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Speed for state licenses

Discussion in 'Emergency Medicine' started by Plectron, Aug 2, 2015.

  1. Plectron

    7+ Year Member

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    I'm looking to do some LT and was wondering which states are the fastest to get a license in. I'm not an FMG and have nothing concerning on my record that I know of.
     
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  3. WilcoWorld

    WilcoWorld Senior Member
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    Definitely not Illinois.
     
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  4. winkleweizen

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    Cali and Texas take 6 months to a year
     
  5. Plectron

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    I see PA is pretty cheap ($85) but does anyone know how long it takes?
     
  6. gutonc

    gutonc No Meat, No Treat
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    PA is reportedly quite fast. But how many locums gigs have you identified there?
     
  7. Angry Birds

    Angry Birds Angry Troll
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    California takes about 13,647 years.
     
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  8. Plectron

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    I've found about 2. I haven't looked into the details other than what the ad says.
     
  9. Vandalia

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    I generally believe in the principle of subsidiarity - that is issues should be handled at the lowest level possible. In practice, this means pushing a lot of issues/laws away from the federal government to the state/local level.

    However, I strongly believe we need a federal medical license. The days of someone starting practice in a town and staying there for the rest of their life is pretty much over. This is especially true as we are seeing more and more medicine practiced across state lines, i.e., "tele-medicine." (Now I suppose one could argue that the presence of state licenses presents a barrier to locum's employment that provides more security for the local physicians.) Having a different license for each state provides a great administrative burden with little practical benefit. It can take forever, there are meaningless hurdles - one state requires a personal interview with a board member to physically show them your diploma and other credentials. (Sure, there are slightly different laws in each state. In fact, one can argue that state law licenses are needed since the practice of law can vary tremendously from state to state with different laws. But, the benefit of state medical licenses is negligible.)
     
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  10. Phoenix.

    Phoenix. Emdee Jaydee
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    I just started this myself recently. I had one license already to start with (IL). I submitted my information and requested documents to be sent to FCVS at the end of June, and applied to five states (mix of UA and state applications). If you pick a state like Wisconsin, that doesn't require fingerprinting/background check, or any other add on tests or CME requirements, and get all of your documentation in quickly yourself, you could get a license in a month. WI issued my license a day after they received my FCVS file (1 month from when I started the FCVS and WI applications), so that appeared to be the rate limiting factor. Another rate limiting factor is if you already have a license in another state. Waiting for that state to send proof of your license by mail can take time, but call and check - I actually found out that if I fed-exed my request with a self-stamped return fed-ex envelope, IL would process the request in 10 days instead of 6 weeks. It did not say that anywhere on the web site. Or you could be lucky to have your current license(s) in a state that transmits it electronically. I also got my Indiana license just one week after my WI license, even with sending them my fingerprints for the background check. Funny how the states with the inexpensive licenses are so much faster....

    I also applied to AZ, CA and TX at the same time. All require fingerprinting; yet another duplicitous step. For TX, everything is done except the jurisprudence exam, but I was told that if I get it done this month, I should probably expect my license by November. That would be 4-5 months. AZ has nothing extra (other than the fact that they basically want an original copy of your passport as proof of citizenship - funny, that), and said I should expect it by October (3 months). No idea what CA is up to. I had some delay because I had to wait for CA to mail me their own stamped generic FBI finger print cards. I also just half-heartedly applied to FL a week ago, but am getting tired of repeating all of the same steps. The licenses are also about $1000 each. Info I wish I'd realized: some states give a big discount if you apply while you're a resident (CA), while others only give a discount if it is approved while you are a resident (FL). Also a good idea to apply all at once to as many states as you think you'll want to get licenses in before you obtain a bunch of licenses that you'll have to send to every other state, and before you have employment history that needs to be verified. Ideally, I should have done this all six months prior to finishing residency.

    I agree that this process is absolutely ridiculous, even with FCVS or the UA. The fact that there is no one repository or national verification is unbelievable. FCVS is a step in the right direction, but there are still so many other pieces that you have to send to each and every state. If FCVS verified state licenses as well, now THAT would be fantastic. And after having to prove to several states that yes, I am a citizen, yes I went to medical school, residency, have no lawsuits against me, etc., etc., etc., and THEN after getting the license, having to submit all of the same information again to a hospital board and start over again..... And it really does seem like a joke that you have to get separate federal DEA numbers (>$700) for each individual state (or playing some games (suggested to me by the DEA itself) with address switching between state locums gigs).... Wait, isn't that supposed to be federal? As in national? Apparently "it's been years" since you could use one DEA number in several states.

    Bottom line, is that you should probably just figure out geographically where you want to do locums, figure out where the best pay is (if that's your primary motivator), or get an agent who will pay for and do all of this for you. Alternatively, if there's a specific hospital or group you want to work for, they may even pay for it if you're negotiating with them directly without a locums agent.

    Also, beware that if you "have prior contact" with one or two of the big locums agencies, they call dibs on you nationally. I think one of them even claimed prior contact with me solely by my having swiped my badge at their booth at ACEP to pick up their brochure and get a phone charger. Because I certainly had never emailed/called/talked to them. How their having your name/email in their database is some sort of binding contract in the locums world is beyond me. I have another friend who did talk to one of them (but did not send their CV or discuss specifics), and they were unable to be placed at a few hospitals by other locums agencies due to that "prior contact." Perhaps we need another post to collect all of the web sites that have independent/PRN opportunities on them for those applying for their own licenses and trying to avoid locums groups. Or better yet, a post to call out the locums groups and try to keep them honest by shining some light on these practices. Sorry for the accidental derailment. But it's stuff I wish I'd known before starting this process.
     
  11. Phoenix.

    Phoenix. Emdee Jaydee
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    I was a lawyer too, and I can attest to the feeling that taking the bar in each state with the idea that you're familiarizing yourself with the state laws didn't feel any more relevant than our state medical licensing. Especially if you're practicing in a field governed by federal law. But at least we don't have to re-take step III if we want to practice medicine in another state.

    Amen.

    Wait, what was I complaining about before?
     
    #10 Phoenix., Aug 16, 2015
    Last edited: Aug 17, 2015
  12. HunterGatherer

    HunterGatherer HunterGatherer
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    Heard Indiana was very fast.
     
  13. Groove

    Groove Member
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    Maine and Virginia take like 2 weeks.
     
  14. DocEspana

    DocEspana Bullish
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    The bar exam just went national this year, or so my brother the law student just told me.... so.... they realized the absurdity and fixed it. why havent we again?
     
  15. deuist

    deuist Stealthfully Sarcastic
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    Virginia took only a few weeks. Everything was done electronically. NY took several months and took back-and-forth mailings.
     
  16. Phoenix.

    Phoenix. Emdee Jaydee
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    Arizona took two months.
     

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