4731-6-14 Eligibility for licensure by examination.

(A) The board shall issue its certificate to each individual who passes the medical and osteopathic examination as provided in rules 4731-6-03 , 4731-6-05 and 4731-6-07 of the Administrative Code; who has completed the graduate medical education required by sections 4731.091 , 4731.092 and 4731.14 of the Revised Code; who demonstrates proficiency in spoken English as required by section 4731.142 of the Revised Code; and who has paid the certificate issuance fee required by section 4731.14 of the Revised Code.

(B) If the applicant passed the USMLE step 3 administered by the USMLE program or the COMLEX-USA level 3 administered by the COMLEX-USA program for Ohio, the board shall deny issuance of a certificate if it finds that the applicant does not meet the requirements of section 4731.08 , 4731.09 or 4731.091 of the Revised Code or the applicable provisions of this chapter of the Administrative Code.

(C) An applicant for a certificate to practice medicine or surgery, or osteopathic medicine and surgery who has not previously held a license from another state is eligible for consideration under section 4731.14 of the Revised Code without board examination in Ohio if the applicant otherwise meets the eligibility requirements as set forth in sections 4731.09 , 4731.091 , 4731.14 and 4731.142 of the Revised Code for licensure by board examination in Ohio and has passed one of the following examinations:

(1) One of the following examination sequences, with all steps, parts, levels or components having been administered prior to January 2000. The score achieved on each step, part, level or component must have equaled or exceeded the figure established by the USMLE program, the national board of medical examiners, the national board of osteopathic medical examiners or the federation as a passing score for that step, part, level or component, respectively.

(a) Part I of the national board of medical examiners examination or step 1 of the USMLE, part II of the national board of medical examiners examination or step 2 of the USMLE, and part III of the national board of medical examiners examination or step 3 of the USMLE or component 2 of the FLEX; or

(b) Part I of the national board of osteopathic medical examiners examination or level 1 of the COMLEX-USA, part II of the national board of osteopathic medical examiners examination or level 2 of the COMLEX-USA, and part III of the national board of osteopathic medical examiners examination or level 3 of the COMLEX-USA.

(2) Component 1 of the FLEX and step 3 of the USMLE. The component and step must have been administered prior to January 2000. A performance of seventy-five or above must have been achieved on component 1. The performance achieved on step 3 must have been recognized by the USMLE program as a recommended passing performance; or

(3) USMLE steps 1, 2 clinical knowledge, 2 clinical skills and 3 or COMLEX-USA levels 1, 2 cognitive evaluation, 2 performance evaluation and 3.

(a) An applicant shall have passed the USMLE steps 1, 2 clinical knowledge, 2 clinical skills and 3 or COMLEX-USA levels 1, 2 cognitive evaluation, 2 performance evaluation and 3 within a ten-year period, and achieved a recognized passing performance by the USMLE program on each step or step component or NBOME on each level. No applicant shall have failed any step or level more than five times.

(b) The board may grant a good cause waiver to any applicant that does not meet the requirements of paragraph (C)(3)(a) of this rule, if the applicant meets the following:

(i) Holds current specialty board certification from the American board of medical specialties or the American osteopathic association; or

(ii) Demonstrates good cause, as determined by the board, for not having passed all three steps or levels within the ten year period, and otherwise meets the requirements set forth in paragraph (C)(3)(a) of this rule.

(c) USMLE steps 1, 2 clinical knowledge, 2 clinical skills and 3 and COMLEX-USA levels 1, 2 cognitive evaluation, 2 performance evaluation and 3 cannot be combined to fulfill an acceptable testing sequence as required by paragraph (C)(3)(a) of this rule; or

(4) Component 1 and 2 of the FLEX. Both components must have been administered prior to January 2000. The score achieved on each component must have equaled or exceeded the figure established by the FLEX program as a passing score for that component.

Replaces: 4731-6-14

Effective: 10/31/2013
R.C. 119.032 review dates: 10/31/2018
Promulgated Under: 119.03
Statutory Authority: 4731.05
Rule Amplifies: 4731.08 , 4731.09 , 4731.091 , 4731.092 , 4731.12 , 4731.13 , 4731.14 , 4731.142
Prior Effective Dates: 8/15/93, 6/23/97, 12/1/99, 12/31/04, 6/30/05, 4/30/09