North Carolina Administrative Code › Title 21 - OCCUPATIONAL LICENSING BOARDS AND COMMISSIONS › Chapter 52 - PODIATRY EXAMINERS › Section .0200 - EXAMINATION AND LICENSING › Section 52 .0213 - TEMPORARY LICENSE FOR CLINICAL RESIDENCY/FELLOWSHIP

Current through Register Vol. 39, No. 2, July 15, 2024
(a)
				The Board may issue a temporary license to practice podiatry to any podiatrist
				for licensure in accordance with this Rule while the podiatrist resides in
				North Carolina and is participating in a podiatric medical education and
				training clinical residency ("clinical residency") or fellowship located in
				North Carolina and approved by the Council of Podiatric Medical Education
				(CPME). Such CPME-approved clinical residency or fellowship shall be
				established and conducted in accordance with rules established in the most
				current version of "Standards and Requirements for Approval of Podiatric
				Medicine and Surgery Residencies" (CPME 320) and the "JJRC and CPME Residency
				Requirements" available from the CPME web site at
http://www.cpme.org/residencies/content.cfm?ItemNumber=2444&navItemNumber=2245
,
				or "Standards and Requirements for Approval of Podiatric Fellowships" (CPME
				820) available from the CPME web site at
http://www.cpme.org/fellowships/content.cfm?ItemNumber=2442&navItemNumber=2247
.
				A list of approved clinical residencies is available from the CPME website at
http://www.cpme.org/residencies/ResidenciesList.cfm?navItemNumber=2242
.
				A list of approved fellowships is available from the CPME website at
http://www.cpme.org/fellowships/content.cfm?ItemNumber=2441&navItemNumber=2246
.
(b) In order to be approved by the Board for
				a temporary resident's or fellowship's training license, an applicant shall
				submit a completed temporary license application, available from the Board's
				website at http://www.ncbpe.org/content/licensure-exam. The application shall
				include the following:
(1) type of
				application (Regular, Temporary Military, or Temporary Clinical Residency or
				Fellowhip);
(2) date of
				application;
(3) Social Security
				Number;
(4) full name (last name,
				first name, and middle name, if applicable);
(5) mailing address;
(6) city, state, and zip code;
(7) telephone number (e.g., home, mobile, and
				business);
(8) email
				address;
(9) date of
				birth;
(10) whether or not a U.S.
				citizen;
(11) military service for
				self and spouse, if applicable;
(12) education (high school,
				college/university, graduate or professional, and
				residencies/internships/fellowships), including name and location of
				institution, dates attended, whether graduated or completed, major/minor, and
				type of degree;
(13) previous
				licensure in another state or territory, including date of issue, date of
				expiration, whether or not there were any disciplinary actions, and how license
				was obtained (examination, temporary, or reciprocity);
(14) whether the applicant has had any of the
				following situations and explain such instances:
(A) had a license revoked, suspended, or
				cancelled;
(B) denied a
				license;
(C) denied the privilege
				of taking an examination;
(D)
				dropped, suspended, warned, placed on scholastic or disciplinary probation,
				expelled or requested to resign from any school, college, or university, or
				advised by any school or institution to discontinue studies therein;
(E) been a defendant in a legal action
				involving professional liability (malpractice), been named in a malpractice
				suit, had a professional liability claim paid on the applicant's behalf or paid
				such a claim;
(F) been a patient
				for treatment of mental illness;
(G) been addicted to alcohol or drugs;
				or
(H) been convicted of a
				felony;
(15) whether the
				applicant has taken the North Carolina licensure examination previously, and if
				so, the date;
(16) whether the
				applicant will need any special accommodations and what those needs
				are;
(17) the applicant's reasons
				for applying for temporary license and future plans for practicing in the
				state; and
(18) an attestation
				under oath before a notary that the information on the application is true and
				complete an authorization of the release to the Board of all information
				pertaining to the application.