South Dakota Administrative Rules › Title 20 - PUBLIC SAFETY › Article 20:47 - PHYSICIANS AND SURGEONS › Chapter 20:47:03 - Licensure › Section 20:47:03:03 - General application requirements

Current through Register Vol. 51, page 10, July 15, 2024
Applicants for licensure or renewal of licensure must
				  fulfill the following requirements:
(1) Submit an affidavit, with a photograph of
				the applicant attached, attesting to the applicant's qualifications as required
				by the provisions of SDCL chapter 36-4 and this article;
(2) Submit a certificate of good moral
				character signed by two persons holding a license or certificate from this
				board, a similar board in another state, the District of Columbia, the National
				Board of Medical Examiners, or the National Board of Osteopathic Physicians and
				Surgeons, who are not at the time of making the certificate under any charge or
				accusation which would be grounds for cancellation, suspension, or revocation
				of their license. The persons shall verify that they are personally acquainted
				with the applicant and know of the applicant's moral character;
(3) List all states in which the applicant is
				or has been licensed to practice medicine and state if such a license has ever
				been canceled, suspended, or revoked or if proceedings have ever been
				instituted against the applicant for cancellation, suspension, or
				revocation;
(4) State all places
				where the applicant has previously practiced medicine and give the time of the
				practice;
(5) State whether the
				applicant has ever been convicted of any criminal offense, exclusive of
				misdemeanor traffic violations, or if any prosecution against the applicant in
				any court for a felony or a crime involving moral turpitude is
				pending;
(6) State whether the
				applicant has ever been denied a license to practice in another
				state;
(7) State whether the
				applicant is currently suffering from any condition for which they are not
				being appropriately treated that impairs their ability to practice medicine in
				a competent, ethical, and professional manner;
(8) State whether the applicant has ever
				appeared or been requested to appear before any licensing board concerning any
				violation of law or regulation of any state, district, territory, or province
				of the United States or Canada;
(9)
				State whether the applicant has ever had hospital staff privileges revoked,
				suspended, reduced, or otherwise restricted;
(10) Give the history of the applicant's
				medical schooling, including dates and places, diplomas earned, and average
				grade received;
(11) If the
				applicant completed graduate medical education training after July 1, 1987,
				submit a certificate showing that the applicant has successfully completed a
				program of graduate medical education of at least two years through a hospital
				approved by the board. The records of the graduate medical education program
				must establish the degree of proficiency of the applicant's performance.
				Applicants who completed graduate medical education before July 1, 1987, must
				submit a certificate of internship or residency showing that the applicant has
				served not less than one year as an intern or resident in a hospital approved
				by the board or its equivalent;
(12) List all dates and places where the
				applicant has previously taken the Federation Licensing Examination or United
				States Medical Licensing Examination;
(13) State whether the applicant has ever
				been terminated, asked to resign, or resigned or otherwise not completed any
				postgraduate or residency training program;
(14) State whether the applicant has ever
				been subject to proceedings by a professional society to revoke, reduce, or
				restrict membership;
(15) State
				whether the applicant has ever been notified of a complaint by a medical
				facility, professional society or association, or any licensing
				agency;
(16) State whether the
				applicant has ever settled a civil damages action, by the payment of money or
				otherwise, or had a civil judgment rendered against the applicant involving
				medical malpractice or the practice of medicine.
General Authority:
SDCL
					 36-4-35.
Law Implemented:
SDCL
					 36-4-11.