Iowa Admin. Code r. 653-10.3 - Resident physician licensure

(1) General provisions.
a. The resident physician license authorizes the licensee to practice as an intern, resident or fellow while under the supervision of a licensed practitioner of medicine and surgery or osteopathic medicine and surgery in a board-approved resident training program in Iowa. When the ACGME, AOA, RCPSC, or CFPC fails to offer accreditation for a fellowship or the fellowship fails to seek accreditation, the board will approve the program if the parent program is accredited by one of the aforementioned accrediting bodies. Completion of one or more years of a program that itself lacks such accreditation does not fulfill the one-year resident training requirement for permanent licensure.
b. An Iowa resident physician license or an Iowa permanent physician license is required of any resident physician enrolled in an Iowa resident training program and practicing in Iowa.
c. A resident physician license will expire on the expected date of completion of the resident training program as indicated on the licensure application.
d. A resident physician license is valid only for practice in the program designated in the application. When the physician leaves that program, the license will immediately become inactive. The director of the resident training program must notify the board within 30 days of the licensee's terminating from the program.
e. A resident physician licensee who changes resident training programs must apply for a new resident physician license as described in subrule 10.3(3). Such changes include a transfer to a different program in the same institution, a move to a program in another institution, or becoming a fellow after completing a residency in the same core program. An individual who contracts with an institution to be in two programs from the time of application for the resident license shall not be required to apply for another resident license for the second program.
f. A visiting resident physician may come to Iowa to practice as a part of the physician's resident training program if the physician is under the supervision of an Iowa-licensed physician. An Iowa physician license is not required of a physician in training if the physician has a resident or permanent license in good standing in the home state of the resident training program. An Iowa temporary physician license is required of a physician in training if the physician does not hold a resident or permanent physician license in good standing in the home state of the resident training program (more information can be found in rule 653-10.5 (147,148)).
g. An Iowa license is not required for residents when they are training in a federal facility in Iowa. An Iowa license is not required for faculty who are teaching in and employed by a federal facility in Iowa and who are licensed in another state.
h. The director of a resident training program that enrolls a resident with an Iowa resident physician license shall report annually on October 1 on the resident's progress and whether any warnings have been issued, investigations conducted, or disciplinary actions taken, whether by voluntary agreement or formal action.
i. A resident physician licensee must notify the board of any change in name within one month of making the name change. Notification requires a notarized copy of a marriage license or a notarized copy of court documents.
j. A resident physician licensee's file shall be closed and labeled "deceased" when the board receives a copy of the physician's death certificate.
(2) Resident license eligibility. To be eligible for a resident license, an applicant must meet all of the following requirements:
a. Fulfill the application requirements specified in subrule 10.3(3).
b. Be at least 20 years of age.
c. Hold a medical degree from an educational institution approved by the board at the time the applicant graduated and was awarded the degree.
(1) Educational institutions approved by the board must be fully accredited by an accrediting agency recognized by the board as schools of instruction in medicine and surgery or osteopathic medicine and surgery and empowered to grant academic degrees in medicine.
(2) The accrediting bodies currently recognized by the board are:
1. LCME for educational institutions granting degrees in medicine and surgery; and
2. AOA for educational institutions granting degrees in osteopathic medicine and surgery.
(3) If the applicant holds a medical degree from an educational institution not approved by the board at the time the applicant graduated and was awarded the degree, the applicant must:
1. Hold a valid certificate issued by ECFMG, or
2. Have successfully completed a fifth pathway program established in accordance with AMA criteria.
d. The applicant's license is not denied by the board due to the commission of a disqualifying offense, as provided in 653-subrule 9.3(3).
(3) Resident physician licensure application.
a. Requirements. To apply for resident physician licensure, an applicant shall:
(1) Pay a nonrefundable initial application fee and fee for the evaluation of the fingerprint packet and the criminal history background checks by the division of criminal investigation (DCI) and the Federal Bureau of Investigation (FBI) as specified in 653-paragraph 8.4(2)"a"; and
(2) Complete and submit forms provided by the board, including required credentials, documents, a completed fingerprint packet, and a sworn statement by the applicant attesting to the truth of all information provided by the applicant.
b. Application. The application shall require the following information:
(1) Full legal name, date and place of birth, home address, and mailing address;
(2) A statement listing every jurisdiction in which the applicant is or has been authorized to practice, including license numbers and dates of issuance;
(3) A chronology accounting for all time periods from the date the applicant entered medical school to the date of the application;
(4) A photocopy of the applicant's medical degree issued by an educational institution.
1. A complete translation shall be submitted for any diploma not written in English. An official transcript, written in English and received directly from the school, verifying graduation from medical school is a suitable alternative. An official FCVS Physician Information Profile is a suitable alternative.
2. If a copy of the medical degree cannot be provided because of extraordinary circumstances, the board may accept other reliable evidence that the applicant obtained a medical degree from a specific educational institution;
(5) If the educational institution awarding the applicant the degree has not been approved by the board, the applicant shall provide a valid ECFMG certificate or evidence of successful completion of a fifth pathway program in accordance with criteria established by the AMA. An official FCVS Physician Information Profile is a suitable alternative;
(6) A statement disclosing and explaining any warnings issued, investigations conducted, or disciplinary actions taken, whether by voluntary agreement or formal action, by a medical or professional regulatory authority, an educational institution, training or research program, or health care facility in any jurisdiction;
(7) A statement disclosing and explaining the applicant's involvement in civil litigation related to practice in any jurisdiction. Copies of the legal documents may be requested if needed during the review process;
(8) A statement disclosing and explaining any charge of a misdemeanor or felony involving the applicant filed in any jurisdiction, whether or not any appeal or other proceeding is pending to have the conviction or plea set aside; and
(9) A completed fingerprint packet to facilitate a national criminal history background check. The fee for the evaluation of the fingerprint packet and the DCI and FBI criminal history background checks will be assessed to the applicant.
(4) Resident license application review process. The process below shall be utilized to review each application for a resident license.
a. An application shall be considered open from the date the application form is received in the board office with the nonrefundable resident licensure fee.
b. After reviewing each application, staff shall notify the applicant or designee about how to resolve any problems identified by the reviewer.
c. If the final review indicates no questions or concerns regarding the applicant's qualifications for licensure, staff may grant administratively a resident license.
d. If the final review indicates questions or concerns that cannot be remedied by continued communication with the applicant, the executive director, director of licensure and administration, and director of legal affairs shall determine if the questions or concerns indicate any uncertainty about the applicant's current qualifications for licensure.
(1) If there is no current concern, staff shall grant administratively a resident license.
(2) If any concern exists, the application shall be referred to the committee.
e. Staff shall refer to the committee for review matters that include but are not limited to falsification of information on the application, criminal record, substance abuse, competency, physical or mental illness, or educational disciplinary history.
f. If the committee is able to eliminate questions or concerns without dissension from staff or a committee member, the committee may direct staff to grant administratively a resident license.
g. If the committee is not able to eliminate questions or concerns without dissension from staff or a committee member, the committee shall recommend that the board:
(1) Request an investigation;
(2) Request that the applicant appear for an interview;
(3) Grant a resident physician license for a particular residency program;
(4) Grant a license under certain terms and conditions or with certain restrictions;
(5) Request that the applicant withdraw the licensure application; or
(6) Deny a license.
h. The board shall consider applications and recommendations from the committee and shall:
(1) Request an investigation;
(2) Request that the applicant appear for an interview;
(3) Grant a resident physician license for a particular residency program;
(4) Grant a license under certain terms and conditions or with certain restrictions;
(5) Request that the applicant withdraw the licensure application; or
(6) Deny a license. The board may deny a license for any grounds on which the board may discipline a license. The procedure for appealing a license denial is set forth in rule 653-9.15 (147,148).
(5) Resident license application cycle. If the applicant does not submit all materials within 90 days of the board's initial request for further information, the application shall be considered inactive. An applicant must reapply and submit a new nonrefundable application fee and a new application, documents and credentials.
(6) Extension of a resident physician license.
a. If the licensee fails to complete the program by the expiration date on the license, the licensee has a one-month grace period in which to complete the program or secure an extension from the board.
b. The resident physician licensee must apply for an extension if the licensee has not been granted permanent physician licensure and the licensee will not complete the program within the grace period. The following extension application materials are due in the board office prior to the expiration of the license:
(1) A letter requesting an extension and providing an explanation of the need for an extension;
(2) The extension fee as specified in 653-paragraph 8.4(2)"b"; and
(3) A statement from the director of the resident training program attesting to the new expected date of completion of the program and the individual's progress in the program and whether any warnings have been issued, investigations conducted, or disciplinary actions taken, whether by voluntary agreement or formal action.
c. Failure of the licensee to extend a license within one month following the expiration date will cause the license to become inactive and invalid.
d. To extend an inactive resident license within one year of becoming inactive, an applicant shall submit the following:
(1) A letter requesting an extension and providing an explanation of the need for an extension;
(2) The extension fee as specified in 653-paragraph 8.4(2)"b"; and
(3) A late fee as specified in 653-paragraph 8.4(2)"c"; and
(4) A statement from the director of the resident training program attesting to the new expected date of completion of the program and the individual's progress in the program and whether any warnings have been issued, investigations conducted, or disciplinary actions taken, whether by voluntary agreement or formal action.
e. If more than one year has passed since the resident license became inactive, the applicant shall apply for a new resident license as described in subrule 10.3(3).
(7) Review process for extending a resident license. The process below shall be utilized to review each request for an extension of a resident license.
a. An extension request shall be considered open from the date the required letters and nonrefundable extension fee are received in the board office.
b. After reviewing each request for extension, staff shall notify the licensee or designee about how to resolve any problems identified by the reviewer. The applicant for license extension shall provide additional information when requested by staff or the board.
c. If the final review indicates no questions or concerns regarding the applicant's qualifications for continued licensure, staff may grant administratively an extension to a resident license.
d. If the final review indicates questions or concerns that cannot be remedied by continued communication with the applicant, the executive director, the director of licensure and administration, and the director of legal affairs shall determine if the questions or concerns indicate any uncertainty about the applicant's current qualifications for licensure.
(1) If there is no current concern, staff shall grant administratively an extension to a resident license.
(2) If any concern exists, the application shall be referred to the committee.
e. Staff shall refer to the committee for review matters that include but are not limited to falsification of information in the request, criminal record, substance abuse, competency, physical or mental illness, or educational disciplinary history.
f. If the committee is able to eliminate questions or concerns without dissension from staff or a committee member, the committee may direct staff to grant administratively an extension to a resident license.
g. If the committee is not able to eliminate questions or concerns without dissension from staff or a committee member, the committee shall recommend that the board:
(1) Request an investigation;
(2) Request that the licensee appear for an interview;
(3) Grant a license under certain terms and conditions or with certain restrictions;
(4) Request that the licensee withdraw the request for an extension; or
(5) Deny a request for an extension of the license.
h. The board shall consider applications and recommendations from the committee and shall:
(1) Request an investigation;
(2) Request that the licensee appear for an interview;
(3) Grant an extension to the resident physician license;
(4) Grant an extension to the resident physician license under certain terms and conditions or with certain restrictions;
(5) Request that the licensee withdraw the request for an extension; or
(6) Deny a request for an extension of the license. The board may deny an extension of a license for any grounds on which the board may discipline a license. The procedure for appealing a license denial of an extension is set forth in rule 653-9.15 (147,148).
(8) Discipline of a resident license. The board may discipline a license for any of the grounds for which licensure may be revoked or suspended as specified in Iowa Code section 147.55 or 148.6, Iowa Code chapter 272C, and 653-Chapter 23.
(9) Transition from a resident license to a permanent license. When a resident physician receives a permanent Iowa license, the resident physician license shall immediately become inactive.

Notes

Iowa Admin. Code r. 653-10.3
ARC 0216C, IAB 7/25/12, effective 8/29/12; ARC 1187C, IAB 11/27/2013, effective 1/1/2014 Amended by IAB July 14, 2021/Volume XLIV, Number 1, effective 8/18/2021 Adopted by IAB April 16, 2025/Volume XLVII, Number 21, effective 5/21/2025

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