Academic License

(1) An application for an academic license will be considered only after an individual has completed all the requirements for full and unrestricted licensure except postgraduate education and the examination requirements of paragraphs (2) and (3) of rule 1155-02-.08. (2) An academic license authorizes the licensee to engage in the practice of podiatric medicine and surgery as part of a postgraduate educational program. (3) A completed application must be approved by the Board or Board designee prior to the issuance of an academic license. (4) To obtain an academic license a person must comply with the following procedures and requirements: (a) An application packet shall be requested from the Board’s administrative office. (b) An applicant shall respond truthfully and completely to every question or request for information contained in the application form and submit it along with all fees required by the form and these rules to the Board’s administrative office. (c) Applications will be accepted throughout the year. (d) An applicant shall submit with his application a signed passport type photograph taken within the preceding 12 months. (The photo is to be signed by the applicant.) (e) It is the applicant’s responsibility to request a transcript pursuant to T.C.A. § 63-3-110 which must be submitted directly from the school to the Board’s administrative office. The podiatric institution granting the degree of Doctor of Podiatric Medicine must have been accredited at the time the degree was granted. The transcript must show that the degree has been conferred. The educational requirements contained in these rules must be completed prior to the date of application for licensure. (f) An applicant shall submit evidence of good moral character. Such evidence shall be three recent (within the preceding 12 months) original letters, two of which must be from licensed podiatrists, medical doctors or osteopathic physicians, attesting to the applicant’s personal character and professional ethics on the signator’s letterhead. (g) An applicant shall submit proof of being eighteen (18) years of age or older. Acceptable proof is a notarized copy of the applicant’s birth certificate, driver’s license, or voters registration card. (h) An applicant shall submit verification of enrollment in an approved minimum one (1) year residency program on a form provided by the Board that must be completed and returned to the Board’s administrative office. (i) Official verification that the residency program is approved by the Council on Podiatric Medical Education of the APMA, submitted by the APMA directly to the Board’s administrative office on a form provided by the Board; or, official verification that the preceptorship program is approved by an accredited College of Podiatric Medicine, sent directly by the school to the Board’s administrative office on a form provided by the Board. (j) An applicant shall request that his/her scores from Parts I and II of the National Board of Podiatric Medical Examiners (NBPME) examinations be sent directly to the Board’s administrative office from the testing agency. GENERAL RULES AND REGULATIONS GOVERNING CHAPTER 1155-02 THE PRACTICE OF PODIATRY (k) An applicant shall disclose the circumstances surrounding any of the following: 1. Conviction of any criminal law violation of any country, state or municipality, except minor traffic violations. 2. The denial of licensure application by any other state or the discipline of licensure in any state. 3. Loss or restriction of licensure. 4. Any civil suit judgment or civil suit settlement in which the applicant was a party defendant including, without limitation, actions involving malpractice, breach of contract, antitrust activity or any other civil action remedy recognized under the country’s or state’s statutory common, or case law. (l) An applicant shall cause to be submitted to the Board’s administrative office directly from the vendor identified in the Board’s licensure application materials, the result of a criminal background check. (m) If an applicant holds or has ever held a license to practice as a podiatrist in any other state, the applicant shall cause to be submitted the equivalent of a Tennessee Certificate of Endorsement (verification of license) from each such licensing board which indicates that the applicant holds or held an active license and whether it is in good standing presently or was at the time it became inactive. (n) When necessary, all required documents shall be translated into English, and such translation and original document shall be certified as to authenticity by the issuing source. Both versions must be submitted. (o) Personal resumes are not acceptable and will not be reviewed. (p) Application review and licensure decisions shall be governed by rule 1155-02-.07. (5) If an academic license holder terminates or is discharged from a residency program, the academic license shall become null and void. (6) An academic license holder who enters a different residency program shall reapply for a new academic license by submitting a new application, fee and all supporting documents. (7) The disciplinary provisions for Podiatry license shall also apply to the holder of an academic license. (8) An academic license holder may be approved for a permanent license when he/she successfully completes the post-graduate educational program and the examination requirements of paragraphs (2) and (3) of rule 1155-02-.08.