Texas Administrative Code › Title 22 - EXAMINING BOARDS › Part 9 - TEXAS MEDICAL BOARD › Chapter 171 - POSTGRADUATE TRAINING PERMITS › Section 171.3 - Physician-in-Training Permits

Current through Reg. 49, No. 28; July 12, 2024
(a) Definitions.
(1) Approved Postgraduate Training Program--A
				clearly defined and delineated postgraduate medical education training program,
				including postgraduate subspecialty training programs, approved by the
				Accreditation Council for Graduate Medical Education (ACGME), the American
				Osteopathic Association (AOA), the Committee on Accreditation of
				Preregistration Physician Training Programs, the Federation of Provincial
				Medical Licensing Authorities of Canada (internships prior to 1994), the Royal
				College of Physicians and Surgeons of Canada, or the College of Family
				Physicians of Canada.
(2)
				Board-approved Fellowship--A clearly defined and delineated postgraduate
				subspecialty-training program approved by the Texas Medical Board under §
										171.4
				of this title.
(3) Designated
				Institutional Official (DIO)--The individual in a sponsoring graduate medical
				education institution who has the authority and responsibility for the graduate
				medical education programs.
(4)
				Fellowship--A subspecialty training program of graduate medical education for
				postgraduate residents who have completed the requirements for eligibility for
				first board certification in the specialty and that is approved by the
				Accreditation Council for Graduate Medical Education (ACGME), the American
				Osteopathic Association (AOA), a member board of the American Board of Medical
				Specialties (ABMS), or a member board of the Bureau of Osteopathic Specialists
				(BOS).
(5) Postgraduate Resident--A
				physician who is in postgraduate training as an intern, resident, or fellow in
				an approved postgraduate training program or a board-approved
				fellowship.
(6)
				Physician-in-Training Permit--
(A) A
				physician-in-training permit is a permit issued by the board in its discretion
				to a physician who does not hold a license to practice medicine in Texas and is
				enrolled in a training program as defined in paragraphs (1), (2), and (4) of
				this subsection in Texas, regardless of his/her postgraduate year (PGY) status
				within the program.
(B) The permit
				shall be effective for the length of the postgraduate training program as
				reported by the training program.
(C) A physician-in-training permit is valid
				only for the practice of medicine within the training program for which it was
				approved. If a permit holder enters into a new program that is not covered by
				the issued permit, the permit shall be terminated and the permit holder must
				apply for a new permit for the new program.
(D) A physician-in-training permit holder is
				restricted to the supervised practice of medicine that is part of and approved
				by the training program. The permit does not allow for the practice of medicine
				that is outside of the approved program. Internal moonlighting shall be
				considered additional optional training within the scope of a training program,
				provided the internal moonlighting:
(i) occurs
				under the direction of a faculty member that is associated with the training
				program;
(ii) is in compliance with
				the training requirements established by an approved accrediting body
				recognized under paragraph (1) of this subsection, including but not limited to
				requirements for faculty supervision and work hour limitations; and
(iii) is in the same specialty as the
				training program or approved by the program director as a training area related
				to the specialty.
(7) Subspecialty-Training Program--A
				postgraduate training program, also known as a fellowship, entered into after
				the completion of a residency program that provides advanced graduate medical
				education in a narrow field of study within a medical specialty.