Licensing by Endorsement

PURPOSE: This rule provides information to those applicants de siring licensure by endorsement of the certificate of the National Board of Medical Examiners, the National Board of Osteopathic Medical Examiners, or of the Licentiate of the Medical Counsel of Canada. (1) The applicant shall furnish a postgraduate reference letter to the board from each institution located in any state or ter ritory of the United States, the District of Columbia, or Canada where they trained as an intern, resident, or fellow. (2) The applicant shall furnish proof of graduation to the board from an accredited high school and satisfactory evidence of completion of preprofessional education consisting of a min imum of sixty (60) semester hours of college credit in accept able subjects from a reputable college or university approved by the board. (3) The applicant shall furnish satisfactory evidence to the board of having attended throughout at least four (4) terms of thirty-two (32) weeks of actual instruction in each term of a professional college recognized as reputable by the board and of having received a diploma from a professional college recognized as reputable by the board. (4) The applicant shall furnish to the board proof of obtain ing a certificate of the National Board of Medical Examiners, the National Board of Osteopathic Medical Examiners, or the Licentiate of the Medical Counsel of Canada. (5) The applicant is required to make application (see 20 CSR 2150-2.040) upon a form prepared by the board. (6) No application will be considered unless fully and com pletely made out on the specified form properly attested. (7) An applicant for licensure by endorsement shall present, at tached to the application, a recent photograph, not larger than three and one-half inches by five inches (3 1/2” × 5”). (8) Applications shall be sent to the executive director of the State Board of Registration for the Healing Arts, PO Box 4, Jefferson City, MO 65102. (9) The fee for licensure by endorsement shall be the appro priate fee as established in 20 CSR 2150-2.080. The fee shall be sent in the form of a bank draft or post office money order or express money order. (10) The applicant shall furnish, on a form prescribed by the board, verification of licensure from every state, territory, or international country in which the applicant has ever been licensed to practice medicine or any other profession. (11) The professional diploma and verification of licensure shall be sent to the executive director of the State Board of Registration for the Healing Arts for verification. Photocopies of the documents may be accepted at the discretion of the board. (12) When an applicant has filed their application and the ap propriate fee as established in 20 CSR 2150-2.080 for licensure by endorsement and the application is denied by the board or subsequently withdrawn by the applicant, the appropriate fee established by the board will be retained by the State Board of Registration for the Healing Arts as a service charge. (13) An applicant who has failed a licensing examination ad ministered in one (1) or more states or territories of the United States or the District of Columbia cumulatively three (3) times or more will not be licensed by endorsement in this state by the board unless they meet the waiver criteria in section 334.040, RSMo. (14) At the discretion of the board, applicants may be exempt from sections (1) and (2) of this rule and from providing a copy of their professional diploma if they provide proof of the fol lowing: (A) Current licensure in any state or territory of the United States or the District of Columbia; (B) Having actively engaged in the practice of clinical medicine or held a teaching or faculty position in a medical school approved by the American Medical Association (AMA), Liaison Committee on Medical Education (LCME), or American Osteopathic Association (AOA) for the five- (5-) year period im mediately preceding the application for licensure; (C) Holding current certification in their area of specialty by the American Board of Medical Specialties (ABMS) or AOA; and (D) No license issued to the applicant in any state or territory of the United States or the District of Columbia has been disci plined or has a pending complaint. (15) Applicants who have not actively engaged in the practice of clinical medicine or held a teaching or faculty position in a medical or osteopathic school approved by the AMA, LCME, or the AOA for any two (2) years in the three- (3-) year period immediately preceding the filing of their application for licensure may be required to complete continuing med ical education, additional training, an assessment from a board-approved facility, or a reexamination. Reexaminations may include the Federation of State Medical Board’s Special Purpose Examination (SPEX), the National Board of Osteopathic Examiners Comprehensive Osteopathic Medical VariablePurpose Examination (COMVEX), or specialty or certification examinations recognized by the AOA or the ABMS. (16) The term “actively engaged in the practice of clinical medicine” as used in this rule shall mean proof of practicing medicine the equivalent of four hundred (400) hours per year. AUTHORITY: sections 334.031, 334.035, 334.043, and 334.125, RSMo 2000, and section 334.040, RSMo Supp. 2011.* Original rule filed Sept. 28, 2011, effective March 30, 2012. *Original authority: 334.031, RSMo 1959, amended 1981, 1997; 334.035, RSMo 1987; 334.040, RSMo 1939, amended 1941, 1945, 1951, 1959, 1981, 1993, 1997, 2000, 2011; 334.043, RSMo 1959, amended 1981, 1983, 1993; and 334.125, RSMo 1959, amended 1993, 1995.