probationary license

[lulu3]

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Does anyone know if you can still apply and get a fellowship with probationary license (issued during residency)? Or what affect a probationary license has on malpractice insurance, hospital privileges etc. for the years after residency ends, which would still fall in the probation period?

thanks in advance.

 

[JackADeli]

Does anyone know if you can still apply and get a fellowship with probationary license (issued during residency)? Or what affect a probationary license has on malpractice insurance, hospital privileges etc?

thanks in advance.

what is a probationary license....training license?

The answer to your question will be both state and program specific. You need to check what the individual state requirements are for license and you need to check what your particular fellowship interest programs' requirements are. In general, most states allow training licenses for a set period of time. usually, once completing residency you can not continue on training license. Most if not all boards require a full/unrestricted license to sit for board certification.

As to privileges, most hospitals will also have institution specific requirements. They may allow you to start fellowship under a short term trainee license or a temporary license while your full/unrestricted license is being processed. Your privileges will be fairly limited under a trainee license.

As to privileges, I do not know of any institutions that will allow moonlighting or attending level supervisory roles under a trainee license. Malpractice under a trainee license in fellowship will be the same as it was under a trainee license in residency.

 

[lulu3]

No not a trainee license. A medical license granted, in this case, by the CA medical board, that is a probationary license, basically a license that is on probation for 3 years where specific requirements have to be met before the probation can be lifted.

So does this probationary license have any affect on hospital privileges or fellowships being granted? Does the probation affect fellowships, as well as hospital privileges or insurance participation? This is not a trainee license.

 

[JackADeli]

...A medical license granted...that is on probation for 3 years where specific requirements have to be met before the probation can be lifted.

So does this probationary license have any affect on hospital privileges or fellowships being granted? Does the probation affect fellowships, as well as hospital privileges or insurance participation?...

Most likely, yes. Having a suspended license or having your license placed on probation for some violation/act/etc... will likely effect hospital privileges, mal-practice premiums, and fellowship opportunities. I suspect every fellowship will want to know about such an issue as will every GME for said fellowship/s. The extent it will effect these issues you must investigate on individual and specific basis. The specifics of why you were placed on probation would be important too. But, it is not necessary for you to post that here. Rather, that is information, again would be important on specific institution/fellowship/carrier specific basis.

 

[nitemagi]

I believe the OP's question about a probationary license is different than a suspended license. In CA you have to be independently licensed after two years of residency training. You can't continue as a trainee without it. If the state medical board has any reason to not question giving you a license, they may issue you a probationary license, which basically means you have the rights of a physician, but if you screw up you'll lose it.

Commonly this is for some concern about substances, legal issues, etc. I've heard stories about individuals who disclosed having a decade of sobriety but prior substance problems only being given a probationary license, . It unfortunately perpetuates a culture of silence, and motivation to not disclose problems.

I don't know how it would effect fellowship chances. I suspect it won't help. It depends on the circumstances, I'd assume. If it's something that you could make a clear case is a single episode or is long in the past, and your application is otherwise outstanding, I wouldn't think it'd be a permanent roadblock.

 

[jdh71]

I guess I've outed myself enough in other places on this site . . . I think applying for fellowship with proby status did limit some of my interviews given my CV, which was really pretty good otherwise, but I was offered more interviews than I could go to and I matched to my number one, arguably a top 15-20 place for what I want to do. Just be open an honest about it, bring it up in your personal statement, and discuss how you've dealt with it, become a better person because of it, etc. You'll have to be anyway, the national clearinghouse that keep track of your USMLE scores, also knows about your proby license and will report this separately when you ask them to send your stuff in for your application. So for other things like hospital privies and such I can't comment yet, but if this is a substance issue, your recovery should tell you that honesty is the best policy, and if it's not then honesty is still the best policy. Wrap your mind around the idea that you WILL jump through hoops for a long, long, long time until the people who are responsible for keep the public safe from you are comfortable with you.

Good luck.

 

[JackADeli]

...Having a suspended license or having your license placed on probation for some violation/act/etc... will likely effect...

I believe the OP's question about a probationary license is different than a suspended license. In CA you have to be independently licensed after two years of residency training. You can't continue as a trainee without it. If the state medical board has any reason to not question giving you a license, they may issue you a probationary license, which basically means you have the rights of a physician, but if you screw up you'll lose it...

Yes, I recognize the issue being probationary and not necessarily suspended license. I was unaware of Cali having some sort of ~benign probationary license status as ?an extension of trainee license.

But, in general, my knowledge of probationary license is one of someone having violations and/or board actions against them. Sometimes, this results in ~downgrade of license to probation. Others, it results in license suspension followed by some sort of "re-entry" onto a probationary license. I do not know what the OP's status/issues/circumstances are surrounding the probationary license. Maybe it is simply a non-issue of a pseudo upgrade from trainee license in Cali or maybe it is something related to an actionable offense that resulted in state licensing board action/sanctions. If the later, it will have impact on future aspects of the career but does not mean the end of the world or close all doors.

...your recovery should tell you that honesty is the best policy, and if it's not then honesty is still the best policy. Wrap your mind around the idea that you WILL jump through hoops for a long, long, long time until the people who are responsible for keep the public safe from you are comfortable with you...

👍

 

[Lil Mick]

I am not in this situation yet (but I will be in this position most likely when I graduate), but sometimes there are restrictions on what you are allowed to do independently or conditions (drug tests, meetings) to be met adequately for a period of time. I am not sure about malpractice insurance, but I assume that this would be something you could ask of your fellowship (depending on whether or not you are practicing under someone or at a hospital vs. on your own).