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) 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. All steps, parts or components must have been administered prior to January 2000. The score achieved on each step, part or component must have equaled or exceeded the figure established by the USMLE program, the national board of medical examiners or the federation as a passing score for that step, part or component, respectively; or

(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 and 3 or COMLEX-USA levels 1, 2 and 3.

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

(b) Any applicant having failed a step or level more than three times shall do the following to be eligible for licensure:

(i) Successfully complete an additional year of graduate medical education as defined in section 4731.091 of the Revised Code. This education shall be in addition to that required by section 4731.14 of the Revised Code. Such education shall be completed subsequent to the final step or level that has been failed more than three times; and

(ii) Retake the testing sequence and otherwise meet the requirements set forth in paragraph (C)(3)(a) of this rule.

(c) Any applicant who has not completed the required steps or levels within the ten-year time period, and not failed any step or level more than three times, shall do the following to be eligible for licensure:

(i) Retake the appropriate steps or levels to bring the testing sequence within the required ten-year time period; and otherwise meet the requirements set forth in paragraph (C)(3)(a) of this rule; or

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

(d) USMLE steps 1, 2 and 3 and COMLEX-USA levels 1, 2 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: 04/30/2009
R.C. 119.032 review dates: 04/30/2014
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, 4731.291, 4731.292, 4731.293, 4731.294
Prior Effective Dates: 8/15/93, 6/23/97, 12/1/99, 12/31/04, 6/30/2005