California Code of Regulations › Title 16 - Professional and Vocational Regulations › Division 13 - Medical Board of California › Chapter 1 - Licensing › Article 7 - Foreign Medical Students and Graduates › Section 1325.5 - Criteria for Approval of Fellowship Programs for Foreign Trained Physicians Not Located in Hospitals Affiliated with a Medical School

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) Approval of fellowship programs by the
				  division shall be pursuant to the following criteria for approval of fellowship
				  programs for foreign trained physicians not located in hospitals affiliated
				  with a medical school:
(1) Programs shall be
				  conducted in hospitals which have a minimum capacity of 150 beds, excluding
				  bassinets, which have a minimum of 5000 annual admissions, and which have a
				  minimum of three (3) major clinical divisions represented in the
				  hospital.
(2) The teaching staff
				  shall include a minimum of three (3) persons; however, the ratio of teaching
				  staff to postgraduate trainees shall be one to one. The hospital shall have a
				  ratio of not less than twenty-five (25) beds per postgraduate
				  trainee.
(3) Programs shall have a
				  qualified teaching staff with educational background and professional
				  experience. Each staff teacher shall be board-certified in his or her specialty
				  area of teaching. The teaching staff shall be directed by a physician who
				  possesses a "medical doctor" degree and is licensed as an "M.D." by the board
				  and who has a clinical teaching appointment from a medical school approved by
				  the division.
(4) One member of the
				  teaching staff shall be in the facility at all times in which a postgraduate
				  trainee is on duty or in training.
(5) Hospitals shall maintain adequate
				  clinical records in conjunction with the training programs which show evidence
				  of endorsement of the records by supervising physicians.
(6) Programs shall be conducted in hospitals
				  which have a physician specializing in pathology on the staff who conducts
				  clinical pathology conferences and participates in other teaching mortality and
				  morbidity conferences.
(7) Programs
				  shall be conducted in hospitals which have a physician specializing in
				  radiology who participates in hospital teaching conferences. Hospitals shall
				  have adequate fluoroscopy and viewing space to accommodate clinical
				  trainees.
(8) Programs shall
				  maintain an adequate medical library containing standard medical text and
				  reference books and a representative collection of current medical journals
				  covering the major clinical fields.
(9) Programs shall also include:
(A) adequate teaching time in proportion to
				  service time;
(B) participation by
				  the postgraduate in total patient care;
(C) adequate communication with attending
				  physicians;
(D) a training
				  committee or physician responsible for the organization, supervision and
				  evaluation of the instruction given who shall have a teaching appointment from
				  a medical school approved by the division;
(E) lecture facilities and teaching
				  aids;
(F) daily ward or teaching
				  rounds;
(G) ambulatory patient
				  care, where appropriate;
(H)
				  training and departmental conferences on clinical pathology, mortality and
				  morbidity, and radiology.