Texas Physician Li Censure Seminar

7/31/2019 Texas Physician Li Censure Seminar

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Texas PhysicianLicensure Seminar

Texas Medical Board

Donald W. Patrick, MD, JD

Executive Director

10/9/2007


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Presentation Topics

Governance Licensure Process

Eligibility Requirements Demonstration of Eligibility through

Documentation

Tips for Applicants for a Smooth LicensureProcess

Current Status of Physician Licensing


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Governance Statute

Laws relating to licensure, registration, and disciplineof physicians TMB Web site link www.tmb.state.tx.us Laws,

Rules and Guidelines/Texas Statutes/TexasOccupations Code

Board Rules Rules are adopted by the TMB Board cannot waive requirements in rule unless rules

specifically allow it Rule change process TMB Web site link www.tmb.state.tx.us Laws,

Rules and Guidelines/Board Rules


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Physician Licensure Process

Applicant FCVS (optional credentialing service)

Online Application

Submission of Additional Documentation

Recent/Upcoming Changes Application Fee Increase - $885

Fingerprinting 10/1/2007

New Jurisprudence Examination Vendor 12/3/2007


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Physician Licensure Process

TMBScreening

Licensure Processing

Temporary and Permanent License Issuance


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Physician Licensure Process -continued

Applicants with issues concerning eligibility Statutory ineligibility

Non-compliance with eligibility requirements

under board rule File reviews and determinations of eligibility

Appearance before the TMB Licensure

Committee Appeal Process


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Physician Licensure Process -continued

Priority and Expedited Handling Priority - Physician applicants who agree to treat

Medicare/Medicaid Patients for 5 years followinglicensure

Expedited - Physician applicants planning to practicein:

A medically underserved area (MUA)

A health professionals shortage area (HPSA)

A rural area


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Eligibility Requirements

Medical Education Domestic

International Medical Graduate (IMG)

Fifth Pathway

Examinations Licensing Examinations Refer to Handout - Exam Attempts

and Eligibility

Texas Medical Jurisprudence

Postgraduate Training Domestic

IMG


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Eligibility Requirements -continuedProfessional Character - No violation of Medical Practice Act, Tex. Occ.

Code Ann. 164.051-.053.

Examples: Sec. 164.051. GROUNDS FOR DENIAL OR DISCIPLINARY

ACTION. a felony; or a misdemeanor involving moral turpitude; violation of a rule is unable to practice medicine with reasonable skill and safety to

patients because of illness; drunkenness; excessive use of

drugs, narcotics, chemicals, or another substance; or a mentalor physical condition; fails to practice medicine in an acceptable professional manner

consistent with public health and welfare; disciplinary action taken by peers


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Eligibility Requirements -continued

repeated or recurring meritorious health care liability claims thatin the board's opinion evidence professional incompetence likelyto injure the public; or

The board shall revoke a license issued under this subtitle if thelicense holder held a license to practice medicine in anotherstate that has been revoked by the licensing authority in that

state. Sec. 164.052. PROHIBITED PRACTICES BY PHYSICIAN OR

LICENSE APPLICANT. submits to the board a false or misleading statement, document,

or certificate

presents to the board a license, certificate, or diploma that wasillegally or fraudulently obtained;

commits fraud or deception in taking or passing an examination;


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uses alcohol or drugs in an intemperate manner that, in theboard's opinion, could endanger a patient's life;

uses an advertising statement that is false, misleading, ordeceptive;

advertises professional superiority or the performance ofprofessional service in a superior manner if that advertising isnot readily subject to verification;

directly or indirectly employs a person whose license to practicemedicine has been suspended, canceled, or revoked;

Sec. 164.053. UNPROFESSIONAL OR DISHONORABLECONDUCT. commits an act that violates any state or federal law if the act is

connected with the physician's practice of medicine fails to keep complete and accurate records of purchases and

disposals


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writes prescriptions for or dispenses to a person who is known tobe an abuser of narcotic drugs, controlled substances, or

dangerous drugs; or the physician should have known was anabuser of narcotic drugs, controlled substances, or dangerousdrugs;

writes false or fictitious prescriptions prescribes or administers a drug or treatment that is

nontherapeutic in nature or nontherapeutic in the manner thedrug or treatment is administered or prescribed;

prescribes, administers, or dispenses in a manner inconsistentwith public health and welfare a dangerous drug or controlledsubstance

fails to supervise adequately the activities of those acting underthe supervision of the physician; or delegates professionalmedical responsibility or acts to a person if the delegatingphysician knows or has reason to know that the person is notqualified by training, experience, or licensure to perform theresponsibility or acts.


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Licensure Application andDocumentation

Application form Supplemental documentation and

additional licensure forms

Refer to Handout - SupplementalDocumentation and Important Information

Described in instructions for completing

additional licensure forms Requested by licensure analyst as needed


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Demonstration of Eligibility ThroughDocumentation

Medical Education Domestic International Medical Graduate (IMG) Fifth Pathway

Postgraduate Training Domestic IMG

Examinations Professional Character Other


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Documentation: Medical Education Licensure Form D - Dean's Certification

Medical School Transcript Fifth Pathway Certificate and Letter

Licensure Form J - Clinical ClerkshipAffidavit

Licensure Form M Educational

Commission for Foreign MedicalGraduates (ECFMG) Status


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Documentation: Medical Education

Licensure Form N - AACRAO CredentialsEvaluation (American Association ofCollegiate Registrars and Admissions

Officers) Review Eligibility to Practice in Country of

Graduation


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Documentation: Medical Education

Licensure Forms Z1 Z7 SubstantialEquivalence of Medical Education

American University of the Caribbean,

St. Georges University, and UniversidadAutonoma de Guadalajara are now onthe list of schools whose graduates do

not need to demonstrate substantialequivalence


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Documentation: PostgraduateTraining

Form L Training Certificates


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Documentation: Examinations

Examination Transcripts LicensingExaminations

Score Reports JP Exam

Note: USMLE Steps 1 and 2 (including

Clinical Skills Assessment) are part ofECFMG certification for IMGs


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Documentation: ProfessionalCharacter

Application Form Yes answers Honesty

Consequences of falsification

National Practitioner Data Bank and HealthIntegrity Data Bank Reports

Licensure Form AA - Additional Licenses

Licensure Form I - Medical ProfessionalLiability Claims Report


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Documentation: Professional Character -Medical Liability Reporting

SuitsClaims

YesYesPending

YesYesFinal-No payment on behalf of applicant

Old Requirements

YesYesFinal-Payment on behalf of applicant

New Requirements

YesYesFinal-Payment on behalf of applicant

YesNoFinal-No payment on behalf of applicant

YesNoPending

SuitsClaims


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Documentation: ProfessionalCharacter - Medical Liability Reporting

New requirements are in effect However, application question has not yet

been changed online and is not changed

in the copy you have in your handout


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Licensure Form L - Evaluations and Verificationof Postgraduate Training

Licensure Form Q - Work Experience, ClosedPrograms

Licensure Form R - Arrest/Criminal History

Licensure Form S - Disciplinary Action History

Licensure Form U - Actions/Investigations

Licensure Form V - Professionalism


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Form W - Mental and Physical HealthCriminal Background Check conducted by

TMB staff

AMA profiles and FSMB Disciplinary ActionReports conducted by TMB staff; applicantsmay be asked to supply additional

documentation.


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Documentation: Other

Alternate Name Documentation Birth Certificate or Passport

Licensure Form B - Photo Affidavit

Personal Appearances and Inspection ofOriginal Documents


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Reissuance ApplicantsLicense has been revoked by the board

Must meet current statutory requirements and

board rulesMust demonstrate that reissuance of a license

is in applicants best interest and the best

interest of the public


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Relicensure Applicants License has been canceled for non-payment or by

request

Must meet current statutory requirements and boardrules

Specialty Board Certification Documentation

Copy of the most recent certificate awarded by

American Board of Medical Specialties or the Bureauof Osteopathic Specialists


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Current Status

Applications to Screen 732 (oldest 7/8/2007)

In Screen 970

Applications to Assign, Once Screening

Successfully Completed or Sent Directly

to Licensure 40 (oldest 8/27/2007) Applications Not Yet Initially

Processed 224 (oldest 6/16/2007)

In Process 786


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Tips for Applicants for a SmoothLicensure Process

Review your eligibility use the TMB web site Read and follow all instructions

Review your application for completeness

If in doubt, answer yes Send supplemental documentation in one

package

Track your mail use a service that delivers toTMBs physical address, not the PO Box


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Contact InformationJaime Garanflo Tonie KnightDirector, Licensure & Customer Affairs Manager, Licensure

[email protected] [email protected]

Denise Meyer Nori PetersonTeam Leader, Licensure Team Leader, [email protected] [email protected]

Monique JohnstonLicensure [email protected]

Customer Information [email protected]

512-305-7030

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