The Steps A Physician Must Take To Obtain A Texas Medical License
The Texas process use to be the longest licensure processes in the 50 States. However now most applicants can expect a 3 to 6 month process to occur before the license is issued. Foreign Medical Graduates will have to wait even longer. Application reviews are taking between 2 to 5 months to complete with the Texas Medical Board.
All applications have to go through two different reviews. The first occurs once the application and all verifications are received by the Screen-CIC department. CIC clears the application to be assigned to a Licensure Specialist on the Texas Board. It typically takes 4 to 8 weeks to have all of the verifications forwarded to the Texas Board. Once all have been received then the application is then forwarded to the Licensure Specialist. The Licensure Specialist will then review the verifications to determine if they are properly completed by the third party. The Specialist typically will find one or two that are not properly completed and thus will require that the third party complete them again. At the same time the doctor is instructed to set up and take the Jurisprudence Examination. It typically takes 2 to 4 weeks for the application to be cleared by the Specialist if everything is in order. The Board meets once every two months. The process listed above entails everything being completed without any issues, mistakes, or errors.
The Jurisprudence Examination is a formal exam which does require some preparation by the Doctor.
Texas does have a 3 attempt limit and 7 year rule concerning the USMLE. However there are some exemptions and waivers which might apply.
If you haven’t taken a Board Specialty Examination in the past 10 years or a written board examination, SPEX, USMLE, LMCC, then you will be required to pass the SPEX examination.
This is a list of all required verifications and processes which are required to be submitted to the Texas Medical Board in order that the application might be deemed complete:
All Applicants:
-ECFMG CVS Report (Foreign Medical School Graduates)
-Medical School Transcripts & Form D from School
-NPDB-HIPDB Report
-5 Years employment, training, and privilege history
-Fingerprint Cards/Background checks
-Malpractice Verification if Claims are present
- Jurisprudence Examination
The specific credentials which are required to be in place are as follows:
- 1 year PGT Domestic Graduates
- 3 years PGT International Graduates
- USMLE step 3 has to be passed in 3 attempts
- USMLE has to be passed in a 7 year time frame (10 if the physician is board certified)
- SPEX examination required if a board examination has not been taken within the past 10 years.
The Texas Medical Board does have a long process but unlike other State Medical Boards, they do have some requirements in place which make sense. The first is the fact that they do not verify State Medical Licenses. Why? All adverse actions with any State Medical License is automatically reported by the FSMB Board Action Report and the National Practitioner Data Bank. So requesting direct verification of a State Medical License is unnecessary. Second, the Texas Medical License does not require verification of any Employment, Privilege, or Internship – Residency – Fellowship that falls outside of the 5 year window from the date of the application. This really makes sense. Any adverse action taken against the physician will be reported to the HIPDB data bank. To request these items is unnecessary. Texas use to be one of the worst Boards to apply to. Now it is in the middle of the pack due to its’ recent changes.
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