2023 Maryland Statutes › Health Occupations › Title 14 - Physicians › Subtitle 3 - Licensing › Section 14-302 - Exceptions From Licensing -- in General

Subject to the rules, regulations, and orders of the Board, the following individuals may practice medicine without a license:
(1)    A medical student or an individual in a postgraduate medical training program that is accredited by an accrediting organization recognized by the Board in regulations, while the individual is practicing medicine in the program and doing the assigned duties at any office of a licensed physician, hospital, clinic, or similar facility;
(2)    A physician licensed by and residing in another jurisdiction, if the physician:
(i)    Is engaged in consultation with a physician licensed in the State about a particular patient and does not direct patient care;
(ii)    1.    Has an active, unrestricted license to practice medicine in the jurisdiction where the physician regularly engages in the practice of medicine;
2.    Is employed by or has a written agreement with an athletic team or a sports team based outside the State;
3.    Is designated as the team physician by the athletic or sports team to provide medical care to the team’s members, band members, cheerleading squad, mascot, coaches, and other staff who travel to a specified sporting event taking place in the State;
4.    While in the State, provides medical care only to individuals listed in item 3 of this item;
5.    Does not provide medical care in the State for more than 45 days in a calendar year; and
6.    Does not engage in the practice of medicine at a hospital, related institution, or other health care facility, including an acute care facility, located within the State; or
(iii)    Is engaged in clinical training or participates in training or teaching of a skill or procedure in a hospital if:
1.    The skill or procedure:
A.    Is advanced beyond those skills or procedures normally taught or exercised in the hospital and in standard medical education or training;
B.    Could not be otherwise conveniently taught or demonstrated in standard medical education or training in that hospital; and
C.    Is likely to benefit Maryland patients in this instance;
2.    The demonstration of all skills or procedures by the physician does not exceed 14 days total in the calendar year;
3.    A licensed physician who practices at a hospital in the State will be responsible for the medical care provided by that visiting physician to patients in the State;
4.    The visiting physician has no history of any medical disciplinary action in any other state, territory, nation, or any branch of the United States uniformed services or the Veterans Administration, and has no significant detrimental malpractice history;
5.    The physician is covered by malpractice insurance in the jurisdiction in which the physician practices; and
6.    The hospital ensures that the patients will be protected by adequate malpractice insurance;
(3)    A physician employed in the service of the federal government while performing the duties incident to that employment;
(4)    A physician who resides in and is authorized to practice medicine by any state adjoining this State for the purpose of prescribing home health services to a patient who resides in this State, if the physician:
(i)    Does not have an office or other regularly appointed place in this State to meet patients; and
(ii)    Has performed an in–person physical examination of the patient within the jurisdictional boundaries of the adjoining state in which the prescribing physician is authorized to practice medicine; and
(5)    An individual while under the supervision of a licensed physician who has specialty training in psychiatry, and whose specialty training in psychiatry has been approved by the Board, if the individual submits an application to the Board on or before October 1, 1993, and either:
(i)    1.    Has a master’s degree from an accredited college or university; and
2.    Has completed a graduate program accepted by the Board in a behavioral science that includes 1,000 hours of supervised clinical psychotherapy experience; or
(ii)    1.    Has a baccalaureate degree from an accredited college or university; and
2.    Has 4,000 hours of supervised clinical experience that is approved by the Board.