The documents submitted must be legible and no larger than 8
1/2" x 11". All documents and photographs will be retained by the Board as a
permanent part of the application file. If original documents are larger than 8
1/2" x 11", the copies must be reduced to the correct size with all wording and
signatures clearly shown. Official translations are required for documents
issued in a foreign language. The following documents are required:
(1) Application: Completed formal application
provided by the Board. Required dates must include month, day and year. The
application fee is waived for physicians applying for a volunteer emeritus
license.
(2) Birth Certificate: A
copy of birth certificate.
(3)
Medical School Diploma: A copy of a diploma showing graduation from an approved
school of medicine or an international school of medicine. International
medical graduates must have graduated after meeting the attendance requirements
specified in OAR
847-020-0130.
(4) American Specialty Board Certification or
Recertification: A copy of the certification or recertification certificate
issued by the American Specialty Board in the applicant's specialty, if
applicable.
(5) Photograph: A
close-up, color, passport-quality photograph, front view, head and shoulders
(not profile), with features distinct, taken within 90 days preceding the
filing of the application.
(6) The
results of a Practitioner Self-Query from the National Practitioner Data Bank
sent directly to the Board by the applicant.
(7) Legible fingerprints as described in
847-008-0068 for the purpose of
a criminal records background check.
(8) An open-book examination on the Medical
Practice Act (ORS chapter 677) and Oregon Administrative Rules chapter 847. If
an applicant fails the examination three times, the applicant must attend an
informal meeting with a Board member, the Executive Director, a Board
investigator and/or the Medical Director of the Board to discuss the
applicant's failure of the examination before being given a fourth and final
attempt to pass the examination. If the applicant does not pass the examination
on the fourth attempt, the applicant may be denied licensure.
(9) Any other documentation or explanatory
statements as required by the Board.
Notes
Or. Admin. Code
§
847-023-0010
BME 9-2007(Temp), f. &
cert. ef. 2-6-07 thru 8-3-07; BME 16-2007, f. & cert. ef. 7-23-07; BME
7-2010, f. & cert. ef. 4-26-10;
OMB
1-2015, f. & cert. ef.
1/13/2015;
OMB
14-2016, f. & cert. ef.
10/7/2016
Stat. Auth.: ORS
181A.195,
677.265
Stats. Implemented: ORS
181A.195,
677.100,
677.120,
677.265
