Recent Newspaper Article with plug for OPM

http://www.mysanantonio.com/news/metro/stories/MY S…


Article on controversial mexican medical school just across the border from San Antonio, Texas. I shamelessly plugged OPM while giving some background to a reporter on Caribbean Medical Schools

  • In reply to:
Even if a foreign-educated student passes all exams and completes a residency, he said, there is no guarantee of being licensed to practice medicine in many parts of the United States.



I understand but this statement is not true and it helps to misinform people.

SGU, ROSS, AUC and SABA are California approved and the first 3 have Graduates with Licensed Doctors in about 40 states now ( they have been around for over 30 years) FMG's who go to schools approved by California can be Licensed in all 50 states about 99% of the time.

I'm not some kind of crusader on this, but I get really upset when I see misinformation put out there. I have researched this for well over 4 years now and found out that only 1 state out of 50 has an approval list of schools for License, that is California, no other state lists schools for approvals for License, they do however list schools for clinicals (NY, NJ, FL) and Texas for approves for clinicals and fast track Licensure. The other 49 states approve FMG's for Licensure on a case by case basis. I have read the laws and rules to ensure I am posting accurately.

If challenged I will spend the hours it takes to confirm this all over again, ( I did back in 2007 since the first time I finished the research was 2005) because this is important to so many people who study medicine outside the USA.

I never take the word of another on this I have verified and reverified everything.

Bill.
  • DRFP Said:
I have researched this for well over 4 years now and found out that only 1 state out of 50 has an approval list of schools for License, that is California, no other state lists schools for approvals for License, they do however list schools for clinicals (NY, NJ, FL) and Texas for approves for clinicals and fast track Licensure. The other 49 states approve FMG's for Licensure on a case by case basis. I have read the laws and rules to ensure I am posting accurately.



Not to be argumentative, but I am afraid you are not correct on the approved school listing in State licensure bylaws (you will have to look in the actual bylaws & not just on the website). I have researched &/or applied for licensure in NH, VT, ME, AR, MO, TX, IN, IL, IA, KS, KY, OH, MI & NE - just off the top of my head - and virtually all of them had a list of programs they considered restricted or completely prohibited. Essentially, any US-based, LCME/AOA-approved, college/university program is acceptable in all 50 states - that list includes the 3 Puerto Rico programs & all of the Canadian schools.

However, and I did not keep stats (feel free to go back & review their bylaws), but most of these states all had lists in their licensure board bylaws that listed programs whose graduate would be considered on a case-by-case basis & other programs specifically prohibited from being granted licensure. I do not recall any of the "Big 3" Carib schools being on those lists, but again, I was not looking for them.

So, what Rich asserts is close to correct. Attending a program in the Carib and doing your clinical rotations &/or stateside does not guarantee you can get a license in all 50 states, nor does it guarantee you can get a license in THE state or states that you desire.

For any of the Carib programs, there will be states where you are not precluded from licensure based upon your school, but the question remains, "Will this be an acceptable location for you?" That is why I virtually always ask folks who are considering the Carib programs, "If it comes to pass, are you willing to practice medicine outside of the US if you cannot gain licensure in an acceptable location in the US?" It is a legit question for graduates from Carib programs that are not one of the "Big 3".

Old Man Dave I have a lot of respect for you, But I have had to become a true expert on this,


Heres the Texas Laws, word for word from this past week with a link


as you can see Unapproved schools can be Licensed, this, I can if I must list all 49 states laws and rules and settle this, I know what I’m am talking about. I do not mean to offend anyone but it is grossly unfair to tell people there are problems when there are not.

  • In reply to:
Heres a good example, TEXAS, they use the California list but

heres the Laws I just copied to day: http://www.tmb.state.tx.us/rules/rules/bdrules.php

Quote:

§163.1. Definitions.

The following words and terms, (concerning General Definitions) when

used in this chapter, shall have the following meanings, unless the context clearly indicates otherwise.

(1) Acceptable approved medical school--A medical school or college located in the United States or Canada that has been accredited by the Liaison Committee on Medical Education or the American Osteopathic Association Bureau of Professional Education.

(2) Acceptable unapproved medical school--A school or college located outside the United States or Canada that:

(A) is substantially equivalent to a Texas medical school; and

(B) has not been disapproved by a state physician licensing or education agency.

(i) If another state's physician licensing agency or education agency has determined that a medical degree conferred by a medical school is not the equivalent of an accredited or authorized degree or has otherwise disapproved the medical school, the board will not recognize the medical school as an acceptable unapproved medical school, unless:

(I) the Texas Higher Education Coordinating Board has determined that a degree conferred by the medical school is the equivalent of an accredited or authorized degree through the review process described by §61.3021, Texas Education Code; or

(II) the applicant can provide evidence that the determination or disapproval by the other state was unfounded.

(ii) A fraudulent or substandard medical school operating outside the United States or Canada shall not be an acceptable unapproved medical school. "Fraudulent or substandard," as used in this subsection, has the meaning assigned by §61.302, Texas Education Code. If the Texas Higher Education Coordinating Board certifies that it has determined, through the review process described by §61.3021, Texas Education Code, that a medical degree conferred by a medical school is not the equivalent of an accredited or authorized degree, the board will not recognize the medical school as an acceptable unapproved medical school.

(iii) This subsection shall not affect any person who received a license from the board prior to a determination by the Texas Higher Education Coordinating Board through the review process described by §31.3021, Texas Education Code.

§163.2. Full Texas Medical License.

(a) Graduates of medical schools in the United States or Canada. To be eligible for full licensure, an applicant who is a graduate from a school in the United States or Canada must:

(1) be 21 years of age;

(2) be of good professional character as defined under §163.1(9) of this title;

(3) have completed 60 semester hours of college courses as defined under §163.1(11) of this title;

(4) be a graduate of an acceptable approved medical school as defined under §163.1(2) of this title;

(5) have successfully completed a one-year training program of graduate medical training in the United States or Canada as defined under §163.1(10) of this title;

(6) submit evidence of passing an examination accepted by the board for licensure as defined under §163.6(a) of this title:

(7) pass the Texas Medical Jurisprudence Examination.

(b) Graduates of medical schools outside the United States or Canada. To be eligible for full licensure, an applicant who is a graduate from a school outside the United States or Canada must:

(1) be 21 years of age;

(2) be of good professional character as defined under §163.1(9) of this title;

(3) have completed 60 semester hours of college courses as defined under §163.1(11) of this title;

(4) be a graduate of:

(A) an acceptable unapproved medical school as defined under §163.1(2) of this title; or

(B) a medical school that meets the board's requirements for substantial equivalence to a Texas medical school and:

(i) have passed the basic sciences portion of an acceptable examination listed in §163.6(a) of this title within two attempts;

(ii) have not been the subject of disciplinary action by any other state, the uniformed services of the United States, or the applicant's peers in a local, regional, state, or national professional medical association or staff of a hospital;

(iii) have, on a full-time basis, actively diagnosed or treated patients or have been on the active teaching faculty of an acceptable approved medical school for three of the last four years preceding receipt of an Application for licensure, which may include post-graduate training (The term "full-time basis" shall have the same meaning provided in §163.11(b) of this title); and

(iv) hold a certificate from a specialty board that is a member of the American Board of Medical Specialties or the Bureau of Osteopathic Specialists or have passed a monitored examination leading to such certification by the specialty board.

(5) have successfully completed a three-year training program of graduate medical training in the United States or Canada as defined under §163.1(14) of this title;

(6) submit evidence of passing an examination accepted by the board for licensure as defined under §163.6 of this title;

(7) pass the Texas Medical Jurisprudence Examination;

(Cool be eligible for licensure in country of graduation as defined under §163.1(Cool of this title;

(9) possess a valid certificate issued by the Educational Commission for Foreign Medical Graduates (ECFMG);

(10) have the ability to communicate in the English language; and

(11) have supplied all additional information that the board may require concerning the applicant's medical school.

(c) Fifth Pathway Program. To be eligible for licensure, an applicant who has completed a Fifth Pathway Program must:

(1) be at least 21 years of age;

(2) be of good professional character as defined under §163.1(9) of this title;

(3) have completed 60 semester hours of college courses as defined under §163.1(12) of this title;

This is typical of what I read, to note this St. Mattews is unapproved by California but their are graduates licensed within the Last year in Texas.

Please read the laws yourself.



Also there is not one state out of 50 that a graduate of SGU, ROSS, or AUC has been denied licensure in the last 10 years. I think that is pretty strong evidence that a Graduate from these schools are strong enough. Ross is owned by DeVry also.

i do agree though there is a diffrence between laws and getting the license, but what is being said is cannot and I can prove 100% this is not the case.

Too many mix up approved schools for both clinicals an fast tracking License approval with the ability to get a License, I repeat, California is the only state that limits schools by approvals for Licensing, even if you call some states the clerks do not understand this, I know because I have done this, I then read the law to them and they said "OH? I did not know that" Simply if a state allows only approved schools ( Texas has a List) then why does a state like Texas have procedures for an unapproved school grads to get a license and I know of at least 1 or 2 Licensed Docs in TX from "unapproved schools" Schools from different countries around the world are not listed either, yet these FMG /IMG's are Licensed in these states as well. Caribbean is FMG there is no special category for FMG and then Caribbean. I do not understand why so many want to make something out of it? It is the same as going to school in France or Hungary for instance.
  • In reply to:
Not to be argumentative, but I am afraid you are not correct on the approved school listing in State licensure bylaws (you will have to look in the actual bylaws & not just on the website). I have researched &/or applied for licensure in NH, VT, ME, AR, MO, TX, IN, IL, IA, KS, KY, OH, MI & NE - just off the top of my head - and virtually all of them had a list of programs they considered restricted or completely prohibited. Essentially, any US-based, LCME/AOA-approved, college/university program is acceptable in all 50 states - that list includes the 3 Puerto Rico programs & all of the Canadian schools.



Above I listed Texas, as you can see there is process for unapproved schools,

What you are talking about is different then what I am, SGU.ROSS, and AUC have so many graduates and approvals from different states they are considered "All 50" us states, the fact is it would be big news if one state did not approve one of these schools, they have federal student loans, if the grads borrowed money and did not pay back they would have lost the federal loan money a long time ago. All FMG grads, when it comes down to it, is a Case by Case basis of Licensure, This is really not the case for LCME grads.

OLD MAN DAVE if you truly want I will work on a compiled Document of each states laws outlining the procedures for a FMG to gain Licensure. I would need several weeks, I have done this in the past but the last 100% research was done in 2005 and I updated some key states in 2007, like Texas due to some law changes.

Let me know because I will be a FMG next year and this is very important to me and others who do attend Caribbean schools, that is why I have become an expert on this issue.

http://www.leg.state.vt.us/statutes/sections.cfm?T…


§ 1396. Requirements for admission to practice


(a) The standard of requirements for admission to practice in this state, under section 1395 of this title, shall be as follows:


(1) Academic: Preliminary requirements to be a high school education or its equivalent, such as would admit the student to a recognized university, and a two years’ course of study in a college of arts and sciences.


(2) Medical: Be a graduate of a medical college approved by the board or approved by an accrediting body satisfactory to the board.


(3) Postgraduate training: Have completed at least a one-year hospital program of postgraduate training approved by the board or approved by an accrediting body satisfactory to the board.


(4) Moral: Applicant shall present letters of reference as to moral character and professional competence from the chief of service and two other active physician staff members at the hospital where he was last affiliated. In the discretion of the board, letters from different sources may be presented.


(5) Language: Shall demonstrate competence in reading, writing and speaking the English language.


(6) Examination: The examination in writing shall have embraced 13 subjects of 90 questions, viz.: anatomy, physiology, chemistry, pathology, bacteriology, hygiene, practice of medicine, surgery, obstetrics, gynecology, materia medica, therapeutic and legal medicine. The grade achieved in each subject must have been at least 75 percent, and a license shall not be recognized when a lower rating was obtained.


(b) In cases it deems appropriate, the board may waive the requirements of subdivisions (a)(1) and (2) of this section for an applicant who is a graduate of a medical college that is neither approved by the board nor by an accrediting body satisfactory to the board. As a condition of granting a waiver, the board may require that the applicant complete up to three years of postgraduate training satisfactory to the board. A waiver granted under this section shall be in writing and shall include a statement of the board’s reasons for granting the waiver. (Amended 1971, No. 221 (Adj. Sess.), § 1; 1977, No. 259 (Adj. Sess.), § 5; 1987, No. 50, § 1, eff. May 15, 1987.


I just spent 30 min at the VT site with no luck, there is a bad PDF I was able to look at but it did not list approved schools or said anything about FMG?

NH

  • In reply to:
329:12 Qualifications of Licensees. –

I. Applicants for licensure shall:

(a) Pay a fee established by the board.

(b) Submit an application in a form prescribed by the board which shall be verified by oath.

(c) Submit a complete set of fingerprints and a notarized criminal history record release form pursuant to RSA 329:11-a.

(d) Demonstrate to the reasonable satisfaction of the board that the applicant:

(1) Is 21 years of age or older;

(2) Is of good professional character;

(3) Has completed at least 2 years of college course work or its equivalent.

(4) Has studied the treatment of human ailments in a medical school maintaining at the time of such studies a standard satisfactory to the Accreditation Council for Medical Education and has graduated from such school;

(5) Has completed at least 2 years of postgraduate training approved by the Accreditation Council on Graduate Medical Education, or its equivalent as determined by the board. Each applicant who has graduated from an accredited medical school prior to January 1, 1970, is required to have satisfactorily completed at least 12 months in a graduate educational program approved by the Accreditation Council on Graduate Medical Education, the Canadian Medical Association, or the Royal College of Physicians and Surgeons of Canada.

(6) Has successfully passed one of the following sets of examinations:

(A) National Board Examinations.

(B) Federation Licensing Examination (FLEX).

(C) United States Medical Licensing Examination (USMLE).

(D) Medical Council of Canada Examination (LMCC).

II. The board may waive the examination requirement for any applicant who has satisfactorily passed one of the following examinations in another state or in Canada:

(a) A national examination approved by the Federation of State Medical Boards.

(b) The National Board of Medical/Osteopathic Examiners examination.

(c) The national medical licensing examination of Canada.

Source. 1915, 167:7. 1917, 204:1. PL 204:10. 1937, 150:1. 1939, 139:1. RL 250:10. 1950, 8:6. RSA 329:12. 1969, 326:1. 1970, 3:3. 1973, 72:50. 1975, 186:5; 251:2. 1977, 417:6. 1981, 396:2; 483:8. 1983, 377:5, 6, 12. 1986, 219:11. 1995, 286:11, eff. Jan. 1, 1996. 2007, 303:2, eff. Sept. 11, 2007.

http://www.gencourt.state.nh.us/rsa/html/NHTOC/NHT...

329:1-a Practice by American Graduates of Foreign Medical Schools. – [Repealed 1995, 286:28, I, eff. Jan. 1, 1996.]

Med 301.03 Application for Licensure.



(a) Applicants for licensure shall provide, or cause to be provided, the following on a form supplied by the board:



(1) The applicant's name, including any names previously used;



(2) The applicant's residence and business addresses and telephone numbers, business e-mail address and business fax number;



(3) The applicant's date of birth, place of birth and social security number required pursuant to 45 CFR Part 60.8 and RSA 161-B:11, VI-a;



(4) The applicant's educational history including the names of all institutions attended, the dates of attendance and the degree awarded;



(5) A certification of medical education received directly from and verified by FCVS;



(6) If the applicant graduated from a medical school outside the United States or Canada:



a. Certified copies of an official transcript of grades and proof of graduation with certified English translation received directly from and verified by FCVS; and



b. Verification received directly from FCVS that the applicant holds a current certification from the Educational Commission of Foreign Medical Graduates (ECFMG);



(7) A listing of all institutions in which the applicant has pursued post graduate training and a written verification received directly from FCVS that the applicant has completed at least 2 years of training which meet the requirements of Med 302.01;



(8) Verification received directly from FCVS that the applicant has passed one of the licensure examinations listed under Med 303.01;



(9) A listing of every state in which the applicant holds or has ever held a license and clearances of those licenses received directly from the licensure authority;



(10) Disclosure of whether the applicant is board certified and if so, a certified copy of that certification;



(11) Disclosure of whether the applicant has ever lost or been denied board certification and if so, an explanation for the circumstances;



(12) Disclosure of whether the applicant has ever been subject to a claim for malpractice and if so, the circumstances of that claim;



(13) Disclosure of whether the applicant has ever taken an examination or applied for licensure under a different name;



(14) Disclosure of whether the applicant has ever failed any medical licensing examination or been denied the privilege of finishing or been accused of cheating or improper conduct during any required examination, and, if so, the circumstances involved;



(15) Disclosure of whether the applicant has ever been denied a medical license and, if so, the circumstances of that denial;



(16) Disclosure of whether the applicant has ever had hospital privileges, employment or appointment at any health care institution denied, limited, suspended or revoked or whether the applicant has ever resigned in lieu of such actions and if so, the circumstances involved;



(17) Disclosure of whether the applicant is currently under investigation or whether any disciplinary action has been taken against the applicant during the past 10 years by any governmental authority, hospital or health care facility or by any professional medical association, and if so the circumstances involved;



(18) Disclosure of whether the applicant has ever voluntarily surrendered a license to practice medicine in lieu of facing disciplinary action or ever withdrawn an application for licensure, hospital privileges or appointment for any reason and if so the circumstances involved;



(19) Disclosure of whether the applicant has ever been a defendant in a criminal proceeding and the circumstances of that criminal proceeding;



(20) Disclosure of whether the applicant has ever lost the privilege to possess, dispense or prescribe controlled substances or been investigated by any state or federal drug enforcement agencies;



(21) Disclosure of whether the applicant has ever had any emotional disturbance or mental illness which has impaired their ability to practice medicine and if so, the treatment prescribed and the outcome of that treatment;



(22) Disclosure of whether the applicant has been, during the past 5 years, dependent on alcohol or habituating drugs, and if so, the treatment used and the outcome of that treatment;



(23) A certified copy of the applicant's birth certificate or passport received directly from FCVS;



(24) A listing of all professional activities pursued including the dates of such activities since the applicant graduated from medical school.



(25) Letters of reference from:



a. The chief of staff and hospital administrator in every hospital in which the applicant currently holds staff privileges; and



b. If no staff privileges are held, letters of reference from 4 practicing physicians who do hold staff privileges at any accredited hospital in the United States or Canada;



(26) A recent, full face, 2 x 3 inch photograph of the applicant;



(27) The applicant's notarized signature attesting to the accuracy of the information provided; and



(28) A notarized copy of the applicant's current Drug Enforcement Administration (DEA) certificate.



(b) Applicants shall pay the application fee specified in Table 3.6.1 in Med 306.01.



Where does NH limit FMG/Caribbean grads? this is the complete laws and rules.

As I said this is super important since SGU, AUC and ROSS students are told they can practice in all 50 states.

Bill,


Not to belabor a point, but a very cursory search yielded the following results. Unfortunately, the info you seek is frequently buried within the beauracracy…so you must search documents to discover the answer. Furthermore, as I am now done with this process, I have dumped most of the links to state licensing boards, but the devil is in the details. Of the half-dozen I quickly surveyed, the Boards either explicitly published a list of restricted/questionable & prohibited programs (attached IN info) or implicitily stated that the list of approved programs was info privvy to the Board & merited inqiury, as in CO below.


The Colorado Board reviews international medical schools on a case by case basis. Any questions or concerns regarding school acceptance should be directed to Board staff.


By no means am I stating that the Carib is not a viable pathway; however, I do strongly feel that to assert that going to the Carib yields a pathway to residency, practice & beyond without hurdles is erroneous & misleading to the members of OPM. Yes, the Carib is a legit pathway & one that many non-trads will have to consider, but it is not without its own set of risks that are over & above those associated with US-based programs.


I have known & worked with many a quality Carib educated physician and with several total turds from there as well. The same can be said of US-based programs. However, the difference lies within graduating from a foreign program - ALL graduates from ALL foreign programs face additional hurdles to licensure in the US…just as all US-grads will face additional hurdles to foreign licensure vs. graduates of that country’s indigenous programs - that is merely a fact. To assert otherwise is specious at best.


http://imed.ecfmg.org/search.asp


Attached files 1213738439-List_of_Foreign_Medical_Schools.pdf (7.6 KB)Â
  • OldManDave Said:
Bill,

Not to belabor a point, but a very cursory search yielded the following results. Unfortunately, the info you seek is frequently buried within the beauracracy...so you must search documents to discover the answer. Furthermore, as I am now done with this process, I have dumped most of the links to state licensing boards, but the devil is in the details. Of the half-dozen I quickly surveyed, the Boards either explicitly published a list of restricted/questionable & prohibited programs (attached IN info) or implicitily stated that the list of approved programs was info privvy to the Board & merited inqiury, as in CO below.

The Colorado Board reviews international medical schools on a case by case basis. Any questions or concerns regarding school acceptance should be directed to Board staff.

By no means am I stating that the Carib is not a viable pathway; however, I do strongly feel that to assert that going to the Carib yields a pathway to residency, practice & beyond without hurdles is erroneous & misleading to the members of OPM. Yes, the Carib is a legit pathway & one that many non-trads will have to consider, but it is not without its own set of risks that are over & above those associated with US-based programs.

http://imed.ecfmg.org/search.asp



OLDMAN DAVE this whole thing has brought me to the feeling that OPM may be somewhat Anti-FMG,

I have been very upset that despite the clarity that when a FMG is finished with a residency and may have attended a California, NY, NJ, TX, FL approved school (SGU, ROSS, AUC these three for sure) that the person may not get a license. This is beyond me, since you just posted a clear clause of "Case by Case" while this is in itself no guarantee ( US students are not guaranteed Licensure either but 99.99% they will have no problems) it clearly has not been a problem in recent times, the advice that has been given is based on outdated practices that have since changed as in many states.

You can look back and see I give no guarantees but try to to tell of the ups and down, yes it is an increased risk going out of the US and Canada to go to medical school, but this risk is shared by any student who goes to medical school out side of the USA anywhere in the world not nust the Caribbean.

With this I think its best to stay out of direct participation on OPM, I have plenty to do with finishing up medical school.

I do not wish to drag this on any farther, I will however be publishing an article about the Caribbean and the potential pitfalls with everything from Loans to Licensing.

There is a difference between telling people they cannot get licensed in a state and the state having a process with the report of it being difficult, the latter means it is possible to be license the former closes the door. I agree there are pitfalls to be aware of.

  • In reply to:
I do strongly feel that to assert that going to the Carib yields a pathway to residency, practice & beyond without hurdles is erroneous & misleading to the members of OPM



This is not something I have ever intended on doing, if so I'm sorry, the Caribbean is easier on admission but harder to succeed through, basic science and getting a residency, and there are some Licensing issues depending mostly on the school.

I really wish you luck and sorry to have caused such a ruckus, I still feel that OPM is one of the best sites on the net, but I cannot participate if treated like I do not know the subject I have researched and posted on for over 4 years, I know I'm not always right since I misunderstand or things change but I do feel in this case I can prove what I post, this will only serve to drag this on and I can see you do not want me to prove the case. I will contend with my website and the one I moderate on.

Bill.

Bill,


Don’t be absurd. You are taking this way too personally. We simply see this differently…and for all intent & purpose…not too damned differently at that. My responses are not 1 iota of an attack on you or the Carib. The fact remains that going international poses additional challenges - period, like it or not. It simply does. And, like it or not (as is clearly evidenced in the IN licensure board exerpt I attached), some states preclude specific international programs from licensure & restrict others. Those are simply facts. Archiac or not, unfounded or not, practical or not - it simply is.


My stating those policies here is also not an attack on international programs nor manifests OPM as “Anti-FMG” - rediculous. I do feel compelled to present things in what I perceive to be a more neutral light vs. your assertion that “all Carib grads can get licensed anywhere”…I think that under-represents/minimize s the challenges that any international graduate will face in gaining licensure in the US.


Am I saying it impossible? NO - I challenge you to find that stated anywhere in my responses. Will being an FMG poses additional hurdles to licensure & in some states be blocked - YES. You will also find St. Christopher’s (Senagalese) med school on the IN list…not a Carib school, but a shithole, money-pit that has sucked up at least 2 OPMers who did not know the additional hurdles they would face and are now neck-deep in debt with diddly-shit to show for it.

I do agree that all Carib grads cannot be licensed anywhere in the USA


I do think there are 3 strong schools who have a successful History above the rest with Licensing and have all the needed approvals of the states who do this: SGU ROSS AUC.


That is my point, as far as even the school I attend, I would not have gone there today, not because of the education, not because it has any real trouble ( Not on any bad list) but because it does not have the resources even the Big 3 above have and does not have the approvals as the big three, from my school you have only about 45 states that seem possible for license, but at 44 I do not care that much I will stay in the south and all the southern states are ok as far as I can see.


OMD I’m am truly sorry I want my one comment retracted since I could not last night ( the edit function goes too quick) this is why I do not want to discuss this any further. ANd I would never compromise the integrity of OPM. I agree with mostly what you are saying but it has now been said so much better then before.


SO on that note I’m done.


Thank you all.

Hi Folks, I haven’t posted in a long time. I just wanted to say thank you to DRFP and OMD for the informative exchange. I really appreciate the information, the passion and the lively and respectful exchange. This is one of the reasons that this site is so great. Such knowledgeable folks and so willing to share…


DRFP, I’m very interested in reading the article that you plan to write.


Best to you,


David

Since I started this, I’d like note one thing. The quote that seemed to have caused this:


“Even if a foreign-educated student passes all exams and completes a residency, he said, there is no guarantee of being licensed to practice medicine in many parts of the United States.”


That is absolutely correct. While the big three schools have little trouble, graduates of the 30 or so other schools may have difficulty in some states (not all schools, not all states). Yes, California is the only state to create a licensing school list but the medical boards in at least 4 other states (Kansas, Michigan, Maine and I think Vermont) formally follow that list in their policy. So it is not the law of each state that in the end matters but how the medical board in each state enforces the law, create rules, and applies policy.


So behooves when applying to a caribbean medical school to know that info and what limits do exist.


The school in the article is a prime example of that

I echo that sentiment-good exchange. DRFP, I’d be interested in reading your article as well.

Here is an interesting article about a school I know little about but have found some evidence it may be a Diploma Mill Caribbean,I know that there may be possibly as much as 15 of these schools, and the legit schools are damaged by them.


http://www.ibnlive.com/news/caribbean-island -medic…

I want this to be clear, From me


Old Premeds is one of the best premed Sites on the internet, in an early post (I asked to be edited since I could not) I said I felt that OPM may be somewhat anti FMG. This is not the case, I became upset because I felt I was being told by posting that from what I understand the laws and rules that at least 3 perhaps 4 of the Caribbean schools do not have any problems with License in 50 states while other schools may have problems in at least 5 states ( which I do not think constitutes “Many”). I did not want to tarnish the site with such a disagreement, OMD wrote something to make me think I was. I may have misunderstood him.


Please disregard my comment it was a mistake and I apologize to my friends at OPM.


We may disagree but to attack the integrity of OPM is wrong.

You are a class act, DRFP. Well said.

  • bodhiwannabe Said:
You are a class act, DRFP. Well said.



Well, I have thought about my actions and while I have not changed my position that much on what I have concluded with my research, I feel I did over react, I never want to tell others something that will cause them problems. My main problem is I care about others, really I do,

I feel that the Caribbean or other Schools around the world are an option with increased risk and that most of the time it works and people practice. this is true however, Competitive residencies and there could be some Licensing issues to deal with.

People who go this route are advised to check these things out for themselves and know what is ahead and what are your choices, do not do a "Knee Jerk" to go outside the USA if you could get things together in the USA, 1 or 2 years in the USA for many is just a drop in the bucket for the rest of your life.

Again, my reaction should have been toned down some, I do believe I over reacted ( Stress they say can do this, Me stressed? LOL well Yes!)


Interesting Florida law read:

  • In reply to:
The 2007 Florida Statutes



Title XXXII

REGULATION OF PROFESSIONS AND OCCUPATIONS



Chapter 458

MEDICAL PRACTICE



View Entire Chapter

458.311 Licensure by examination; requirements; fees.--

(1) Any person desiring to be licensed as a physician, who does not hold a valid license in any state, shall apply to the department on forms furnished by the department. The department shall license each applicant who the board certifies:

(a) Has completed the application form and remitted a nonrefundable application fee not to exceed $500.

(b) Is at least 21 years of age.

(c) Is of good moral character.

(d) Has not committed any act or offense in this or any other jurisdiction which would constitute the basis for disciplining a physician pursuant to s. 458.331.

(e) For any applicant who has graduated from medical school after October 1, 1992, has completed the equivalent of 2 academic years of preprofessional, postsecondary education, as determined by rule of the board, which shall include, at a minimum, courses in such fields as anatomy, biology, and chemistry prior to entering medical school.

(f) Meets one of the following medical education and postgraduate training requirements:

1.a. Is a graduate of an allopathic medical school or allopathic college recognized and approved by an accrediting agency recognized by the United States Office of Education or is a graduate of an allopathic medical school or allopathic college within a territorial jurisdiction of the United States recognized by the accrediting agency of the governmental body of that jurisdiction;

b. If the language of instruction of the medical school is other than English, has demonstrated competency in English through presentation of a satisfactory grade on the Test of Spoken English of the Educational Testing Service or a similar test approved by rule of the board; and

c. Has completed an approved residency of at least 1 year.

2.a. Is a graduate of an allopathic foreign medical school registered with the World Health Organization and certified pursuant to s. 458.314 as having met the standards required to accredit medical schools in the United States or reasonably comparable standards;

b. If the language of instruction of the foreign medical school is other than English, has demonstrated competency in English through presentation of the Educational Commission for Foreign Medical Graduates English proficiency certificate or by a satisfactory grade on the Test of Spoken English of the Educational Testing Service or a similar test approved by rule of the board; and

c. Has completed an approved residency of at least 1 year.

3.a. Is a graduate of an allopathic foreign medical school which has not been certified pursuant to s. 458.314;

b. Has had his or her medical credentials evaluated by the Educational Commission for Foreign Medical Graduates, holds an active, valid certificate issued by that commission, and has passed the examination utilized by that commission; and

c. Has completed an approved residency of at least 1 year; however, after October 1, 1992, the applicant shall have completed an approved residency or fellowship of at least 2 years in one specialty area. However, to be acceptable, the fellowship experience and training must be counted toward regular or subspecialty certification by a board recognized and certified by the American Board of Medical Specialties.

(g) Has submitted to the department a set of fingerprints on a form and under procedures specified by the department, along with a payment in an amount equal to the costs incurred by the Department of Health for the criminal background check of the applicant.

(h) Has obtained a passing score, as established by rule of the board, on the licensure examination of the United States Medical Licensing Examination (USMLE); or a combination of the United States Medical Licensing Examination (USMLE), the examination of the Federation of State Medical Boards of the United States, Inc. (FLEX), or the examination of the National Board of Medical Examiners up to the year 2000; or for the purpose of examination of any applicant who was licensed on the basis of a state board examination and who is currently licensed in at least one other jurisdiction of the United States or Canada, and who has practiced pursuant to such licensure for a period of at least 10 years, use of the Special Purpose Examination of the Federation of State Medical Boards of the United States (SPEX) upon receipt of a passing score as established by rule of the board. However, for the purpose of examination of any applicant who was licensed on the basis of a state board examination prior to 1974, who is currently licensed in at least three other jurisdictions of the United States or Canada, and who has practiced pursuant to such licensure for a period of at least 20 years, this paragraph does not apply.

(2) As prescribed by board rule, the board may require an applicant who does not pass the national licensing examination after five attempts to complete additional remedial education or training. The board shall prescribe the additional requirements in a manner that permits the applicant to complete the requirements and be reexamined within 2 years after the date the applicant petitions the board to retake the examination a sixth or subsequent time.

(3) Notwithstanding the provisions of subparagraph (1)(f)3., a graduate of a foreign medical school need not present the certificate issued by the Educational Commission for Foreign Medical Graduates or pass the examination utilized by that commission if the graduate:

(a) Has received a bachelor's degree from an accredited United States college or university.

(b) Has studied at a medical school which is recognized by the World Health Organization.

(c) Has completed all of the formal requirements of the foreign medical school, except the internship or social service requirements, and has passed part I of the National Board of Medical Examiners examination or the Educational Commission for Foreign Medical Graduates examination equivalent.

(d) Has completed an academic year of supervised clinical training in a hospital affiliated with a medical school approved by the Council on Medical Education of the American Medical Association and upon completion has passed part II of the National Board of Medical Examiners examination or the Educational Commission for Foreign Medical Graduates examination equivalent.

(4) The department and the board shall assure that applicants for licensure meet the criteria in subsection (1) through an investigative process. When the investigative process is not completed within the time set out in s. 120.60(1) and the department or board has reason to believe that the applicant does not meet the criteria, the 1State Surgeon General or the 1State Surgeon General's designee may issue a 90-day licensure delay which shall be in writing and sufficient to notify the applicant of the reason for the delay. The provisions of this subsection shall control over any conflicting provisions of s. 120.60(1).

(5) The board may not certify to the department for licensure any applicant who is under investigation in another jurisdiction for an offense which would constitute a violation of this chapter until such investigation is completed. Upon completion of the investigation, the provisions of s. 458.331 shall apply. Furthermore, the department may not issue an unrestricted license to any individual who has committed any act or offense in any jurisdiction which would constitute the basis for disciplining a physician pursuant to s. 458.331. When the board finds that an individual has committed an act or offense in any jurisdiction which would constitute the basis for disciplining a physician pursuant to s. 458.331, then the board may enter an order imposing one or more of the terms set forth in subsection (8).

(6) Each applicant who meets the requirements of this chapter shall be licensed as a physician, with rights as defined by law.

(7) Upon certification by the board, the department shall impose conditions, limitations, or restrictions on a license if the applicant is on probation in another jurisdiction for an act which would constitute a violation of this chapter.

(8) When the board determines that any applicant for licensure has failed to meet, to the board's satisfaction, each of the appropriate requirements set forth in this section, it may enter an order requiring one or more of the following terms:

(a) Refusal to certify to the department an application for licensure, certification, or registration;

(b) Certification to the department of an application for licensure, certification, or registration with restrictions on the scope of practice of the licensee; or

(c) Certification to the department of an application for licensure, certification, or registration with placement of the physician on probation for a period of time and subject to such conditions as the board may specify, including, but not limited to, requiring the physician to submit to treatment, attend continuing education courses, submit to reexamination, or work under the supervision of another physician.

Cutting thru alot of the legalese, a section law below

  • DRFP Said:



(3) Notwithstanding the provisions of subparagraph (1)(f)3., a graduate of a foreign medical school need not present the certificate issued by the Educational Commission for Foreign Medical Graduates or pass the examination utilized by that commission if the graduate:


(a) Has received a bachelor’s degree from an accredited United States college or university.


(b) Has studied at a medical school which is recognized by the World Health Organization.


© Has completed all of the formal requirements of the foreign medical school, except the internship or social service requirements, and has passed part I of the National Board of Medical Examiners examination or the Educational Commission for Foreign Medical Graduates examination equivalent.


(d) Has completed an academic year of supervised clinical training in a hospital affiliated with a medical school approved by the Council on Medical Education of the American Medical Association and upon completion has passed part II of the National Board of Medical Examiners examination or the Educational Commission for Foreign Medical Graduates examination equivalent.



The above basically says if you have a USA Bachelor's, got to school that has an IMED/ECFMG listing (which doesn't take much to get), pass STEP I & II, and finish a year of residency you get can get a license

Yet the application the to the medical board reads

"International Medical Graduates: Must have completed at least two full progressive years of Submit a copy of the internship/residency training the Program Director of the training program, addressed to the Florida Board of Medicine, stating the Letters must verify completion of at least of two years of training."

http://www.doh.state.fl.us/mqa/medical/ap_me1501.p...

I think what this really means is that the only way to find out which schools are accepted by which states is a close examination of each state's med board info. Finding out if a school is IMED/ECFMG is easy. (Guess a long-term project is to put a page together on this)

BTW, NY state has similar laws but again, I will have to investigate and outline the whole process in order gauge what potential impact is on students from these schools.