h***y
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ronniewhite (Dell500m) 于 (Sat May 28 22:26:06 2011, 美东) 提到:
我最近遇到一件关于行医执照的比较特殊的事情，就发生在我身边，想向版内高手请教
一下，看看能否对我自己有借鉴。
一个欧洲人，从06年开始在美国做Clinical Research Fellow，现在Texas。他的住院
医生和专科培训都是在意大利做的，从来没有参加过USMLE考试或者任何美国的临床
Fellowship Program。现在的老板是业内牛人大佬，力挺他，把他当做心腹，从08年起
就开始让他跟着上台做手术，至于他是否有、或者有什么类型的Texas执照，我们都不
知道；而且我观察到我们科室的其他医生也不让他跟着上台，当有Joint Committee到
医院检查的时候也让他回避。
因为这多年做Research Fellow，文章倒是不少，加上老板处处力捧，才30几岁CV已经
很漂亮了，在圈子里面也有些人脉。前几天听说，老板推荐他到纽约州纽约市的一个医
学院（不是很大的），面试了2次后说给他一个Offer：副教授，另外给他申请一个州内
的Limited License。后者据说是纽约州的这个大学出面Support、通过律师申办。拿到
这个License他就可以在州内独立行医、自己看病人做手术了。
据我的知识，外国人在美国拿Practice License是必须要考USMLE的；有些非常特殊的
途径可以在考过USMLE后Bypass Residence，直接做Fellow，然后工作若干年拿到
Academic Title 后可以再考变成Board Certified。 像这种连USMLE都不考的特殊途径
我还是第一次听说，不知道有没有高人能指点一下？是不是不同州有不同的法律条款，
这种情况在哪些州是被允许的？
谢谢！
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lzumc2008 (麦地乖乖虎) 于 (Sun May 29 07:17:57 2011, 美东) 提到:
这种情况当然有啊。不要考试，直接在被雇佣的大学医院工作，是一种非常limited的
practice.要看关系和实力。
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choi (choi) 于 (Sun May 29 12:29:30 2011, 美东) 提到:
Look, you are in US, which is transparent. It is called American way. Learn
to appreciate system, by which even French are shaken in the arrest, perp
walk and prosecution of Dominique Strauss-Kahn.
In contrast to China where everything is state secret which the government
guards jealously, information is everywher in this country, which more often
than not is online.
Yellow Page advertises, "Let your fingers do the walking."
Top 10 Slogans of the Century; The advertising Century. Advertising Age,
undated.
http://adage.com/century/slogans.html
(1) Every jurisdiction (state and territory) of United States welcomes
inquiry of its licensee (such as when and where the individual is admitted
to practice, discipline record, sometimes lawsuits against the individual
and so on). The dossier of a licensee in the licensing agency contains much
more information than that found online.
Texas Medical Board
http://www.tmb.state.tx.us/
In the left column of the home page, the first item is "look up a licensee."
(2) You state he 从来没有参加过USMLE考试 and thus implies
United States Medical Licensing Examination
http://www.usmle.org/
Is the only road that leads to Rome. You are simply wrong. There is at least
anotehr licensing examination, Foreign Medical Graduates Examination in the
Medical Sciences (FMGEMS).
Compare
(a) Cuban Medical Professional Parole Program. US Department of State, Jan
26, 2009.
http://www.state.gov/p/wha/rls/fs/2009/115414.htm
(b) Laura Wides-Munoz, Cuban Doctors Struggle to Prove Credentials in US.
Associated Press, Mar 24, 2011.
http://news.yahoo.com/s/ap/20110326/ap_on_re_us/us_cuban_doctor
("Even when paperwork is readily available, the American accreditation
system for foreign doctors is difficult. They must pass three lengthy exams
in English, which often cost thousands of dollars. But without academic
transcripts, they cannot prove they studied medicine. * * * Educational
Commission [for Foreign Medical Graduates (ECFMG), which administers FMGEMS]
Vice President Bill Kelly said physicians can submit affidavits from other
doctors who attended medical school with them or request a waiver from the
commission's executive board.
(3) License Requirements: Three-year Limited Medical License and Extension.
Office of the Professionals, New York State Educationa Department, undated.
http://www.op.nysed.gov/prof/med/med3yr.htm
The last paragraph of Introduction, with a link, states, "The specific
requirements for licensure are contained in Title 8, Article 131, Section
6524 of New York State Education Law and Part 60 of the Commissioner's
Regulations."
In the new web page titled "Education Law[:] Article 131, Medicine[;]
Effective June 18, 2010":
(a) "§6525. Limited permits."
Even if the individual you mention is not qualified for 1 (2); he is
nonetheless saved by 1 (3).*
* Sub-section 1 provides:
"1.Eligibility: The following persons shall be eligible for a limited permit
(1) A person who fulfills all requirements for a license as a physician
except those relating to the examination and citizenship or permanent
residence in the United States;
(2) A foreign physician who holds a standard certificate from the
educational council for foreign medical graduates or who has passed an
examination satisfactory to the state board for medicine and in accordance
with the commissioner's regulations; or
(3) A foreign physician or a foreign intern who is in this country on a non-
immigration visa for the continuation of medical study, pursuant to the
exchange student program of the United States department of state."
Standard ECFMG Certificate in ECFMG Certification
http://www.ecfmg.org/2011ib/ibcert.html#standardcertificate
("The Standard ECFMG Certificate includes:
•The name of the applicant;
•The applicant’s USMLE/ECFMG Identification Number;
•The dates that the examination requirements were met; and
•The date that the certificate was issued.")
(b) "§6526. Exempt persons. The following persons under the following
limitations may practice medicine within the state without a license: * * *"
(4) Despite your insinuation, the unwavering backing of his boss has nothing
to do with New York state's grantng of limited license--or no license at
all (as alloowed by §6526). |
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