HELP!!!! Hints to filing a successful application – the first

HELP!!!! Hints to filing a successful application – the first timewith The Florida Board of Medicine!

Where is the application? Go here: http://www.doh.state.fl.us/mqa/medical/me applications.html

Roadmap to FL Licensure 1) Preview application online (available in PDF format) and checklist 2) Request ALL transcripts from undergraduate courses ( price depends on school) 3) 65 Federation of State Medical Board to request copy of USMLE score reports be sent directly to FL Board of Medicine board (get a copy for yourself while you are at it)

Roadmap continued 4) Request your medical school send the Medical Degree Verification Form directly to the FL Board of Medicine 5) Licensure Verification Form directly to the FL Board of Medicine and they will send to the Dept of Health 6) Start filling out application form (you can do this online in more than one sitting and save.)

Roadmap continued 7) Request the following from Cynthia Powell a. Letter for Florida Birth Related Neurological Compensation Association (NICA Exemption) b. Letter of good standing from Dr. Black c. Post Graduate Training Letter d. Copy of Medical School Diploma

Roadmap continued 8) Set aside time to do each of the following: a. 87 Electronic fingerprinting (make apt online and go to site) b. 6 Get 2x2 photo (can use CVS or Walgreens or use your own) 9) Other sites to visit and complete paperwork online a. 24 National Practitioner Databank selfquery (must be notarized) b. 35 AMA Profile

Roadmap complete Total License application fee: 705 fees above Having your FL medical license in your hand: Priceless

The Application Most of the answers are selfexplanatory but we will go through some of the more common questions in the next few slides

Question #2 Application Category

Question #2 Licensure by examination: Examination means that you have successfully completed Steps 1, 2 & 3 of the USMLE, all parts of the NBME or FLEX and you do not hold a valid medical license in the United States. Most of you will be by examination Licensure by endorsement: You have passed ALL parts of a national examination (USMLE, NBME or FLEX) You are currently licensed in the U.S. or Canada, have actively practiced pursuant to such licensure for at least 10 years, have passed a state board of LMCC examination and passed the SPEX examination. You have completed the formal requirements of an international medical school except the internship or social service requirement, passed parts I and II of the NBME or ECFMG equivalent examination, and completed an academic year of supervised clinical training. NOTE: In spite of the fact that the above states part I and II of the NBME or ECFMG – YOU MUST pass Step III of the USMLE in order to qualify for consideration of licensure. This is a mandatory requirement for all applicants. NOTE: If you are a Foreign Medical Graduate you must complete 2 years of training in an accredited residency program. Non-accredited fellowships will not satisfy the training requirements needed for this pathway to licensure.

Question #2 If you are currently employed as a resident or advanced subspecialty resident/fellow in a training program you qualify for a reduced fee. Your license will reflect an “in-training” status. Application Fee: 500.00 (non-refundable) Background check fee: 52.00 (nonrefundable) Initial license fee: 205.00 NICA fee: Exempt

Question #3 Name changes or those of you going incognito

Question #3 All name changes must have supporting documentation i.e. A marriage license, copy of new social security card, legal paperwork, etc.

Questions #4-6 Addresses and Phone Numbers

Questions #4-6 Mailing Address Your Home Address This is where they will send you information about your application and in the end your license Primary Practice Address Shands Hospital Address 1600 SW Archer Road Gainesville, FL 32608 Telephone: Home Your number Work 352-265-0111 Cell Your number

Question #12

Question #12 You must detail all of your education This includes One semester One summer course Dual Enrollment If you took a class anywhere!!!!! Even if it is included in another school’s transcripts

Question #12 - Continued

Question #12 - Continued If you answer YES to any of the questions 12a-e you must provide additional documentation (i.e. a separate sheet of paper) Leave of absence during medical school or training must be documented. You need to provide the board with an explanation (separate sheet of paper) as well as a letter from your program or school or have it documented on the Board’s evaluation

Question #13

Question #13 For most of you University of Florida Pediatric Residency Program PO Box 100296 Gainesville, FL 32610 Pediatrics 07/08 Present Yes

Question #13 - Continued

Question #13 - Continued If you answer YES to any of questions 13a-c you must provide additional documentation (i.e. a separate sheet of paper) and have documentation submitted by the training program Question #13C Leave of absence/break is anything that goes beyond your normal annual leave and/or sick leave Maternity leave that was taken as annual leave/sick leave is not considered a break/leave of absence

Question #14 Licensing Examination, for most of you this is USMLE III

Question #15 The date you started residency Hint: 07/01/12

Question #16 You do not need to list your training license Most of you will leave this blank

Question #16 - continued If you answer YES to any of the questions 16ae you must provide additional documentation (i.e. a separate sheet of paper) If you answer yes you may need one of the following: Licensure status directly from the licensing entity or www.veridoc.org International license verification(s) if you have practiced outside of the US for at least 2 of the previous 4 years Documentation directly from the licensing entity supporting your yes answers for items 16a-e

Question #17 EVERYTHING after medical school

Question #17 EVERYTHING you have done since graduating from medical school must be documented in chronological order Graduate from Medical School 5/4/2001 5/5/01 – 6/30/01 – On vacation, relocating 7/1/01 – 5/22/02 – Residency – USF, Tampa, FL 5/23/02 – 9/14/02 – Medical LOA – DOCUMENT 9/15/02 – 6/25/03 – Residency – USF, Tampa, FL 6/26/03 – 7/14/03 – Relocate to San Antonio, TX 7/15/03 – 6/14/04 – Residency – San Antonio, TX 6/15/04 – 9/1/04 – On vacation, driving a cab, taking long walks to nowhere .(You get the idea!) 9/2/04 – 10/31/04 – Relocate to Key West (yes, you like the walks to nowhere especially at sunset so you’ve decided to spend the rest of your life in paradise doing Locum Tenens!) 11/04 – present – Private Practice – Key West, FL (much more profitable this way – you’re still in paradise and have wonderful office hours!) Honestly, even if it was just one month it needs to be listed. Listing the time as vacation/relocation is fine

Question #17c You do not have hospital privileges as a resident – so don’t list that! Most residents will leave this blank

Question #41 Check this box. You have done this as a resident. Ask Cynthia for a letter in support of this.

Question #43

Question #43 The correct answer is: Category II: Financial Responsibility Exemptions 6. I practice medicine exclusively as an officer, employee, or agent of the federal government, the state, or its agencies or subdivisions.

Question #45 You are Exempt. But you still have to fill out the form. You need a letter from the program director for documentation – ask Cynthia for this.

Question #46 What you look like now Not what you wished you looked like, looked like in high school, etc. Don’t forget the picture!!

Medical Degree Verification Only fill out #1-3 Contact your medical school to find out who handles these forms. They will need to complete it and send it DIRECTLY to the

Post-Graduate Training Evaluation This is completed by Dr. Black. Ask Cynthia to help you with this. It will be sent DIRECTLY to the Board of Medicine.

The Checklist and Supplemental Information You can submit Must go DIRECTLY to the Board (i.e. you request and they send – cannot be mailed by you)

Fingerprints Now Electronic Go online to find a Livescan service providers at: http://www.floridahealth.gov/licensingand regulation/background-screening/li vescan-service-providers.html Make appointment online and go in person to have electronic fingerprints taken

Your Smiling Face This is the picture you attached earlier

Fees Yes you have to pay for this You can go to the University Police Department to get this done. But FIRST follow the instructions on the next slide!!!

Fees If you are in a residency or fellowship at the time of certification (approval), you may pay a reduced license fee. As a result, your license will reflect an “in-training” status – this does not matter Reduced Fees: Application fee: 500.00 (non-refundable) Background check fee: 48.00 (non-refundable) Initial license fee: 205.00 NICA fee: Exempt (please read information at www.nica.com ) You need another letter from Dr. Black to verify this – again ask Imogene. Make one cashier’s check or money order for the total amount payable to the Department of Health-Board of Medicine. Mail complete fee with your application

Transcripts Be sure to get all of them!! This could take awhile depending on your school so request these first!

Diploma You might as well make a lot of copies (you are going to need them for other things too).

NPDB-HIPDB You have to request this, then get it signed and notarized (Imogene) before mailing it to the Board. See next slide.

National Practitioners DataBank http://www.npdb-hipdb.com Look for the Practitioners link and then self-query 16.00 fee

Exam Reports This needs to be send DIRECTLY to the Board. You can request it here: www.fsmb.org

Letters of Recommendation This needs to be send DIRECTLY to the Board. You need to ask TWO people to write you a letter of recommendatio n Think Continuity Attending, Hospitalists, Mentor/Advisor

AMA Profile Request it here: www.ama-assn.org/a maprofiles Again there is a fee and it must go DIRECTLY to the Board

Other Things ECFMG Certification – if you are a Foreign Medical Graduate Verification of ECFMG status report sent directly from the ECFMG Your undergraduate degree and 5th pathway certificate, if applicable Verification of NBME I & II exam or ECFMG equivalent score reports sent directly from the NBME or ECFMG, if you completed a 5th pathway program

FINALLY Send everything CERTIFIED MAIL, RETURN RECEIPT REQUESTED It is worth the trouble to go to the post office and the additional postage.