Postgraduate Training Requirements for Permanent Licensure

PURPOSE: Section 334.035, RSMo requires every applicant for a permanent license as a physician and surgeon to provide the Missouri State Board of Registration for the Healing Arts with sat isfactory evidence of having successfully completed postgraduate training in hospitals, or medical or osteopathic colleges as the board may prescribe by rule. This rule establishes the postgradu ate training requirements which each applicant for a permanent license must satisfy. The board recognizes that certain limited sit uations may occur in which it would be in the best interest of the inhabitants of this state for the board to waive the postgraduate training requirements of this rule. Therefore, this rule also estab lishes the criteria which an applicant must fulfill before the board may waive the postgraduate training requirements of this rule. (1) Every applicant for a permanent license as a physician and surgeon who is a graduate of a medical college, approved and accredited by the American Medical Association (AMA) or its Liaison Committee on Medical Education, or an osteopathic college approved and accredited by the American Osteopathic Association (AOA), must present a certificate with his/her ap plication evidencing the satisfactory completion of one (1) year of postgraduate training in a program which is approved and accredited to teach postgraduate medical education by the ac creditation counsel on graduate medical education of the AMA or the education committee of the AOA. (2) Every applicant for a permanent license as a physician and surgeon who is not a graduate of a medical college, ap proved and accredited by the AMA or its Liaison Committee on Medical Education, or an osteopathic college approved and accredited by the AOA, must present, with his/her application, a certificate evidencing the satisfactory completion of three (3) years of postgraduate training in one (1) recognized specialty area of medicine in a program which is approved and accred ited to teach postgraduate medical education by the accredita tion council on graduate medical education of the AMA or the education committee of the AOA. (3) Notwithstanding the provisions of sections (1) and (2) of this rule, the board may waive any portion of the postgraduate training requirements of this rule if the applicant is American Specialty Board eligible to take an American Specialty Boardcertifying examination and the applicant has achieved a pass ing score (as defined in this chapter) on a licensing examina tion administered in a state or territory of the United States or the District of Columbia. The board also may waive any of the postgraduate training requirements of this rule if the applicant is a graduate of a program approved and accredited to teach medical education by the Canadian Royal College of Physicians and Surgeons and has one (1) year of postgraduate training in a program approved and accredited to teach postgraduate medi cal education by the Canadian Royal College of Physicians and Surgeons. The board may also waive any of the postgraduate training requirements of this rule if the applicant has served for three (3) or more years as a full-time faculty member of a medical college approved and accredited by the AMA or its Liaison Committee on Medical Education, or an osteopathic college approved and accredited by the AOA. Prior to waiving any of the postgraduate training requirements of this rule, the board may require the applicant to achieve a passing score on the Appropriate Specialty Board’s certifying examination in the physician’s field of specialization or the Federation of State Medical Boards’ Special Purpose Examination (SPEX). If the board waives any of the postgraduate training requirements of this rule, then the license issued to the applicant may be lim ited or restricted to the specialty area for which the applicant is American Specialty Board eligible. AUTHORITY: sections 334.031, 334.035, and 334.125, RSMo 2000, and section 334.040, RSMo Supp. 2011.* This rule originally filed as 4 CSR 150-2.004. Emergency rule filed Nov. 16, 1987, effective Dec. 31, 1987, expired April 29, 1988. Original rule filed Feb. 17, 1988, effective April 28, 1988. Amended: Filed Dec. 23, 1988, effective May 1, 1989. Amended: Filed Jan. 3, 1991, effective June 10, 1991. Emergency amendment filed July 17, 1992, effective Aug. 1, 1992, expired Nov. 28, 1992. Emergency amendment filed Nov. 16, 1992, effective Nov. 29, 1992, expired March 28, 1993. Amended: Filed July 17, 1992, effective April 8, 1993. Amended: Filed Oct. 4, 1993, effective April 9, 1994. Moved to 20 CSR 2150-2.004, effective Aug. 28, 2006. Amended: Filed Sept. 28, 2011, effective March 30, 2012. *Original authority: 334.031, RSMo 1959, amended 1981, 1997; 334.035, RSMo 1987; and 334.125, RSMo 1959, amended 1993, 1995.