Chapter 360-10 INSTITUTIONAL LICENSES
| (1) |
Definitions:
| (a) |
"Applicant" means a physician who is
invited to treat patients at a hospital licensed by the Department of Community
Health or to serve as a clinical faculty member of a board approved medical
school or teaching hospital within this State. |
| (b) |
"Institution" means a hospital licensed
by the Department of Community Health, a board approved medical school, or a
teaching hospital within this State. |
|
| (2) |
The Georgia Composite Medical Board may
issue institutional licenses in its discretion under exceptional circumstances
to graduates of international medical schools who an institution wishes to
employ but who do not have an independent license to practice medicine in the
State of Georgia. The license is jointly awarded to the applicant and the
institution and the practice is limited as provided in Rule
360-10-.07. |
| (3) |
If the institution is a hospital licensed
by the Department of Community Health but is not a teaching hospital, to
qualify for Exceptional Circumstances consideration the institution must be in
a medically underserved area with deficient physician staff to service the
health care needs of the population. The applicant must be a graduate of an
international medical school, and the applicant must be unable to qualify for
licensure under the provisions of O.C.G.A. Section
43-34-26.
The institution must also demonstrate failed attempts over not less than a
six-month period to recruit licensed physicians to satisfy the deficiency. The
institution and the applicant must submit evidence acceptable to the Board to
demonstrate exceptional circumstances. Such evidence should include, but not be
limited to:
| (a) |
Applicant is from a war-torn
country; and |
| (b) |
Applicant has
applied for political asylum in the United States. |
|
| (4) |
If the institution is a board-approved
medical school or teaching hospital within this state, to qualify for
Exceptional Circumstances consideration, the institution and the applicant must
submit evidence acceptable to the Board to demonstrate exceptional
circumstances. Such evidence shall include but not be limited to:
| (a) |
Applicant has exceptional or unusual
expertise not otherwise available to the institution; |
| (b) |
The institution can demonstrate failed
attempts to recruit licensed physicians to satisfy the deficiency; |
| (c) |
Applicant is a graduate of an
international medical school; and |
| (d) |
Applicant cannot qualify for licensure
under the provisions of O.C.G.A. Section
43-34-26. |
|
| (1) |
The application
form shall be completed according to the instructions provided in the
application. |
| (2) |
Applications must
be complete, including all required documentation, signatures and seals.
Application files are not considered completed until all required information,
documentation and fees have been received by the Board. |
| (3) |
No application will be considered by the
Board until the application is complete. |
| (4) |
Applicants shall inform the Board in
writing within 10 days of a change of address while an application is
pending. |
| (5) |
Application fees are
nonrefundable. |
| (6) |
Deposit of an
application fee by the Board does not indicate acceptance of the application or
that any other licensing requirements have been fulfilled. |
| (7) |
Incomplete applications that have been on
file with the Board for more than one year shall be deemed invalid. No further
action will take place on applications that have been incomplete for more than
a year until a new application is received in accordance with the provisions of
this chapter with the appropriate application fee. |
| (1) |
The standards for receiving such a
license may be different from those for receiving an unrestricted license to
practice medicine in this state. In granting these institutional licenses the
Board shall consider the following qualifications:
| (a) |
Education: Any international medical
school graduate applying for an institutional license shall possess basic
qualifications and background as any other physician applying for a license in
the state. This shall include good moral character, and any other basic
background qualifications required by O.C.G.A. 43-34.
| 1. |
All other foreign medical schools must
have a program of education in the science and art of medicine leading to a
medical doctor degree or the medical doctor equivalent that requires a minimum
of two (2) years of pre-medical training which includes at least 130 weeks of
instruction. Applicants must have official transcripts that include at least
130 weeks of instruction. |
| 2. |
Applicants must have official transcripts of all medical and premedical
education mailed directly to the Board from the school where such education was
taken. If the transcripts are in a foreign language, applicants must furnish a
certified English translation. Transcripts must include the dates the applicant
attended the school and the grades received in all courses taken to fulfill the
requirements of the degree granted. In the Board's discretion, the transcript
requirement may be waived and the results of the Federation of State Medical
Boards (FSMB) verification service may be accepted if the applicant adequately
demonstrates that all diligent efforts have been made to secure transcripts
from the school. |
|
|
| (2) |
English language proficiency: Any
applicant the institution considers for employment must demonstrate
satisfactory competence in the English language by such reasonable means as the
Board may prescribe. |
| (3) |
Experience: In determining competence the Board may consider the following
criteria as may be necessary to determine if the applicant is in fact a
competent physician: Professional attainments indicative of competence, such as
specialty board certification; Licensure in foreign jurisdiction or in another
State; and Reference letters from duly licensed physicians who have direct and
first hand knowledge of the applicant's ability;
. |
| (4) |
Training: Proof of AMA or AOA approved post graduate residency training or such
other training as approved by the Board. |
| (5) |
Examination: Successful completion of
physician licensure examination or such examination as the Board may deem
necessary. In the event that the Board determines the examination of an
applicant to be necessary to determine competence, such examination may be of
any type as listed, or any combination thereof:
|
| (6) |
The institution should submit information
concerning the supervisory oversight of the institutional physician applicant
such as the name of the supervisor, the type of supervision being provided, and
the place of supervision. |
| (7) |
Board
may require the physician applicant and a representative of the institution to
appear for a personal interview before the Board or the committee. |
| (8) |
Nothing in this rule shall be construed
to prevent the Board from denying or conditionally granting an application for
licensure. |
| (1) |
Each licensee
shall notify the Board within thirty (30) days, in writing, of all changes of
address. Any mailing or notice from the Board shall be considered to be served
on the licensee when sent to the licensee's last address on file with the
Board. |
| (2) |
All active licenses must
be renewed every two years. This may be done via the internet or through mail.
A medical licensee may not practice medicine after the expiration date of the
license. Institutional licenses expire biennially on June 30th and the licensee
must establish satisfaction of Board-approved continuing education requirements
to be eligible for renewal. |
| (3) |
To
be eligible for renewal, the license holder must furnish certification that he
or she continues to be an employee of the Institution where he or she is
employed as indicated on the renewal form, complete Board approved continuing
education of not less than 40 hours of Category I AMA approved credits annually
and submit the appropriate fee. |
| (4) |
Licensees have the right to obtain a late renewal of their licenses during the
three (3) month period immediately following the expiration date. During this
period, the penalty fee for late renewal applies. |
| (5) |
The Board shall administratively revoke
any license not renewed prior to the expiration of the late renewal period.
Such revocation removes all rights and privileges to practice medicine and
surgery in this State. A licensee who is so revoked must re-apply for licensure
to be considered for reinstatement. Revocation for failure to renew may be
reported to the public and to other state licensing boards, and will be
reported as a revocation for failure to renew. Revocation for failure to renew
is not considered a disciplinary revocation. However, the license may only be
reinstated through application. |
| (6) |
The fee for renewals and late renewals shall be designated in the fee schedule.
Deposit of the renewal fee by the Board does not indicate acceptance of the
renewal application or that any permit requirements have been
fulfilled. |
| (1) |
An institutional license shall be
considered void and shall terminate whenever the holder ceases to be employed
by the institution. |
| (2) |
The Board
has to refuse to renew or to suspend or revoke an institutional license based
on any of the grounds enumerated in O.C.G.A. Section
43-34-8. |
| (3) |
Should any institutionally licensed
physician wish to surrender the license, he/she shall notify the Georgia
Composite Medical Board of this intention in writing by certified mail or by
hand delivery and shall immediately return his/her license to the Board. Should
a disciplinary proceeding by the Board be pending at the time of such
surrender, such surrender shall have the same effect as a revocation of a
license and be reportable as a disciplinary action. |
The Institution must report to the Board the following within
15 days of the event:
| (a) |
the
institutional license holder's withdrawal or termination and the reasons for
such termination or withdrawal; |
| (b) |
the occurrence of any of the events identified as grounds for disciplinary
action or as violations enumerated in O.C.G.A. § 43-34-8
or a practice restriction taken against license holder. |
| (1) |
Definitions:
| (a) |
"Applicant" means a physician who is
invited to treat patients at a hospital licensed by the Department of Community
Health or to serve as a clinical faculty member of a board approved medical
school or teaching hospital within this State. |
| (b) |
"Institution" means a hospital licensed
by the Department of Community Health, a board approved medical school, or a
teaching hospital within this State. |
| (c) |
"Supervisor" means a physician who has an
unrestricted license to practice medicine in this state and whose medical
specialty is the same as that of the applicant physician. |
| (d) |
"Supervisory Oversight" means the onsite
direction of the supervisor with immediate physical availability. |
|
| (2) |
In the event in institutional
license is granted to an applicant, it shall be restricted in scope and shall
authorize the applicant to practice medicine under the supervision of a Georgia
licensed physician and practice within the scope of the supervisor's practice,
except for documented emergency situations in which no other fully licensed
physician is available. The physician licensee must remain an employee of the
institution and be paid on a salary basis. |
| (3) |
Applicant is not eligible for a DEA
permit and must use the institutional DEA. |
| (4) |
A supervisor may only supervise one
institutionally licensed physician at a time, but an institutionally licensed
physician may have more than one approved supervisor. |
| (5) |
An institutionally licensed physician may
not practice in a remote site where the supervising physician is not on
site. |
| (6) |
All institutions holding
an institutional license shall post in a prominent place that institutionally
licensed physicians practice in this facility. These physicians must wear a
name tag as follows:
Name of physician
Degree
Institutional Licensee
|
| (7) |
All charges for services rendered by the
institutionally licensed physician must be by and through the institution named
in the application on file with the Board. |
| (8) |
A person issued an institutional license
shall not engage in the private practice of medicine. |
| (9) |
Any other provisions of the Medical
Practice Act (O.C.G.A. 43-34) not inconsistent with the intent and purpose of
the institutional license statute shall be fully applicable to all
institutionally licensed physicians. |
