Getting that First Job Out of Residency or Fellowship

Residency and fellowship are tough, and often trainee’s are told you’ll learn about the business and administrative aspects of medicine when you’re an attending. However, what do you do when you don’t know where to start to be eligible to start the job you’ve signed a contract for?

Our goal is to provide a starting point and help inform you of aspects of the process you may not know.
Below we will outline the various key steps that need to be completed prior to being able to start on day 1.
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Gather Primary Documents for Verification

Apply for State Medical License(s)

Register for Federal State Medical Board (FSMB)

 Register for Primary Specialty Board Certification

Apply for Hospital Credentials

Primary Documents for Verification

S SoSomInGeneral Documents:

  • Completed Application: Each state has its own application form, often available online or by request.
  • Proof of Identity: Valid government-issued photo ID and Social Security card (or number).
  • Educational Verification: Transcripts and diplomas from accredited medical school.
    • Primary Verification required
    • Transcripts and Diplomas: Directly from medical school and residency program registrars’ offices.
    • Verification of Education (VOE) service: A service like Federation Credential Verification Service (FCVS) can streamline this process by obtaining official transcripts directly from institutions.
  • Post-Graduate Training Verification (if applicable): Documentation of residency or fellowship completion from accredited programs.
  • USMLE (or COMLEX) Scores: Official score reports for all steps of the United States Medical Licensing Examination (USMLE) or the Comprehensive Osteopathic Medical Licensing Examination (COMLEX).
  • Professional References: Letters from program directors, attending physicians, or colleagues attesting to your qualifications.
  • FBI Fingerprint Background Check: Obtained through approved channels specified by the board.
  • Examination Fees: Payment for application processing and licensing exams.

State-Specific Requirements:

  • Medical History Disclosure: May be required to disclose past medical conditions or disciplinary actions.
  • Proof of Malpractice Insurance: Required before practicing medicine in most states.
  • DEA Registration (if applicable): For prescribing controlled substances.
  • Additional Licenses: Some states require specific licenses for certain procedures or specialties.
  • Jurisprudence Exam: Some states require passing an exam on state medical laws and ethics.

Important Points:

  • Primary Source Verification: Many states require documentation directly from the issuing bodies (schools, exam boards, etc.). Consider using services like FCVS to streamline this process.
  • Time Frames: Applications can take months to process. Start early and check deadlines. Third party websites list time frames to help estimate wait time.
  • Fees: Vary by state, so review their website for details.
  • State-Specific Variations: Always consult your specific state medical board for comprehensive and up-to-date requirements.

Here are some helpful resources:

  • Federation of State Medical Boards (FSMB): https://www.fsmb.org/
  • State Medical Board Websites: Find your state’s medical board website through the FSMB directory.
  • Interstate Medical License Compact (IMLC): Some states participate in a streamlined service to help physicians get licensed more efficiently.

Applying for State Medical Licenses

5Introduction: Securing a state medical license requires meticulous preparation, including the gathering of essential documents. This guide outlines the most commonly needed documents to streamline the application process and help you navigate the complexities of obtaining your state medical license.

1. Medical School Transcripts:

  • Official transcripts from your medical school are a fundamental requirement.
  • Ensure transcripts include course details, grades, and the degree conferred.

2. Licensing Examination Results:

  • Submit official results of licensing exams such as the United States Medical Licensing Examination (USMLE) or Comprehensive Osteopathic Medical Licensing Examination (COMLEX-USA).
  • Ensure that your scores meet the specific requirements of the state.

3. Proof of Postgraduate Training:

  • Provide documentation of your postgraduate training, including internship and residency.
  • Specify the duration, type of training, and the institutions involved.

4. Personal Identification Documents:

  • Include copies of government-issued identification, such as your driver’s license or passport.
  • Verify the state’s specific requirements regarding acceptable forms of identification.

5. Curriculum Vitae (CV) or Resume:

  • Present a detailed CV outlining your educational background, professional experience, and any research or publications.
  • Tailor your CV to highlight relevant accomplishments and qualifications.

6. ECFMG Certification (if applicable):

  • If you are an international medical graduate, include documentation of Educational Commission for Foreign Medical Graduates (ECFMG) certification.
  • Verify if your state requires additional documentation for international medical graduates.

7. State-Specific Application Forms:

  • Download and complete the state-specific application forms from the respective medical board’s website.
  • Provide accurate and comprehensive information, ensuring all fields are appropriately filled.

8. Malpractice Insurance Information:

  • Some states may require proof of malpractice insurance coverage.
  • Include details of your malpractice insurance, including policy limits and effective dates.

9. Criminal Background Check:

  • Be prepared for a criminal background check.
  • Provide any necessary documentation and be transparent about any past convictions, adhering to state disclosure requirements.

10. Application Fees:

  • Include payment for application fees, as required by the state. Amounts vary depending on the state.
  • Confirm acceptable forms of payment and adhere to deadlines to avoid delays.

11. Verification of Training:

  • Some states may require additional verification of your training from the institutions where you completed your medical education and postgraduate training.
  • Coordinate with your training institutions to ensure timely submission of verification documents.
Federal State Medical Board (FSMB)

Introduction: Securing a state medical license involves collaboration between state medical boards, the federal government, and innovative initiatives like the Interstate Medical Licensing Compact. This guide explores the role of federal state medical boards, introduces the Uniform Application, and delves into the connection with the Interstate Medical Licensing Compact.

1. Role of Federal State Medical Boards:

  • Federal state medical boards play a crucial role in regulating the practice of medicine within individual states.
  • They establish and enforce licensing requirements, ensuring that physicians meet specific standards for education, training, and competency.

2. The Uniform Application:

  • The Uniform Application is a standardized application service provided by the Federation of State Medical Boards (FSMB).
  • Designed to streamline the licensing process, the Uniform Application allows physicians to submit a single application to multiple states, eliminating redundancy.

3. Key Features of the Uniform Application:

  • Efficiency: Reduce paperwork and save time by completing one application for multiple states.
  • Consistency: Standardized format ensures uniformity across state applications.
  • Ease of Use: User-friendly interface simplifies the application process.
  • Centralized Processing: Applications are processed centrally by the FSMB, facilitating communication between states.

4. Applying with the Uniform Application:

  • Visit the FSMB website (https://www.fsmb.org/uniform-application/) to create an account and access the Uniform Application.
  • Complete the application, providing accurate information about your education, training, and licensure history.
  • Submit the application electronically, and monitor its progress through the online portal.

5. Interstate Medical Licensing Compact (IMLC):

  • The IMLC is a groundbreaking initiative aimed at simplifying the licensure process for physicians seeking to practice in multiple states.
  • Physicians eligible for the IMLC can apply for expedited licensure in participating states through a streamlined process.
  • Click here to review a map of participating states.

6. Connection Between the Uniform Application and IMLC:

  • Synchronization: The Uniform Application aligns with the goals of the IMLC by providing a standardized and efficient way for physicians to apply for licenses in multiple states.
  • Facilitation: Physicians using the Uniform Application may find it easier to navigate the IMLC process, as the application already adheres to standardized requirements.

7. Benefits of the IMLC:

  • Portability: Physicians can enjoy increased portability of their licenses across participating states.
  • Flexibility: The IMLC enhances flexibility for physicians seeking opportunities in multiple states without undergoing a lengthy and complex application process for each.

Conclusion: Understanding the role of federal state medical boards, utilizing the Uniform Application, and exploring the benefits of the Interstate Medical Licensing Compact can significantly simplify the licensure process for physicians. By leveraging these resources, physicians can navigate the complexities of state medical licensing more efficiently, opening doors to diverse practice opportunities across state lines. For more detailed information, visit the FSMB website and explore the Interstate Medical Licensing Compact at [Your Business Website URL].

Primary Specialty Board Certification

Introduction: In the dynamic landscape of medical specialties, physicians often have the opportunity to pursue board certification through both allopathic (MD) and osteopathic (DO) pathways. This duality allows practitioners to choose the certification process aligned with their educational background while promoting inclusivity within the medical community. One such example is the field of Physical Medicine and Rehabilitation (PM&R).

1. Allopathic and Osteopathic Board Certification:

  • Allopathic physicians, who hold an MD degree, typically pursue board certification through sponsoring organizations such as the American Board of Medical Specialties (ABMS).
  • Osteopathic physicians, with a DO degree, have their own certifying bodies, such as the American Osteopathic Association (AOA) and the American Osteopathic Board of Medical Specialties (AOBMS).

2. PM&R Certification Options:

  • In the field of PM&R, both allopathic and osteopathic physicians have distinct pathways for board certification.
  • Allopathic physicians can seek certification through the American Board of Physical Medicine and Rehabilitation (ABPMR).
  • Osteopathic physicians have the option to pursue certification through the American Osteopathic Board of Physical Medicine and Rehabilitation (AOBPMR).

3. Eligibility and Requirements:

  • Physicians should review the specific eligibility criteria and requirements outlined by each board to determine their eligibility for certification.
  • Both certifying bodies generally require completion of accredited residency training and successful completion of certification exams.

4. Board Certification Exams:

  • Allopathic physicians pursuing PM&R certification typically take the ABPMR board exams.
  • Osteopathic physicians, on the other hand, would follow the examination process outlined by the AOBPMR.

5. Benefits of Dual Certification:

  • Dual certification promotes collaboration and understanding between allopathic and osteopathic physicians within the same specialty.
  • It provides flexibility for physicians to align with the certification process most closely associated with their educational background.

6. Streamlined Pathways:

  • In certain specialties, efforts are made to streamline the board certification process, recognizing the equivalence of training and expertise between allopathic and osteopathic physicians.

7. Staying Informed:

  • Physicians considering board certification should stay informed about any updates or changes to the certification process for their respective specialties.
  • Regularly check the official websites of certifying bodies, such as the ABPMR and AOBPMR, for the latest information.

Conclusion: Embracing dual certification options in medical specialties, like PM&R, reflects the inclusive nature of modern healthcare. Allopathic and osteopathic physicians can choose pathways that align with their educational backgrounds, fostering collaboration and unity within the diverse field of medicine. Whether pursuing board certification through the ABPMR or the AOBPMR, physicians contribute to the rich tapestry of expertise that defines their chosen specialty.

Hospital Credentialing

Introduction: Obtaining hospital and insurance company credentials is a crucial step for physicians, ensuring they can practice within healthcare institutions and participate in insurance networks. This guide outlines the general process physicians must undergo to secure these credentials, providing a roadmap for successful navigation.

1. Understanding Credentialing:

  • Credentialing is the process through which healthcare providers are evaluated to ensure they meet specific standards of education, training, and professional competence.
  • Both hospitals and insurance companies conduct their credentialing processes to verify a physician’s qualifications.

2. Hospital Credentialing Process:

  • Contact the hospital’s medical staff office or credentialing department to obtain information about their specific requirements and application process.
  • Submit a comprehensive application, including details about education, training, licensure, and professional experience.
  • Provide letters of recommendation and any necessary documentation, such as malpractice insurance information.
  • Undergo a background check and, if required, an interview with the hospital’s credentialing committee.

3. Insurance Company Credentialing Process:

  • Initiate the credentialing process by contacting the insurance companies with which you intend to participate.
  • Complete the credentialing application, providing accurate and up-to-date information about your qualifications, licensure, and practice.
  • Submit supporting documents, including medical school transcripts, licensing information, and malpractice insurance details.
  • Be prepared for a thorough review of your credentials, including verification of training, board certification, and professional references.

4. Common Required Documents:

  • Curriculum Vitae (CV): A detailed CV outlining your education, training, and professional experience.
  • Letters of Recommendation: Typically from colleagues, supervisors, or mentors who can vouch for your competence and professionalism.
  • License Verification: Submit proof of your medical license and any additional state licenses where you plan to practice.
  • Malpractice Insurance: Provide details of your malpractice insurance coverage, including policy limits and effective dates.
  • Transcripts and Certifications: Submit medical school transcripts, board certifications, and any other relevant certifications.

5. Timely Response and Follow-Up:

  • Respond promptly to any requests for additional information during the credentialing process.
  • Follow up regularly with the hospital or insurance company to ensure the process is progressing smoothly.

6. Periodic Re-Credentialing:

  • Hospitals and insurance companies typically conduct periodic re-credentialing to ensure physicians maintain their qualifications.
  • Stay organized and be proactive in submitting required updates and documentation.

7. Staying Informed:

  • Stay informed about any changes in the credentialing requirements or processes by regularly checking the websites of hospitals and insurance companies.
  • Attend any required orientations or training sessions as part of the credentialing process.

Conclusion: Navigating the credentialing process for hospitals and insurance companies requires attention to detail, organization, and timely communication. By understanding the general steps outlined in this guide and adhering to specific requirements from each institution, physicians can successfully obtain and maintain their credentials, enabling them to provide quality care within hospital settings and participate in insurance networks.