V.I. Code tit. 27, § 7 (2019)
2019 US Virgin Islands Code|Title 27 - Professions and Occupations|Chapter 1 - Medicine, Surgery, Dentistry, Pharmacy, Nursing and Nurse-Midwifery|Subchapter I - Board of Medical Examiners|§ 7. Institutional, special restricted and special unrestricted licensure

 (a) The Board may establish regulations for issuance of an “Institutional Medical License”. Such a license will: (1) be granted to an eligible Government physician in the employ of, under contract with the Government or public hospitals or any Federally Qualified Community Health Center (FQHC). If the applicant has an unrestricted license in any United States jurisdiction, no Special Purpose Examination of the Federation of State Medical Boards of the United States (SPEX) or other examination is required. (2) authorize a physician to practice only in a Government hospital, other Government health facility or any Federally Qualified Health Center (FQHC) under the direct supervision of the Medical Director of such hospital or facility or his designee who shall be a permanently licensed physician; and (3) not authorize a physician to provide for private patient care for a fee. (b) The Board may establish regulations for issuance of a Special Restricted Medical License. (1) The Special Restricted Medical License must: (A) be granted only to an applicant demonstrably qualified for a full and unrestricted medical license under the requirements set by the Medical Practice Act and the regulations of the Board; (B) be given to an applicant employed by either of the Government hospitals, the Department of Health, any Federally Qualified Community Health Center (FQHC), or any private medical practice; and (C) automatically terminate after 5 years, but is renewable upon the payment of the fee. (2) Applications for a special restricted license for persons in the employ of a private medical practice must be accompanied by written justification to the Board, by the local licensed physician, explaining the need for the physician’s specialty or services within the medical practice. (3) All successful applicants shall work under the supervision of a licensed physician. (4) A physician granted a special restricted license must agree to accept Medicare and Medicaid patients and must submit written verification to the Board. (5) The application fee for a special restricted license is $1,000.00. (c) Where there is an established and documented need for medical or surgical specialties, as determined by the Medical Directors of the hospitals or the Commissioner of Health, the Board, in lieu of the exam requirement may issue a “Special Unrestricted License” (hereinafter SUL) to practice medicine and to establish regulations for issuance. The SUL will be renewable yearly for 5 years. The Applicants must: (1) have completed an accredited residency program in their specialty that is approved by the American Medical Association; (2) be Board Eligible or Board Certified in his specialty; (3) hold a full and unrestricted license to practice in at least one other United States jurisdiction; (4) not have had previous disciplinary or other action taken against him or her by any state or jurisdiction; (5) fulfill all of the other requirements for licensure in the Virgin Islands. At the completion of the five-year commitment, the SUL will be transformed into a permanent license and the examination requirement shall be waived. The SUL will be revoked if the physician is terminated by, or resigns from, the Government or any Federally Qualified Community Health Center (FQHC) before the five-year period expires.