Help please

[phagocytosis]

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I am currently a PGY-3 in a East Coast ACGME residency program, I have obtained a ACGME fellowship training position in Florida which I will be starting the coming July. I realize that Florida is one of the states that requires AOA approved intern year to practice. Although I do not need this approval for my fellowship, I may be interested in doing moonlighting work and will need a Florida license. Now I have heard of "resolution 42" which enables DOs who trained in ACGME residencies to work in states such as Florida but I need some advice from someone who has been through this process. I have 6 months remaining in my current residency, If I apply for resolution 42, will I be asked to complete extra rotations such as surgery, obgyn or family medicine? Is it better for me to wait once Im done with residency to apply for this resolution? Please advice

 

[dermpathdoc]

call the AOA postdoctoral help desk to be connected to the people who can answer your question
u should never have waited so long on this issue...there are ways around the internship in res 42 and in other ways...too much depends on the type of program you are in now and what you plan to do...but I emphasize this here and now...those students planning to take this pathway MUST talk to to the AOA from the very beginning before they begin the residency. doing at this point in time means lots of hassle and lots of angst..and the the danger you will be unsuccessful. it involves tons of paperwork signed by program directors who may not even remember who you are right now...it is so much easier for them to do it while you are doing your residency...

 

[DuxburyPembroke]

If you are already licensed in another state, surely you can move to Florida and become licensed there?

 

[DrWBD]

(Disclaimer: I obtained my Resolution 42 exemption some years ago.)

First, what type of residency are you in now? If you are in something like IM, FM, or Pediatrics, you probably won't have to do any additional rotations. If you trained in a specialty field like anesthesiology or radiology you might have to.

Second, waiting until your residency is completed to get the ball rolling with Resolution 42 is a bad idea. Do it while you are still there.

Third, I think that absolutely not being able to practice in Florida without an osteopathic internship or Resolution 42 exemption is a myth. If you review the Florida osteopathic medical board requirements for initial licensure (found here) the wording is this: " Successfully complete a rotating internship (at least twelve months in duration) in a hospital
approved by the Board of Trustees of the American Osteopathic Association OR successfully complete a resident internship approved by the Board upon a showing of good cause by the applicant". That sounds like a loophole big enough to drive a truck through. I suspect that if you wanted to get approved to practice in Florida you would be able to do so even without a Resolution 42 exemption.

 

[group_theory]

If you are already licensed in another state, surely you can move to Florida and become licensed there?

No, you must meet the license requirement for Florida in order to get a Florida license (even if you apply for a license by endorsement). They still require an AOA approved intern year (or an intern year approved by the Florida Osteopathic Medical Board), all 3 steps of COMLEX or NBOME (they mention that they will NOT accept USMLE)

(Disclaimer: I obtained my Resolution 42 exemption some years ago.)

First, what type of residency are you in now? If you are in something like IM, FM, or Pediatrics, you probably won't have to do any additional rotations. If you trained in a specialty field like anesthesiology or radiology you might have to.

Second, waiting until your residency is completed to get the ball rolling with Resolution 42 is a bad idea. Do it while you are still there.

Third, I think that absolutely not being able to practice in Florida without an osteopathic internship or Resolution 42 exemption is a myth. If you review the Florida osteopathic medical board requirements for initial licensure (found here) the wording is this: " Successfully complete a rotating internship (at least twelve months in duration) in a hospital
approved by the Board of Trustees of the American Osteopathic Association OR successfully complete a resident internship approved by the Board upon a showing of good cause by the applicant". That sounds like a loophole big enough to drive a truck through. I suspect that if you wanted to get approved to practice in Florida you would be able to do so even without a Resolution 42 exemption.

Well, "Board approval" means a personal appearance (scheduled in advanced on the Board Meeting Agenda) at one of the board's meeting (with or without a lawyer) to discuss the rotations done during intern year and to "show good cause" why the applicant didn't do an AOA intern year. (remember, board members are usually AOA members, FOMA members, long-time established DOs with political connections). And if they deny your application, you will forever have to reply "yes" on future license applicatoin (in any state), hospital priviledges, etc when they ask if you have ever had a medical license revoked or denied (which raises a red flag and more administrative paperwork/headaches).

You can go that route OR you can apply via Resolution 42 to get your Intern Year approved.
http://www.osteopathic.org/inside-aoa/Education/postdoctoral-training/Pages/resolution-42.aspx

You need to be a member of the AOA at the time of application. You need to have fulfill the rotational requirements (see link). You need an "educatonal activity". You need to fill out an application (free). Then you wait to hear from the AOA.

If you haven't completed all 3 COMLEX/NBOME - then you are in trouble (the Florida board has a time frame that they expected complete applicants to have completed COMLEX/NBOME series). They will not accept USMLE for licensure. If this is the case, you should contact the Florida Board for guidance OR an attorney specialized in this area.

 

[DrWBD]

No, you must meet the license requirement for Florida in order to get a Florida license (even if you apply for a license by endorsement). They still require an AOA approved intern year (or an intern year approved by the Florida Osteopathic Medical Board), all 3 steps of COMLEX or NBOME (they mention that they will NOT accept USMLE)



Well, "Board approval" means a personal appearance (scheduled in advanced on the Board Meeting Agenda) at one of the board's meeting (with or without a lawyer) to discuss the rotations done during intern year and to "show good cause" why the applicant didn't do an AOA intern year. (remember, board members are usually AOA members, FOMA members, long-time established DOs with political connections). And if they deny your application, you will forever have to reply "yes" on future license applicatoin (in any state), hospital priviledges, etc when they ask if you have ever had a medical license revoked or denied (which raises a red flag and more administrative paperwork/headaches).

You can go that route OR you can apply via Resolution 42 to get your Intern Year approved.
http://www.osteopathic.org/inside-aoa/Education/postdoctoral-training/Pages/resolution-42.aspx.

Something interesting I remembered reading from way back:

http://groups.yahoo.com/group/studentdoctor/message/2706

I suppose now that Resolution 42 exists and it isn't terribly difficult for most grads to get, the board would be less likely to allow an ACGME-trained DO without an AOA-approved intern year in. In the past, interestingly, I think it was easier to become licensed as a DO without prior AOA-approved training.

 

[majatoi]

Contact :

Barbara Coleman, AOA Senior Intern Trainee Coordinator, E-Mail
Phone: (800) 621-1773 x8276
Fax: (312) 202-8391
Mailing Address:
Division of Trainee Services
American Osteopathic Association
142 East Ontario Street Chicago, IL 60611

If you have any questions. Resolution 42 is what is sticking for now, but there is a new resolution in the works that is slightly easier than resolution 42's requirements, but that will be presented at the next House of Delegates in July 2012. Go from there, there is definitely stipulation to meeting the requirements and there are individuals who have been denied on resolution 42 because they are trying to swindle the system. Most get approved though as long as they meet the criteria outlined in resolution 42.