West Virginia Code of State Rules › Agency 11 - Medicine › Title 11 - LEGISLATIVE RULE WEST VIRGINIA BOARD OF MEDICINE › Series 11-01A - Licensing of Physicians and Podiatric Physicians and Disciplinary Procedures for Applicants, Licensees, Credential Holders › Section 11-1A-3 - Qualification and Application for a License to Practice Medicine and Surgery

Current through Register Vol. XLI, No. 28, July 12, 2024
3.1. Minimum qualifications for initial
				licensure as a medical doctor for applicants who graduated and received the
				degree of doctor of medicine or its equivalent from a Board or LCME approved
				school of medicine located within the United States, the Commonwealth of Puerto
				Rico, or Canada are set forth in West Virginia Code §
									30-3-10(b).
3.2. An application for a license to practice
				medicine and surgery shall be completed on a form provided by the Board, which
				is available on the Board's website.
3.3. A completed application is considered by
				the Board at regular Board meetings. The Board will not consider an application
				or decide upon the issuance of a license to an applicant until the complete
				application, including all third-party documentation and/or verification, is on
				file with the Board and the Board has had at least fifteen days to review the
				application.
3.4. An application
				for licensure must be accompanied by payment of a nonrefundable application fee
				in an amount established by 11 CSR 4.
3.5. The Board's physician licensure
				application shall include, and applicants must provide, the following
				information:
3.5.a. The applicant's name,
				email address, home address, preferred mailing address and primary practice
				location address(es) and telephone numbers;
3.5.b. Demographic information of the
				applicant, such as date of birth, place of birth, sex, etc.;
3.5.c. A photograph taken within the previous
				twelve months which substantially resembles the applicant;
3.5.d. Evidence of graduation from a medical
				school approved by the LCME or by the Board;
3.5.e. Information with respect to the
				applicant's professional practice, good moral character, and fitness to
				practice.
3.5.f. Information as
				determined by the Board which relates to whether the applicant is mentally and
				physically able to engage safely in the practice of medicine and
				surgery.
3.5.g. Provide evidence
				satisfactory to the Board that the applicant:
3.5.g.1. Has successfully completed one year
				of postgraduate clinical training approved by the ACGME; or
3.5.g.2. Has successfully completed a
				graduate medical education residency program outside of the United States and a
				minimum of one year of fellowship training in the United States in a clinical
				field related to the applicant's residency training which was completed:
3.5.g.2.a. At an institution that sponsors or
				operates a residency program in the same clinical field or a related clinical
				field approved by the Accreditation Council for Graduate Medical Education;
				or
3.5.g.2.b. At a time when
				accreditation was not available for the fellowship's clinical field and the
				board has determined that the training was similar to accredited training due
				to objective standards, including, but not limited to, the presence of other
				accredited programs at the sponsoring institution during the applicant's
				clinical training at the fellowship location;
3.5.h. An AMA biographical report;
3.5.i. All hospitals where the physician has
				had privileges in the last five years;
3.5.j. Information regarding medical schools
				attended by the applicant;
3.5.k. A
				list of, and requested information regarding, training programs, including
				postgraduate training, in which the applicant ever participated;
3.5.l. A list of jurisdictions in which the
				applicant has applied for licensure, the disposition of such applications, and
				a list of licenses the applicant holds or has ever held and the current status
				of each license;
3.5.m. A copy of
				the individual's birth certificate, certificate of naturalization, or passport
				to be used in identifying the applicant and the appropriate spelling of his or
				her name;
3.5.n. A copy of legal
				documentation satisfactory to the Board which verifies any name change the
				applicant has experienced;
3.5.o. A
				report from the National Practitioner Data Bank;
3.5.p. A criminal history record check as set
				forth in section 8;
3.5.q. Evidence
				that the applicant has received passing scores on all required examinations as
				set forth in section 7 of this rule; and
3.5.r. Other documents as may be required by
				the Board to evaluate the qualifications and fitness of an applicant to
				practice medicine and surgery in West Virginia.