state specific residency training licenses

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ALABAMA

• Requires a limited license to work in a residency program
• Board of Medical Examiners' Administrative Rules 540-X-3-.14 through .16 (http://www.albme.org/Documents/Rules/540-X-3.pdf) establish qualifications and procedures for limited licensure in Alabama.
• Others needing this are Individuals in approved residency training programs, visiting professors, distinguished professors and specialty professors at medical colleges. Individuals employed by state mental and penal institutions.
• There are specific requirements that must be met prior to the issuance of a limited license.  Limited licenses are issued for one year only.  Physicians must apply to the Board to renew their limited certificates of qualification by January 1 of each year.

ARIZONA

• requires a renewable one year training permit for internship/residency training
• http://www.azmd.gov/Files/License/Postgraduate_Training_Application.pdf

ARKANSAS

• Does not need a special training license for interns and residents.
• This is not applicable for those working out side of the residency training (moon lightning)

CALIFORNIA

• Does not require a training license or certificate during residency
• They do however, require completion of Post graduate Training Authorization letter (PTAL), prior to starting residency. This has to be completed by the applicant.

COLORADO

• All physicians participating in an internship, residency or fellowship, are required to hold a physician training license.
• Upon notification to the Colorado Medical Board from the training program of acceptance into the training program (see sample attestation below), the applicant will have 60 days to complete and submit a training application.
• http://www.dora.state.co.us/medical/licensing/training.htm

CONNECTICUT

• Permit for participation in intern, resident physician program required.
• Permit issued by the Department of Public Health filed with the department on the applicant's behalf by the hospital administrator certifying that the applicant is to be appointed an intern, resident or medical office.

DELAWARE

• Did not find specific information regarding a training license for programs in Delaware
• Either the hospital applies for a training permit on your behalf or you do not need one

DISTRICT COLUMBIA

• In order to begin training, all house staff must be enrolled in the Postgraduate Physician Training Program.
• https://app.hpla.doh.dc.gov/mylicense_ppt/

FLORIDA

• Requires a medical training license to do internship/residency/fellowship
• Complete the online application at http://www.doh.state.fl.us/mqa/medical/me_applications.html

GEORGIA

• Requires a medical training permit for residency/internship training
• More information at http://www.files.georgia.gov/GCMB/Files/FAQ_Residency.pdf

HAWAII

• Apparently needs a residency training permit
• Details were available at http://www2.jabsom.hawaii.edu/FamilyMedicine/2010-2011%20Pre-Emp%20&%20License%20Renewal%20Disclosure.pdf
• Seems like the program will work on it on behalf of applicants.

IDAHO

• Registration required for Idaho,
• May only require filling out a form available here http://bom.idaho.gov/BOMPortal/BOM/Forms/Medical%20Resident,%20Intern,%20Student,%20&%20Extern%20Registration%20Form.pdf

ILLINOIS

• State of Illinois requires a temporary practicing licence
• This license is the property of the institution and is valid only for the practice of medicine within the scope of the resident's training program.
• A temporary license may be issued for a three-year period, or for the anticipated duration of the resident's program. May be coordinated through the GME Office or check it out here http://www.idfpr.com/Renewals/Apply/forms/md-t.pdf

INDIANA

• Requires a 100$ fee, notarized proof of graduation, degree, ECFMG certificate, transcript, photograph, letter from employer
• Temporary Medical Permit application and requirements MUST be filed with the Professional Licensing Agency at least ten (10) days before beginning the residency training
• Read about the details here http://www.in.gov/pla/2829.htm

IOWA

• An Iowa resident physician license or an Iowa permanent physician license is required of any resident physician practicing in Iowa.
• Details of the process and links to the application form at http://medicalboard.iowa.gov/licensure/resident.html

KANSAS

• I was unable to find a temporary resident permit or license for Kansas state, there may not be one
• more details are available here http://www.ksbha.org/forms.html

KENTUCKY

• Physicians in their first year of post graduate training (PGY1) are exempt from licensure.
• After completion of one year of training, a physician is required to obtain an Institutional Practice Limited License (IP) or a Residency (R) Training License to practice in Kentucky.
• An Institutional Practice Limited License (IP) is issued to a physician entering an ACGME residency training in program Kentucky. An applicant must have completed one year of ACGME accredited postgraduate training and Parts 1 and 2 of the USMLE or COMLEX.
• Residency training license (R) allows a physician to practice within the parameters of the training program, as well as moonlight at locations designated by the Program Director.

LOUISIANA

• Residency training permit required
• details can be found at http://www.lsbme.louisiana.gov/PhysLicense.htm

MAINE

• Need ‘MD educational certificate’ to begin working in a residency program
• Check out the application form here http://www.docboard.org/me/licensure/Educational_Certificate_Application.pdf
• Notarized photo and 300$ non refundable fee

MARYLAND

• Found an UMP permit that seemed to be required for clerkships or residency (UMP stands for unlicensed medical practitioner) – so there is NO training license per say.
• This may be arranged for by the GME – contact GME office
• More information here http://www.mbp.state.md.us/pages/umps.html

MASSACHUSETTS

• limited training license required
• program or GME Office will contact the MA medical board
• more information at this link http://www.mass.gov/eohhs/docs/borim/faq-limited-license.doc

MICHIGAN

• An Educational Limited license is usually obtained while you are in a residency program trying to obtain the hours needed for full licensure.
• You need to apply for this license by submitting an application, fee and meeting the requirements stated on the application.
• can be held for a total of 6 years (initial application plus 5 renewals).

MINNESOTA

• A residency permit is required to participate in a training program unless a physician is licensed.
• more information at, http://www.state.mn.us/mn/externalDocs/BMP/Residency_Permit_Application_050807083806_Residency%20Permit%20Application.pdf

MISSISSIPPI

• Residents must obtain a Mississippi medical license.
• One requirement of the licensure board is that applicants must have passed USMLE Step 1 and Step 2 - Clinical Knowledge (CK) and Clinical Skills (CS) before a restricted temporary license will be issued
• Graduates of foreign medical schools must pass USMLE Step 1 and Step 2 CK and CS to be eligible for a Limited Institutional License.

MISSOURI

•     Resident shall obtain a valid state license or a valid temporary license from the Missouri State Board of Registration for the Healing Arts Medical

MONTANA

• I could not find a permit or training license for Montana
• more information here, http://bsd.dli.mt.gov/license/bsd_boards/med_board/board_page.asp

NEBRASKA

• The Temporary Educational Permit (TEP) for medicine and surgery permits the holder to practice medicine and surgery in a supervised educational program approved by the Nebraska Board of Medicine and Surgery.
• issued to any person who is enrolled in an approved graduate medical educational program conducted by an accredited hospital
• more details here, http://dhhs.ne.gov/publichealth/Pages/crl_medical_medsur_ptep_ptep.aspx

NEVADA

• requires a temporary training permit
• application fee 300$, registration fee 50$ and criminal background check 75$ (as on march 2012) – total 425$
• More details here, http://www.medboard.nv.gov/Forms/Licensing%20Applications-Credit%20Card/Limited%20License%20Application.PDF

NEW HAMPSHIRE

• Special License: (Resident Training license) required
• Applicants must complete a short application and pay the fee, currently $50.00.
• More details here, http://www.nh.gov/medicine/physicians/lic_requirements.htm#resident

NEW JERSEY

• may not be required for interns/PGY-1s
• Each unlicensed physician planning to participate at the PGY 2 level or higher in a residency training program in New Jersey must complete a permit application.
• More information here, http://www.state.nj.us/lps/ca/bme/faq/instFAQ.htm#8

NEW MEXICO

• postgraduate training license if required for all interns, residents and fellows in training
• more details at, http://www.nmmb.state.nm.us/pdffiles/Rules/NMAC16.10.02_LicensureRequirements.pdf

NEW YORK

•         I did not find any forms or links to training licenses for residents in New York

NORTH CAROLINA

• Resident training license (RTL) is required to train in NC program
• More information can be found here, http://www.ncmedboard.org/licensing/license_application/category/resident_training_license/

OHIO

• Needs a ‘training certificate’ to be completed prior to starting residency
• more details here, http://www.med.ohio.gov/md_training_certificates.htm

OKLAHOMA

• I could not find a training permit for Oklahoma
• more information regarding license in OK is here, http://www.okmedicalboard.org/resources

OREGON

• I could not find a specific link or page which indicates that a training license is must
• However, there was http://www.oregon.gov/OMB/MD-DO_Application/LLPG_Checklist.pdf which may provide more information.

PENNSYLVANIA

• The Commonwealth of Pennsylvania requires that any physician entering a medical residency or fellowship training program in the State of Pennsylvania obtain a graduate medical training license.
• This process takes a minimum of sixty days.
• Once issued, the license is only valid for the dates, specialty, PGY level and hospital that are listed on the license.
• More information at http://www.upmc.com/careersatupmc/GME/LicensingCertifications/Pages/Default.aspx

RHODE ISLAND

• I could not find information regarding residency training permits for internship or residency.
• more information available at http://www.health.ri.gov/licenses/healthcare/index.php

SOUTH CAROLINA

• Seems like a temporary license is required
• However, the institution may be responsible for filing the application on your behalf
• http://www.llr.state.sc.us/Pol/Medical/Pdf/ApplicationsForms/MDDOLLReq.pdf

SOUTH DAKOTA

• Reference to a "resident certificate" on the site also a "resident training permit"
• http://www.sdbmoe.gov/index.php?option=com_content&view=article&id=32%3Aresident-certificate&catid=6&Itemid=17
• Not clear if the applicant has to file for it or if the institution will file on behalf of the applicant.

TENNESSEE

• interns, residents and fellows are apparently exempt from having a license 
• The exemption is obtained by the program GME office on behalf of the applicant

TEXAS

• requires a Texas physician in training permit
• You have to apply online at the Texas medical board website
• application fee was approximately 200$
• Texas medical Board has one of the best informative sites regarding the physician training permits, the link is here http://www.tmb.state.tx.us/professionals/physicians/faq/pitq.php

UTAH

• Utah does not have a training license, neither is there is an exemption clause for residents, interns and fellow.
• I found this online - all residents are required to obtain a Utah full unrestricted physician license. I guess this means that even while you are training, you need to have a full license.
• more policies here http://medicine.utah.edu/GME/policies/1-9%20Policies/1.3.pdf

VERMONT

• found a reference to a temporary license requirement for residency
• more information at this link http://healthvermont.gov/hc/med_board/documents/MDLTLAPP.pdf

VIRGINIA

• seems like VA requires the issuance of a temporary license
• This is from the Virginia board website click on the hypertext links for more information Instructions and Application for a Virginia Internship/Residency
• and Regulations Regarding Interns/Residents

WASHINGTON

• Training licenses exist but seems like GME office will file the application on behalf of the residency applicant. 
• Not much information was available at the DOH (yes..d'oh) department of health site but I did manage for find a reference and some helpful information at the Univ. of Washington graduate medicine policy manual which may be read here http://uwmedicine.washington.edu/EDUCATION/GRADUATE-MEDICAL-EDUCATION/POLICIES-PROCEDURES/Documents/GME-Licensing-Policy.pdf