this affect board certification though? I may be misunderstanding some stuff so bear with me. But if someone is granted a license, that still doesn’t make them board certified. So that could still be a road block, no? For instance, in rads it’s common for academic attendings to be FMGs who got licensed through the alternative pathway. They can still practice at that institution without board certification, but options are extremely limited elsewhere. Of course this pathway grants board eligibility.
But unless you jump through the hoops to gain board eligibility (like completing a residency), I think these people will still be pretty limited.