CA residency requirements

Discussion in 'General Residency Issues' started by Newquagmire, Apr 26, 2004.

  1. Newquagmire

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    I have heard that a prereq of residency in California is to have done two full years of clinical rotations. Could you please tell me if this is true? Any other quirks? I am contemplating the MD/PhD pathway and am considering one program that generally only includes 1.5 years of rotations. Thanks in advance.
     
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  3. AJM

    AJM SDN Moderator
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    I think the CA requirement is 18 months of clinical rotations. If you are planning on going to an accredited US school, don't worry about meeting a set clinical training time. The clinical training requirements are really only enforced for IMGs wanting to get CA licensure.
     
  4. Newquagmire

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    What are IMGs?
     
  5. Skrubz

    Skrubz Not your scut monkey
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    IMG = international medical graduate, which is somtimes further divided into US-IMG (US citizen) and FIMG (non-US citizen).

    I believe that CA residencies do require 4 months of family practice during medical school.
     
  6. AJM

    AJM SDN Moderator
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    It's actually just 1 month of family practice. For schools that don't require med students to do a family practice rotation, people can typically use another ambulatory medicine rotation to satisfy the CA residency requirement.
     
  7. Newquagmire

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    Thanks for the input y'all. Keep it coming -- altho I guess the school I end up at will know all of this too...
     
  8. Skrubz

    Skrubz Not your scut monkey
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    *sheepish grin* you're right. i meant to write 4 weeks, but somehow it came out as months... :oops:
     
  9. beriberi

    beriberi Senior Member
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    Beware misinformation. The family practice rumor has been going around for ages, even though the requirement expired five years ago. Below is from the state of California:

    2089.7. (a) The requirement of four weeks of clinical course instruction in family medicine shall apply only to those applicants for licensure who graduate from medical school or a school of osteopathic medicine after May 1, 1998.

    (b) For medical schools located outside of California, a required clinical course in primary care medicine may be deemed to fulfill the requirement in subdivision (a) if the division determines that the family medicine physicians who have a university appointment in the department or division of family medicine at the medical school located outside of California have significantly contributed to the development and implementation of the clinical course instruction in primary care medicine. If a medical school located outside of California does not have a division or department of family medicine, the family physician shall be a member in good standing of the chapter of the American Academy of Family Physicians of the state where the medical school is located.

    (c) This section shall remain in effect only until June 30, 1999, and as of that date is repealed, 1999, deletes or extends that date. (Added and repealed by Stats. 1994, Ch. 657.)
     
  10. Doctor&Geek

    Doctor&Geek 25 > 5 / 15 < 8
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    Taken from http://www.leginfo.ca.gov/calaw.html

    2089. (a) Each applicant for a physician's and surgeon's
    certificate shall show by official transcript or other official
    evidence satisfactory to the Division of Licensing that he or she has
    successfully completed a medical curriculum extending over a period
    of at least four academic years, or 32 months of actual instruction,
    in a medical school or schools located in the United States or Canada
    approved by the division, or in a medical school or schools located
    outside the United States or Canada which otherwise meets the
    requirements of this section. The total number of hours of all
    courses shall consist of a minimum of 4,000 hours. At least 80
    percent of actual attendance shall be required. If an applicant has
    matriculated in more than one medical school, the applicant must have
    matriculated in the medical school awarding the degree of doctor of
    medicine or its equivalent for at least the last full academic year
    of medical education received prior to the granting of the degree.
    (b) The curriculum for all applicants shall provide for adequate
    instruction in the following subjects:
    Alcoholism and other chemical substance dependency, detection and
    treatment.
    Anatomy, including embryology, histology, and neuroanatomy.
    Anesthesia.
    Biochemistry.
    Child abuse detection and treatment.
    Dermatology.
    Geriatric medicine.
    Human sexuality.
    Medicine, including pediatrics.
    Neurology.
    Obstetrics and gynecology.
    Ophthalmology.
    Otolaryngology.
    Pain management and end-of-life care.
    Pathology, bacteriology, and immunology.
    Pharmacology.
    Physical medicine.
    Physiology.
    Preventive medicine, including nutrition.
    Psychiatry.
    Radiology, including radiation safety.
    Spousal or partner abuse detection and treatment.
    Surgery, including orthopedic surgery.
    Therapeutics.
    Tropical medicine.
    Urology.
    (c) The requirement that an applicant successfully complete a
    medical curriculum that provides instruction in pain management and
    end-of-life care shall only apply to a person entering medical school
    on or after June 1, 2000.

    2089.5. (a) Clinical instruction in the subjects listed in
    subdivision (b) of Section 2089 shall meet the requirements of this
    section and shall be considered adequate if the requirements of
    subdivision (a) of Section 2089 and the requirements of this section
    are satisfied.
    (b) Instruction in the clinical courses shall total a minimum of
    72 weeks in length.

    (c) Instruction in the core clinical courses of surgery, medicine,
    family medicine, pediatrics, obstetrics and gynecology, and
    psychiatry shall total a minimum of 40 weeks in length with a minimum
    of eight weeks instruction in surgery, eight weeks in medicine, six
    weeks in pediatrics, six weeks in obstetrics and gynecology, a
    minimum of four weeks in family medicine
    , and four weeks in
    psychiatry.
    (d) Of the instruction required by subdivision (b), including all
    of the instruction required by subdivision (c), 54 weeks shall be
    performed in a hospital that sponsors the instruction and shall meet
    one of the following:
    (1) Is a formal part of the medical school or school of
    osteopathic medicine.
    (2) Has an approved residency program in family practice or in the
    clinical area of the instruction for which credit is being sought.
    (3) Is formally affiliated with an approved medical school or
    school of osteopathic medicine located in the United States or
    Canada. If the affiliation is limited in nature, credit shall be
    given only in the subject areas covered by the affiliation agreement.
    (4) Is formally affiliated with a medical school or a school of
    osteopathic medicine located outside the United States or Canada.
    (e) If the institution, specified in subdivision (d), is formally
    affiliated with a medical school or a school of osteopathic medicine
    located outside the United States or Canada, it shall meet the
    following:
    (1) The formal affiliation shall be documented by a written
    contract detailing the relationship between the medical school, or a
    school of osteopathic medicine, and hospital and the responsibilities
    of each.
    (2) The school and hospital shall provide to the division a
    description of the clinical program. The description shall be in
    sufficient detail to enable the division to determine whether or not
    the program provides students an adequate medical education. The
    division shall approve the program if it determines that the program
    provides an adequate medical education. If the division does not
    approve the program, it shall provide its reasons for disapproval to
    the school and hospital in writing specifying its findings about each
    aspect of the program that it considers to be deficient and the
    changes required to obtain approval.
    (3) The hospital, if located in the United States, shall be
    accredited by the Joint Commission on Accreditation of Hospitals, and
    if located in another country, shall be accredited in accordance
    with the law of that country.
    (4) The clinical instruction shall be supervised by a full-time
    director of medical education, and the head of the department for
    each core clinical course shall hold a full-time faculty appointment
    of the medical school or school of osteopathic medicine and shall be
    board certified or eligible, or have an equivalent credential in that
    specialty area appropriate to the country in which the hospital is
    located.
    (5) The clinical instruction shall be conducted pursuant to a
    written program of instruction provided by the school.
    (6) The school shall supervise the implementation of the program
    on a regular basis, documenting the level and extent of its
    supervision.
    (7) The hospital-based faculty shall evaluate each student on a
    regular basis and shall document the completion of each aspect of the
    program for each student.
    (8) The hospital shall ensure a minimum daily census adequate to
    meet the instructional needs of the number of students enrolled in
    each course area of clinical instruction, but not less than 15
    patients in each course area of clinical instruction.
    (9) The division, in reviewing the application of a foreign
    medical graduate, may require the applicant to submit a description
    of the clinical program, if the division has not previously approved
    the program, and may require the applicant to submit documentation to
    demonstrate that the applicant's clinical training met the
    requirements of this subdivision.
    (10) The medical school or school of osteopathic medicine shall
    bear the reasonable cost of any site inspection by the division or
    its agents necessary to determine whether the clinical program
    offered is in compliance with this subdivision.

    2089.7. (a) The requirement of four weeks of clinical course
    instruction in family medicine shall apply only to those applicants
    for licensure who graduate from medical school or a school of
    osteopathic medicine after May 1, 1998.
    (b) This section shall become operative on June 30, 1999.


    2090. "Human sexuality" as used in Sections 2089 and 2191 means the
    study of a human being as a sexual being and how he or she functions
    with respect thereto.

    2091. The requirement that instruction in child abuse detection and
    treatment be provided shall apply only to applicants who matriculate
    on or after September 1, 1979.

    2091.1. The requirement that instruction in alcoholism and other
    chemical substance dependency be provided applies only to applicants
    who matriculate on or after September 1, 1985.

    2091.2. The requirements that instruction in spousal or partner
    abuse detection and treatment be provided shall apply only to
    applicants who matriculate on or after September 1, 1994. The
    requirement for coursework in spousal or partner abuse detection and
    treatment shall be satisfied by, and the board shall accept in
    satisfaction of the requirement, a certification from the chief
    academic officer of the educational institution from which the
    applicant graduated that the required coursework is included within
    the institution's required curriculum for graduation.

    2096. In addition to other requirements of this chapter, before a
    physician's and surgeon's license may be issued, each applicant,
    including an applicant applying pursuant to Article 5 (commencing
    with Section 2100), shall show by evidence satisfactory to the
    Division of Licensing that he or she has satisfactorily completed at
    least one year of postgraduate training, which includes at least four
    months of general medicine
    , in an approved postgraduate training
    program.
    The amendments made to this section at the 1987 portion of the
    1987-88 session of the Legislature shall not apply to applicants who
    completed their one year of postgraduate training on or before July
    1, 1990.
     
  11. AJM

    AJM SDN Moderator
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    I knew I wasn't going crazy :) -- I remember 2 years ago having to get my med school to certify that I did 4 weeks of FP (as well as the other requirements) before I started my residency.
     
  12. Dakota

    Dakota Senior Member
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    Nevermind. Found an answer to my question.
     
  13. Elixir6

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    BUMP! Does anyone know the state of affairs currently? Both Doctor's&Geek and beriberi have what seems to be pretty legit paragraphs to support their view. So what's the truth/practice??????

    I am doing medical school in the US and due to some interesting circumstances (aka a PhD) I will not complete a family medicine clerkship in M3. Will this bar me from California? Or should I try and make up my clerkship in M4? If so, does the clerkship need to be completed anytime before starting residency or before the match?
     
  14. BlondeDocteur

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    Make it up in fourth year-- it has to be done before you start residency, as part of the primary care rules.
     
  15. Jorje286

    Jorje286 Member
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    Does anybody know how long it takes to get PTAL processed? I should send in everything by July. Is that too late to make the Sep 15 deadline? I heard they are recently expediting the process.
     

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