Wyoming Administrative Code › Agency 052 - Medicine, Board of › Sub-Agency 0001 - Medicine, Board of › Chapter 1 - LICENSE ELIGIBILITY, APPLICATION AND INTERVIEWS › Section 1-5 - Licensure

Current through July 13, 2024
(a) Pursuant to
				the Act, the board may issue the following licenses to practice medicine:
(i) A license to practice medicine, subject
				to annual renewal.
(ii) A temporary
				license to practice medicine pursuant to W.S. 33-26-304(a).
(iii) A restricted or conditional license to
				practice medicine.
(iv) An inactive
				license. Inactive licenses are available for physicians currently licensed in
				Wyoming who do not intend to practice medicine as defined in the Act and these
				rules, write prescriptions or engage in clinical activity. The Board may grant
				an inactive license if, in addition to meeting all eligibility requirements of
				W.S. 33-26-303, the applicant submits, on a form approved by the board, a
				statement affirming that:
(1) he shall not
				practice medicine as defined in the Act and these rules in any
				setting,
(2) he shall not in any
				way hold himself out as actively engaged in the active practice of medicine,
				and
(3) he shall submit written
				confirmation to the board on an annual basis confirming that such inactive
				status is ongoing. An inactive license exempts the licensee from continuing
				medical education requirements described in Chapter 3, Sec. 7 of these rules. A
				holder of an inactive license may not prescribe medications. Licensees claiming
				inactive status who practice medicine as defined the Act and these rules, or
				who prescribe any medication, may be subject to discipline pursuant to W.S. 33-26-402(a)(xxvii). Effective July 1, 2024, the Board will no longer issue
				inactive licenses. Inactive licenses in effect on June 30, 2024, may continue
				to be renewed annually; however, if the inactive license lapses, the license
				holder may only reactivate by completing the process for reactivating an active
				license, and the license will be reactivated on active
				status.
(v) An emeritus
				license. Emeritus licenses are available for retired physicians who hold a
				current Wyoming license to practice medicine and wish to provide clinical care
				in Wyoming without remuneration or for nominal remuneration in a non-profit
				facility. Such license may issue to an applicant who provides proof that he is
				retired from the active practice of medicine, provides proof that he has
				maintained a license in good standing in Wyoming or another jurisdiction of the
				United States or Canada for a period of not less than ten (10) years prior to
				applying for the emeritus license, and submits a statement, on a form approved
				by the board, affirming that he will not accept any form of remuneration for
				medical services rendered in Wyoming while in the possession of an emeritus
				license, or that he is receiving only nominal remunerations for providing
				medical care in a non-profit facility. As part of the application process, an
				applicant for an emeritus medical license who does not hold a current Wyoming
				license shall complete all requirements for issuance of a Wyoming medical
				license set forth in W.S. 33-26-303. If a licensure interview is required
				pursuant to subsection (b) of this rule, such interview may be conducted by one
				(1) board member and, if deemed appropriate by the board officers, may be
				conducted by telephonic means.
(A) Physicians
				possessing an emeritus medical license shall:
(I) Annually acknowledge, on a form approved
				by the board, that their medical practice continues to be without remuneration
				or is for nominal remuneration in a non-profit facility; and
(II) Even though physicians holding an
				emeritus license are not engaged in active clinical practice, the Board expects
				that they will engage in life-long learning activities to maintain a base of
				medical knowledge and skills. Therefore, the requirements for continuing
				medical education noted in Ch. 3, sec. 7 of these rules apply to emeritus
				licenses. Continuing medical education may also be satisfied by documented
				emeritus clinical service in a non-profit health care facility, such clinical
				service to be credited at one (1) hour of continuing medical education credit
				for every five (5) hours of clinical service, up to a maximum of ten (10) hours
				of continuing medical education credit per calendar year.
(B) The board shall require no fees for the
				application for, or renewal of, an emeritus medical license.
(vi) Training license. A medical
				training license issued pursuant to W.S. 33-26-304(c) to an applicant who meets
				all of the requirements of such statute and these rules.
(A) First-year training license ("T-1"). An
				applicant who is in the first year of enrollment in an A.C.G.M.E. or A.O.A.
				accredited residency program located in this state may be issued a first-year
				training license ("T-1" license). The holder of a T-1 license may not practice
				medicine outside of the duties assigned as part, and under the supervision of
				the faculty, of the residency program (i.e. "moonlight"). The holder of a T-1
				license may not independently prescribe any legend drugs or medications, and
				may only prescribe legend drugs or medications with the co-signature of a
				physician holding an active license in good standing in this state. The
				prohibition on prescribing does not apply to orders written under the
				supervision of a licensed attending physician for patients receiving inpatient
				care. The T-1 license expires on June 30th of each year, and may not be
				renewed.
(B) Second-year training
				license ("T-2"). An applicant who has successfully completed not less than one
				(1) year in an A.C.G.M.E. accredited residency program and is enrolled in an
				A.C.G.M.E. or A.O.A. accredited residency program located in this state as a
				second- or third-year resident may be issued a second-year training license
				("T-2" license). The holder of a T-2 license may not practice medicine outside
				of the duties assigned as part, and under the supervision of the faculty, of
				the residency program (i.e., "moonlight") except as specified in paragraph (H)
				below. The holder of a T-2 license may independently prescribe legend drugs and
				medications, subject to all applicable laws and regulations. The T-2 license
				expires on June 30th of each year, and may be renewed only one (1) time upon
				applicant's successful completion of the second year of the residency program.
				If the applicant meets all requirements for issuance of a regular medical
				license under W.S. 33-26-301(b)(i) and W.S. 33-26-303, the T-2 license may not
				be renewed.
(C) To qualify for a
				training license (T-1 or T-2), an applicant must submit the following:
(I) Evidence that the applicant has graduated
				from a school of medicine accredited by the L.C.M.E., a school of osteopathy
				accredited by the A.O.A., or a Canadian-accredited school of medicine, or that
				the applicant has been certified by the E.C.F.M.G.;
(II) Evidence that the applicant has passed
				steps one (1) and two (2) of the U.S.M.L.E. or the COMLEX with a two-digit
				score of not less than 75 on each part;
(III) A copy of the applicant's signed
				contract then in force with an A.C.G.M.E., or A.O.A. accredited residency
				program located in this state (copy of the contract must be submitted with the
				application);
(IV) A recommendation
				form, as provided by the Board, signed by the director of the residency
				program, or his or her designee, stating that the applicant is under the
				supervision of the faculty of the residency program;
(V) A completed application on a form
				provided or approved by the Board; and,
(VI) The requisite fee(s) in accordance with
				this chapter.
(D)
				Applicants for a second-year (T-2) training license shall be subject to these
				additional requirements:
(I)
				Repealed.
(II) The board shall
				query the N.P.D.B. and F.S.M.B.'s board action data bank regarding the
				applicant; and,
(III) The applicant
				will submit documentation that he or she has successfully completed not less
				than one (1) year in an A.C.G.M.E. or A.O.A. accredited residency program and
				is enrolled in an A.C.G.M.E. or A.O.A. accredited residency program located in
				this state as a second- or third-year resident.
(E) When the application for a training
				license is complete, the Board's executive director shall review the
				application, and may take the following action:
(I) Issue the training license; or
(II) Refer the application to the application
				review committee for review. The application review committee may issue the
				training license, issue the training license subject to conditions and/or
				restrictions agreed upon in writing by the applicant, or deny the application
				for the training license. If the application review committee denies the
				training license, the applicant may appeal that decision to the full board,
				which shall review the application de novo, and which may require the applicant
				and/or the director of the residency program to appear for an interview. The
				board may issue the training license, issue the training license subject to
				conditions and/or restrictions agreed upon in writing by the applicant, or deny
				the application for a training license. If the board denies the application, it
				shall issue an order to that effect, which shall be appealable to the district
				court pursuant to the Act and these Rules.
(F) Renewal of T-2 license. To renew a T-2
				license, the applicant must provide documentation of the following:
(I) Successful completion of the second year
				of an A.C.G.M.E. or A.O.A. accredited residency program;
(II) A copy of the applicant's signed
				contract then in force with an A.C.G.M.E. or A.O.A. accredited residency
				program located in this state (copy of the contract must be submitted with the
				renewal application);
(III) A
				recommendation form, as provided by the Board, signed by the director of the
				residency program, or his or her designee, stating that the applicant is under
				the supervision of the faculty of the residency program;
(IV) A completed renewal application on a
				form provided or approved by the Board; and,
(V) The requisite fee(s) in accordance with
				this chapter.
(G)
				Automatic termination of training license. Issuance of a training license is
				subject to the applicant's current enrollment in an A.C.G.M.E. or A.O.A.
				accredited residency program located in this state. If for any reason the
				holder of a training license resigns or is dismissed from, or otherwise is no
				longer currently enrolled in, an A.C.G.M.E. or A.O.A. accredited residency
				program located in this state, the training license shall immediately expire
				and be deemed automatically terminated without additional action by the
				Board.
(H) A holder of a T-2
				license may practice medicine outside of the duties assigned as part of the
				residency program in which he or she is enrolled (i.e., "moonlight") only if
				these following conditions are met:
(I) The
				holder of the T-2 license has passed Step 3 of the USMLE or COMLEX with a
				two-digit score of not less than 75;
(II) The holder of the T-2 license receives
				advance written approval from the residency program director for his or her
				proposed "moonlighting"; and,
(III)
				The residency program director notifies the Board in advance and in writing of
				the approved "moonlighting" arrangement.
(vii) Volunteer license. The board may issue
				a license to a physician who is in good standing in at least one (1) U.S.
				jurisdiction other than the state of Wyoming for the purpose of providing
				medical treatment as a volunteer, without compensation. An applicant for a
				volunteer license must complete and submit a form and documentation prescribed
				by the board, meet the requirements of W.S. 33-26-303, agree to comply with the
				Act and these rules, agree to be subject to the jurisdiction of the board,
				provide proof of licensure in good standing in at least one (1) U.S.
				jurisdiction other than the state of Wyoming, and pay the fee set by the board.
				A licensure interview is not required for issuance of a volunteer license. A
				volunteer license shall be valid for not more than twenty-one (21) consecutive
				days in any calendar year, and may not be renewed.
(A) In addition to submitting the fee, a
				physician not licensed in this state who applies for a volunteer license shall
				submit on a form prescribed by the Board at a minimum the following
				information:
(I) Their full name, date of
				birth and social security number;
(II) The dates when the volunteer service
				will occur; and,
(III) The state
				where the physician is currently licensed in good standing to practice
				medicine, and the physician's license number in that jurisdiction.
(B) Upon the board's receipt of an
				application for a volunteer license, the board shall query the National
				Practitioner Data Bank and the Federation of State Medical Boards' Physician
				Data Center regarding the physician. If no adverse information is received from
				these reports, board staff shall issue the volunteer license, and report the
				issuance to the board at the board's next regularly-scheduled meeting. If any
				adverse information is received as a result of those queries, board staff will
				deny the application for a volunteer license.
(C) If a physician's application for a
				volunteer license is denied pursuant to subparagraph (B), above, the physician
				may request that determination be reviewed by the Application Review Committee.
				The Application Review Committee's decision that the physician is not eligible
				to receive a volunteer license may be appealed to the full board.
(viii) Administrative medicine
				license. The board may issue an administrative medicine license to a physician
				who meets all qualifications for licensure in the state, including payment of a
				fee set by the board, but who does not intend to provide medical or clinical
				services to or for patients while in possession of an administrative medicine
				license. An administrative medicine license is subject to annual
				renewal.