Big news! FMG can now receive a medical license and practice independently in TN without completing a US residency.

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You just proved my point. “Once the applicant successfully completes the first year of training in a U.S. GME training program accredited by the Accreditation Council for Graduate Medical Education (ACGME), the ECFMG Certificate will no longer be subject to expiration.”=permanent ECFMG which is required by this Tennessee FMG bill.
 
Have the physicians in TN noticed any difference in the job market / pay? are there any trends?
 
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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.

Board certification currently requires completion of a US residency.

However I see 2 very easy ways for that to change.

ACGME is currently in the process of evaluating and credentialing FOREIGN residency programs. It's been in the works for years thru the ACGME-I organization.

You also have to realize that the leaders of ACGME and specialty medical boards are HIGHLY interested in increasing their revenues. Why do you think the ACGME decided to start giving accreditation to foreign residencies? Answer -- it's a highly lucrative way to bring in money. ACGME knows that foreign hospitals will pay ungodly amounts of money in order to get the American ACGME stamp of approval on them.

Specialty boards want those dollars too. Imagine if you are the head of the American Board of Pediatrics and you found a way to quadruple your revenues by offering board certification to FMGs? Can you really say that you would just sit there and ignore that possible stream of $$$?

It may take some time, but specialty boards are going to follow the money and that means FMGs will eventually get board certification.

At any rate, you dont need board certification unless you work at a hospital. It's not necessary for non-hospital jobs.
 
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