(1) An application
for an academic license will be considered only after an individual has
completed all the requirements for full and unrestricted licensure except
postgraduate education and the examination requirements of paragraphs (2) and
(3) of rule 1155-02-.08.
academic license authorizes the licensee to engage in the practice of podiatric
medicine and surgery as part of a postgraduate educational program.
(3) A completed application must be approved
by the Board or Board designee prior to the issuance of an academic
To obtain an academic
license a person must comply with the following procedures and requirements:
(a) An application packet shall be requested
from the Board's administrative office.
(b) An applicant shall respond truthfully and
completely to every question or request for information contained in the
application form and submit it along with all fees required by the form and
these rules to the Board's administrative office.
(c) Applications will be accepted throughout
(d) An applicant shall
submit with his application a signed passport type photograph taken within the
preceding 12 months. (The photo is to be signed by the applicant.)
(e) It is the applicant's responsibility to
request a transcript pursuant to T.C.A. §
63-3-110 which must be submitted
directly from the school to the Board's administrative office. The podiatric
institution granting the degree of Doctor of Podiatric Medicine must have been
accredited at the time the degree was granted. The transcript must show that
the degree has been conferred. The educational requirements contained in these
rules must be completed prior to the date of application for
(f) An applicant shall
submit evidence of good moral character. Such evidence shall be three recent
(within the preceding 12 months) original letters, two of which must be from
licensed podiatrists, medical doctors or osteopathic physicians, attesting to
the applicant's personal character and professional ethics on the signator's
(g) An applicant shall
submit proof of being eighteen (18) years of age or older. Acceptable proof is
a notarized copy of the applicant's birth certificate, driver's license, or
voters registration card.
applicant shall submit verification of enrollment in an approved minimum one
(1) year residency program on a form provided by the Board that must be
completed and returned to the Board's administrative office.
(i) Official verification that the residency
program is approved by the Council on Podiatric Medical Education of the APMA,
submitted by the APMA directly to the Board's administrative office on a form
provided by the Board; or, official verification that the preceptorship program
is approved by an accredited College of Podiatric Medicine, sent directly by
the school to the Board's administrative office on a form provided by the
(j) An applicant shall
request that his/her scores from Parts I and II of the National Board of
Podiatric Medical Examiners (NBPME) examinations be sent directly to the
Board's administrative office from the testing agency.
An applicant shall disclose the
circumstances surrounding any of the following:
1. Conviction of any criminal law violation
of any country, state or municipality, except minor traffic
2. The denial of
licensure application by any other state or the discipline of licensure in any
3. Loss or restriction of
4. Any civil suit
judgment or civil suit settlement in which the applicant was a party defendant
including, without limitation, actions involving malpractice, breach of
contract, antitrust activity or any other civil action remedy recognized under
the country's or state's statutory common, or case law.
(l) An applicant shall cause to be submitted
to the Board's administrative office directly from the vendor identified in the
Board's licensure application materials, the result of a criminal background
(m) If an applicant holds or
has ever held a license to practice as a podiatrist in any other state, the
applicant shall cause to be submitted the equivalent of a Tennessee Certificate
of Endorsement (verification of license) from each such licensing board which
indicates that the applicant holds or held an active license and whether it is
in good standing presently or was at the time it became inactive.
(n) When necessary, all required documents
shall be translated into English, and such translation and original document
shall be certified as to authenticity by the issuing source. Both versions must
(o) Personal resumes
are not acceptable and will not be reviewed.
(p) Application review and licensure
decisions shall be governed by rule 1155-02-.07.
(5) If an academic license holder terminates
or is discharged from a residency program, the academic license shall become
null and void.
(6) An academic
license holder who enters a different residency program shall reapply for a new
academic license by submitting a new application, fee and all supporting
(7) The disciplinary
provisions for Podiatry license shall also apply to the holder of an academic
(8) An academic license
holder may be approved for a permanent license when he/she successfully
completes the post-graduate educational program and the examination
requirements of paragraphs (2) and (3) of rule 1155-02-.08.