RELATES TO: KRS 311.530-311.620,
311.990
NECESSITY, FUNCTION, AND CONFORMITY:
KRS 311.565 empowers the State Board of Medical
Licensure to exercise all the administrative functions of the state in the
prevention of empiricism and in the administrative regulation of the practice
of medicine and osteopathy and authorizes the board to establish requirements
and standards relating thereto. The purpose of this administrative regulation
is to establish standards and guidelines regarding the issuance and renewal of
limited licenses.
Section 1.
Applicability. An applicant for limited license-institutional practice pursuant
to
KRS 311.571(3) or
311.571(4)
shall not be issued a license or permit until the applicant provides written
proof that he or she is officially enrolled in a postgraduate training program
in the Commonwealth approved by the board and submits evidence of having
successfully passed Component 1 of the Federation Licensing Examination (FLEX),
or achieved a passing score on the National Board of Medical Examiners (NBME)
Part I and Part II examinations, or achieved a passing score on the United
States Medical Licensing Examination (USMLE) Step 1 and Step 2, or is employed
as a professor or researcher in medicine by either the University of Kentucky
College of Medicine or the University of Louisville School of
Medicine.
Section 2. Scope of
Practice. A limited license-institutional practice issued to a physician in an
approved postgraduate training program shall enable the holder to practice as a
physician within the parameters of the training program. A limited
license-institutional practice issued to a physician who is employed by one of
the Commonwealth's medical schools shall enable the holder to practice as a
physician to the extent necessary to perform his responsibilities of
employment. The executive director may suspend any such limited
license-institutional practice upon evidence that the holder has practiced
outside the scope of his licensure. All limited license-institutional practice
shall be renewable annually and shall be issued on a medical school academic
year, July 1 through June 30. This administrative regulation shall not apply to
those physicians in an approved postgraduate training program, who, on the
effective date of this administrative regulation, maintain a regular license to
practice medicine in the Commonwealth of Kentucky.
Section 3. Applicability and Scope of Limited
Licenses Held Prior to September 1, 1972.
(1)
All persons who as of the effective date of this administrative regulation hold
a valid and current limited license-institutional practice issued to them prior
to September 1, 1972, may continue to hold their licenses if annually renewed.
The holder may only practice within the confines of the institution for which
his limited license is designated.
(2) All persons who as of the effective date
of this administrative regulation hold a valid and current limited
license-general practice issued to them prior to September 1, 1972, may
continue to hold their licenses if annually renewed. The holder may only
practice within the confines of the geographical area for which his limited
license is designated.
(3) Any
limited license held prior to September 1, 1972, which is not timely renewed
each year by the holder shall lapse and become void and the limited license
shall not be reissued under any circumstance. Practice outside the scope of the
limited license shall result in the temporary suspension of the license and
possible discipline. The board shall not issue any new limited licenses like
those described in this section and a limited license-institutional practice
shall not be converted to a limited license-general practice.
Section 4. Extent of Practice
Allowed Under Limited License. A physician holding a limited license possesses
all the powers of a physician allowed by the laws of the Commonwealth, to
practice within the limited scope of his licensure; provided, however, that the
holder of a limited license-general practice shall not perform surgery unless
expressly authorized by the board.
Section
5. Form of License. All limited licensees shall be issued a
certificate which shall state on its face whether it is a limited
license-institutional practice (KRS 311.571(3) or
311.571(4)),
a limited license-institutional practice (KRS 311.565(15)) or a limited
license-general practice (KRS 311.555(15)). The
certificate shall also indicate the institution or geographical area to which
the holder's practice is limited and any limitations on the holder's scope of
practice.
Section 6. Temporary
Permit. Upon satisfactory completion of all forms and the submission of all
necessary information in connection with an application for limited
licensure-institutional practice, the executive director shall issue a
temporary permit to the applicant if the executive director believes that the
application satisfies all the requirements for limited licensure-institutional
practice and is otherwise fit to practice. The temporary permit shall remain in
effect until the holder is issued a limited license-institutional practice by
the board or until cancelled, but the temporary permit shall not be effective
longer than sixty (60) days from the date of issuance. Denial of an application
for limited licensure-institutional practice by the board shall cause the
cancellation of a temporary permit if held by the applicant. The temporary
permit shall not be renewed or reissued.