发信人: goodgene (Addison), 信区: Pre_Resident_Club
California Letter (PTAL); How to Apply?
________________________________________
Unlike all other states, California requires a special authorization in
order for medical school graduates whether US or IMGs to practice medicine or to be enrolled in residency programs.
The authorization to practice medicine is called California License.
The authorization to be enrolled in a residency program is called
Postgraduate Training Authorization Letter (PTAL) or commonly referred to as California Letter.
Before talking about the steps on how to get the California letter it's
important to note down the contact information of the Medical Board of
California (MBC). This is going to be needed throughout the process.
California Medical Board Contact information Email:
webmaster@mbc.ca.gov which is unlike the info@ecfmg.org
they usually respond promptly and give you courtesy.
Mailing Address:
MEDICAL BOARD OF CALIFORNIA
LICENSING PROGRAM
2005 Evergreen Street, Suite 1200
Sacramento, CA 95815
Telephones:
800 6332322 or 916 263 2382
Fax:
916 2632487
Now let's walk through the application process step by step:
First Step is the online application:
Go to http://www.mbc.ca.gov/
Click on applicants tab and in the resulting new page scroll down and click
on "continue"
You'll be taken to this page
http://www.mbc.ca.gov/applicant/additional_info.html
Click on "Online Licensing Application Payment" on the right upper corner
Then click on "Professional Licensing Log-in"
Which should take you to this page
https://elicense.dca.ca.gov/iLicense/iLicense
and here's a screenshot of that page
click to enlarge
Of course you click on the first time users link
thereafter you choose a username and password, email, mailing address, SSN (
optional), and a credit card to be charged later on.
See this image to know what exactly should be checked while paying:
click to enlarge
The total amount that you have to pay is $493 broken down into $442 (
Application Fee) and $51 (Finger Print Processing Fee).
The page that you'll see when you finish the online application looks like
this:
click to enlarge
You'll later receive an email confirmation from ilicense@dcs.ca.gov and they
'll say in it the following:
***************************
You have successfully registered with the State of California Online
Professional Licensing system.
You are registered as: FirstName LastName
Your User ID is: xxx
Please keep it for your records. You will need this User ID to login into
the system or to reset your password.
***************************
Thereafter you can go to
https://elicense.dca.ca.gov/iLicense/iLicense
Log in with your username and password
print out the online receipt because you'll need this for the next steps.
Alternatively, if you don't like to pay online you can send money order or
certified check or personal check and make it payable to "Medical Board of
California" and enclose it with your application papers.
Next Step is to do the Finger Printing:
You can go to http://www.mbc.ca.gov/applicant/live_scan.pdf
and print out live scan forms (three copies)
then you can locate a live scan center here
http://ag.ca.gov/fingerprints/publications/contact.htm
or you can choose to send them a finger printing card instead if you don't
reside in California or you won't be visiting California. But in this case
you have to contact them in order they mail you the finger printing cards.
Note that usually you will be charged $25 when you go to the fingerprinting
center, this is another charge to be added to the $51 that you paid already.
So your total so far is 493+25= $518
Although you completed three copies but you will send only one copy to MBC
to be attached to L1A-L1E forms. The other two copies one will go to the FBI
and DOJ and the other can be kept with you.
The Next Step is to fill out and notarize forms L1A, L1B, L1C, L1D, and L1E:
These forms can be downloaded from this page
http://www.medbd.ca.gov/applicant/ap...ernational.pdf
L1A: just answer the questions; Mention any of the exam scores that you have
taken so far. It's better you mention at least one exam though it is not
mandatory.
L1B: not needed for IMGs; definitely we did not do any ACGME accredited
postgraduate training so far and we don't have a state license yet. So leave
questions 14 and 15 blank, just sign at the bottom and put your date of
birth.
L1C and L1D: Leave ABMS certifications if you are applying for the PTAL and
answer all questions 17-38. (this is only required for the California
license not the PTAL.
L1E: This form you have to sign in front of the Notary Public who should put
his seal and signature in addition to yours.
Now Your are considered an applicant:
Once you send the notarized L1A-L1E along with the application fees (Online
Receipt if you paid online, money order or check if you are not) and the
finger printing request document then you are considered an applicant and
you should receive a notice from the MBC within 90 days.
The letter looks like this
https://www2.mbc.ca.gov/WAAS/images/...ivedLetter.jpg
In which you can see that you now have application tracking system (ATS)
number.
This number is very important because you will later on be able to follow
your case by entering it in this page
https://www2.mbc.ca.gov/WAAS/
Once you get a number you will be assigned an application analyst. They have
people assigned to the first letter of your last name. For example if your
last name is James then the person in charge with the "J" letter will be in
charge of your case.
Most of these clerks are friendly, supportive, and helpful. They will
respond to your emails and telephone contacts promptly and professionally.
Once you know who's your assigned clerk, keep his/her contact info handy as
you will frequently need to be in contact with him/her for various issues
and most importantly to expedite your letter should the match season starts
and you don't have it yet.
Although the complete list of required documents is more than what's
mentioned so far but the above steps are enough to get you into the process.
It's recommended that you complete the above steps early in April so that
you enter their system so that later on updating your case with exam scores
and med school papers get considerably shorter time to finish and you will
be able to apply to California programs in September.
Here's a screenshot of the latest required documents:
click to enlarge
The Next Step is to fill out and send L2, L3A, L3B, L4 and L5:
L3A and L3B and L4: these forms have to be filled when you finish your
residency and you want to apply for a California license (to practice). It's
not needed when you apply for PTAL.
L6: is needed if you have attended clinical training and clerkships outside
your core primary medical school training (a big example here is Caribbean
medical schools where they usually send their students for clerkships in US)
L2 Form should be completed and signed by your medical school
L5 Form should be completed and singed by you medical school
A very important point about L5 Form:
The most common reason of IMG rejection is the number of psychiatry hours
during your core medical curriculum, make sure to send them a total of at
least 80 hours of psychiatry rotations. If your medical school curriculum
did not meet this requirement then you have to top up your application with
a certified psychiatry clerkship here in the US in order to get it through.
Another big advice regarding from L5 is to try to find a colleague from your
school who has done it before and got accepted. This way you can adjust the
number of hours in lieu with what he/she has done, of course changing the
dates as appropriate if does not match yours.
The Next Step is to send them your exam scores:
for exam scores go here
http://www.mbc.ca.gov/applicant/exam_scores.html
You need to have passed both Step 1 and Step 2 CK before your are granted a
California letter. However, my advice is that you can start the application
above (L1A-L1E + Finger Printing + Fees) before you have passed these exams.
This will buy you sometime, so that then you can just update them with your
exam scores which should not take a long time. So for example start the
application in February then when your exam scores are ready in July or
August you can update them with the scores and your letter would be ready in
September or October otherwise if you start the application in July-August
you may not get the letter until February or March next year jeopardizing
your potential match in a California program
The Next Step is to send them your Medical School Transcript and Degree (
Diploma):
In their instructions they mention that your medical school should send to
MBC directly (not through you) certified copies of your transcript and
degree. Certified copies means that the photocopy should be stamped (true
copy of original) and sealed with the college stamp and signed by the
authorized school official.
The previous paragraph is the ideal situation. However, if you are having
difficulty with your medical school sending the transcript and the degree (
diploma) then the alternative is that you yourself send them the original
documents along with translated copies (if they were not in English). In
their official instructions they don't mention that but in reality they do
accept this method as I have experienced (and several friends of mine) such
a scenario with them.
What you can do if the letter is not yet out and you started applying for
the match in ERAS?
You can scan the receipt notice that you received and send to ECFMG for
scanning. This is considered equivalent to the original letter by most
California programs. However, they'll ask you to bring the final letter when
you appear for the interview. At the time of the interview you should have
completed all the requirements.
--
※ 来源:·WWW 未名空间站 海外: mitbbs.com 中国: mitbbs.cn·[FROM: 98.210.]
California Letter (PTAL); How to Apply?
southpaw: 有关加州执照
southpaw: 有关加州执照
http://www.mitbbs.com/pc/pccon.php?id=2289&nid=24115
作者：USMedEdu
发表时间：2007-09-18
更新时间：2007-09-18
浏览：846次
southpaw (southpaw), 信区: MedicalCareer
标 题: 有关加州执照，大家看看
发信站: BBS 未名空间站 (Tue Sep 18 21:29:08 2007)
http://www.leginfo.ca.gov/cgi-bin/displ ... =2080-2099
2089. (a) Each applicant for a physician's and surgeon's
certificate shall show by official transcript or other official
evidence satisfactory to the Division of Licensing that he or she has
successfully completed a medical curriculum extending over a period
of at least four academic years, or 32 months of actual instruction,
in a medical school or schools located in the United States or Canada
approved by the division, or in a medical school or schools located
outside the United States or Canada which otherwise meets the
requirements of this section. The total number of hours of all
courses shall consist of a minimum of 4,000 hours. At least 80
percent of actual attendance shall be required. If an applicant has
matriculated in more than one medical school, the applicant must have
matriculated in the medical school awarding the degree of doctor of
medicine or its equivalent for at least the last full academic year
of medical education received prior to the granting of the degree.
(b) The curriculum for all applicants shall provide for adequate
instruction in the following subjects:
Alcoholism and other chemical substance dependency, detection and
treatment.
Anatomy, including embryology, histology, and neuroanatomy.
Anesthesia.
Biochemistry.
Child abuse detection and treatment.
Dermatology.
Geriatric medicine.
Human sexuality.
Medicine, including pediatrics.
Neurology.
Obstetrics and gynecology.
Ophthalmology.
Otolaryngology.
Pain management and end-of-life care.
Pathology, bacteriology, and immunology.
Pharmacology.
Physical medicine.
Physiology.
Preventive medicine, including nutrition.
Psychiatry.
Radiology, including radiation safety.
Spousal or partner abuse detection and treatment.
Surgery, including orthopedic surgery.
Therapeutics.
Tropical medicine.
Urology.
(c) The requirement that an applicant successfully complete a
medical curriculum that provides instruction in pain management and
end-of-life care shall only apply to a person entering medical school
on or after June 1, 2000.
2089.5. (a) Clinical instruction in the subjects listed in
subdivision (b) of Section 2089 shall meet the requirements of this
section and shall be considered adequate if the requirements of
subdivision (a) of Section 2089 and the requirements of this section
are satisfied.
(b) Instruction in the clinical courses shall total a minimum of
72 weeks in length.
(c) Instruction in the core clinical courses of surgery, medicine,
family medicine, pediatrics, obstetrics and gynecology, and
psychiatry shall total a minimum of 40 weeks in length with a minimum
of eight weeks instruction in surgery, eight weeks in medicine, six
weeks in pediatrics, six weeks in obstetrics and gynecology, a
minimum of four weeks in family medicine, and four weeks in
psychiatry.
(d) Of the instruction required by subdivision (b), including all
of the instruction required by subdivision (c), 54 weeks shall be
performed in a hospital that sponsors the instruction and shall meet
one of the following:
(1) Is a formal part of the medical school or school of
osteopathic medicine.
(2) Has an approved residency program in family practice or in the
clinical area of the instruction for which credit is being sought.
(3) Is formally affiliated with an approved medical school or
school of osteopathic medicine located in the United States or
Canada. If the affiliation is limited in nature, credit shall be
given only in the subject areas covered by the affiliation agreement.
(4) Is formally affiliated with a medical school or a school of
osteopathic medicine located outside the United States or Canada.
(e) If the institution, specified in subdivision (d), is formally
affiliated with a medical school or a school of osteopathic medicine
located outside the United States or Canada, it shall meet the
following:
(1) The formal affiliation shall be documented by a written
contract detailing the relationship between the medical school, or a
school of osteopathic medicine, and hospital and the responsibilities
of each.
(2) The school and hospital shall provide to the division a
description of the clinical program. The description shall be in
sufficient detail to enable the division to determine whether or not
the program provides students an adequate medical education. The
division shall approve the program if it determines that the program
provides an adequate medical education. If the division does not
approve the program, it shall provide its reasons for disapproval to
the school and hospital in writing specifying its findings about each
aspect of the program that it considers to be deficient and the
changes required to obtain approval.
(3) The hospital, if located in the United States, shall be
accredited by the Joint Commission on Accreditation of Hospitals, and
if located in another country, shall be accredited in accordance
with the law of that country.
(4) The clinical instruction shall be supervised by a full-time
director of medical education, and the head of the department for
each core clinical course shall hold a full-time faculty appointment
of the medical school or school of osteopathic medicine and shall be
board certified or eligible, or have an equivalent credential in that
specialty area appropriate to the country in which the hospital is
located.
(5) The clinical instruction shall be conducted pursuant to a
written program of instruction provided by the school.
(6) The school shall supervise the implementation of the program
on a regular basis, documenting the level and extent of its
supervision.
(7) The hospital-based faculty shall evaluate each student on a
regular basis and shall document the completion of each aspect of the
program for each student.
(8) The hospital shall ensure a minimum daily census adequate to
meet the instructional needs of the number of students enrolled in
each course area of clinical instruction, but not less than 15
patients in each course area of clinical instruction.
(9) The division, in reviewing the application of a foreign
medical graduate, may require the applicant to submit a description
of the clinical program, if the division has not previously approved
the program, and may require the applicant to submit documentation to
demonstrate that the applicant's clinical training met the
requirements of this subdivision.
(10) The medical school or school of osteopathic medicine shall
bear the reasonable cost of any site inspection by the division or
its agents necessary to determine whether the clinical program
offered is in compliance with this subdivision.
2089.7. (a) The requirement of four weeks of clinical course
instruction in family medicine shall apply only to those applicants
for licensure who graduate from medical school or a school of
osteopathic medicine after May 1, 1998.
(b) This section shall become operative on June 30, 1999.
2090. "Human sexuality" as used in Sections 2089 and 2191 means the
study of a human being as a sexual being and how he or she functions
with respect thereto.
2091. The requirement that instruction in child abuse detection and
treatment be provided shall apply only to applicants who matriculate
on or after September 1, 1979.
2091.1. The requirement that instruction in alcoholism and other
chemical substance dependency be provided applies only to applicants
who matriculate on or after September 1, 1985.
2091.2. The requirements that instruction in spousal or partner
abuse detection and treatment be provided shall apply only to
applicants who matriculate on or after September 1, 1994. The
requirement for coursework in spousal or partner abuse detection and
treatment shall be satisfied by, and the board shall accept in
satisfaction of the requirement, a certification from the chief
academic officer of the educational institution from which the
applicant graduated that the required coursework is included within
the institution's required curriculum for graduation.
2102. Any applicant whose professional instruction was acquired in
a country other than the United States or Canada shall provide
evidence satisfactory to the division of compliance with the
following requirements to be issued a physician's and surgeon's
certificate:
(a) Completion in a medical school or schools of a resident course
of professional instruction equivalent to that required by Section
2089 and issuance to the applicant of a document acceptable to the
division that shows final and successful completion of the course.
However, nothing in this section shall be construed to require the
division to evaluate for equivalency any coursework obtained at a
medical school disapproved by the division pursuant to this section.
(b) Certification by the Educational Commission for Foreign
Medical Graduates, or its equivalent, as determined by the division.
This subdivision shall apply to all applicants who are subject to
this section and who have not taken and passed the written
examination specified in subdivision (d) prior to June 1, 1986.
(c) Satisfactory completion of the postgraduate training required
under Section 2096. An applicant shall be required to have
substantially completed the professional instruction required in
subdivision (a) and shall be required to make application to the
division and have passed steps 1 and 2 of the written examination
relating to biomedical and clinical sciences prior to commencing any
postgraduate training in this state. In its discretion, the division
may authorize an applicant who is deficient in any education or
clinical instruction required by Sections 2089 and 2089.5 to make up
any deficiencies as a part of his or her postgraduate training
program, but that remedial training shall be in addition to the
postgraduate training required for licensure.
(d) Pass the written examination as provided under Article 9
(commencing with Section 2170). If an applicant has not
satisfactorily completed at least two years of approved postgraduate
training, the applicant shall also pass the clinical competency
written examination. An applicant shall be required to meet the
requirements specified in subdivision (b) prior to being admitted to
the written examination required by this subdivision.
Nothing in this section prohibits the division from disapproving
any foreign medical school or from denying an application if, in the
opinion of the division, the professional instruction provided by the
medical school or the instruction received by the applicant is not
equivalent to that required in Article 4 (commencing with Section
2080).
http://www.mitbbs.com/pc/pccon.php?id=2289&nid=24115
作者：USMedEdu
发表时间：2007-09-18
更新时间：2007-09-18
浏览：846次
southpaw (southpaw), 信区: MedicalCareer
标 题: 有关加州执照，大家看看
发信站: BBS 未名空间站 (Tue Sep 18 21:29:08 2007)
http://www.leginfo.ca.gov/cgi-bin/displ ... =2080-2099
2089. (a) Each applicant for a physician's and surgeon's
certificate shall show by official transcript or other official
evidence satisfactory to the Division of Licensing that he or she has
successfully completed a medical curriculum extending over a period
of at least four academic years, or 32 months of actual instruction,
in a medical school or schools located in the United States or Canada
approved by the division, or in a medical school or schools located
outside the United States or Canada which otherwise meets the
requirements of this section. The total number of hours of all
courses shall consist of a minimum of 4,000 hours. At least 80
percent of actual attendance shall be required. If an applicant has
matriculated in more than one medical school, the applicant must have
matriculated in the medical school awarding the degree of doctor of
medicine or its equivalent for at least the last full academic year
of medical education received prior to the granting of the degree.
(b) The curriculum for all applicants shall provide for adequate
instruction in the following subjects:
Alcoholism and other chemical substance dependency, detection and
treatment.
Anatomy, including embryology, histology, and neuroanatomy.
Anesthesia.
Biochemistry.
Child abuse detection and treatment.
Dermatology.
Geriatric medicine.
Human sexuality.
Medicine, including pediatrics.
Neurology.
Obstetrics and gynecology.
Ophthalmology.
Otolaryngology.
Pain management and end-of-life care.
Pathology, bacteriology, and immunology.
Pharmacology.
Physical medicine.
Physiology.
Preventive medicine, including nutrition.
Psychiatry.
Radiology, including radiation safety.
Spousal or partner abuse detection and treatment.
Surgery, including orthopedic surgery.
Therapeutics.
Tropical medicine.
Urology.
(c) The requirement that an applicant successfully complete a
medical curriculum that provides instruction in pain management and
end-of-life care shall only apply to a person entering medical school
on or after June 1, 2000.
2089.5. (a) Clinical instruction in the subjects listed in
subdivision (b) of Section 2089 shall meet the requirements of this
section and shall be considered adequate if the requirements of
subdivision (a) of Section 2089 and the requirements of this section
are satisfied.
(b) Instruction in the clinical courses shall total a minimum of
72 weeks in length.
(c) Instruction in the core clinical courses of surgery, medicine,
family medicine, pediatrics, obstetrics and gynecology, and
psychiatry shall total a minimum of 40 weeks in length with a minimum
of eight weeks instruction in surgery, eight weeks in medicine, six
weeks in pediatrics, six weeks in obstetrics and gynecology, a
minimum of four weeks in family medicine, and four weeks in
psychiatry.
(d) Of the instruction required by subdivision (b), including all
of the instruction required by subdivision (c), 54 weeks shall be
performed in a hospital that sponsors the instruction and shall meet
one of the following:
(1) Is a formal part of the medical school or school of
osteopathic medicine.
(2) Has an approved residency program in family practice or in the
clinical area of the instruction for which credit is being sought.
(3) Is formally affiliated with an approved medical school or
school of osteopathic medicine located in the United States or
Canada. If the affiliation is limited in nature, credit shall be
given only in the subject areas covered by the affiliation agreement.
(4) Is formally affiliated with a medical school or a school of
osteopathic medicine located outside the United States or Canada.
(e) If the institution, specified in subdivision (d), is formally
affiliated with a medical school or a school of osteopathic medicine
located outside the United States or Canada, it shall meet the
following:
(1) The formal affiliation shall be documented by a written
contract detailing the relationship between the medical school, or a
school of osteopathic medicine, and hospital and the responsibilities
of each.
(2) The school and hospital shall provide to the division a
description of the clinical program. The description shall be in
sufficient detail to enable the division to determine whether or not
the program provides students an adequate medical education. The
division shall approve the program if it determines that the program
provides an adequate medical education. If the division does not
approve the program, it shall provide its reasons for disapproval to
the school and hospital in writing specifying its findings about each
aspect of the program that it considers to be deficient and the
changes required to obtain approval.
(3) The hospital, if located in the United States, shall be
accredited by the Joint Commission on Accreditation of Hospitals, and
if located in another country, shall be accredited in accordance
with the law of that country.
(4) The clinical instruction shall be supervised by a full-time
director of medical education, and the head of the department for
each core clinical course shall hold a full-time faculty appointment
of the medical school or school of osteopathic medicine and shall be
board certified or eligible, or have an equivalent credential in that
specialty area appropriate to the country in which the hospital is
located.
(5) The clinical instruction shall be conducted pursuant to a
written program of instruction provided by the school.
(6) The school shall supervise the implementation of the program
on a regular basis, documenting the level and extent of its
supervision.
(7) The hospital-based faculty shall evaluate each student on a
regular basis and shall document the completion of each aspect of the
program for each student.
(8) The hospital shall ensure a minimum daily census adequate to
meet the instructional needs of the number of students enrolled in
each course area of clinical instruction, but not less than 15
patients in each course area of clinical instruction.
(9) The division, in reviewing the application of a foreign
medical graduate, may require the applicant to submit a description
of the clinical program, if the division has not previously approved
the program, and may require the applicant to submit documentation to
demonstrate that the applicant's clinical training met the
requirements of this subdivision.
(10) The medical school or school of osteopathic medicine shall
bear the reasonable cost of any site inspection by the division or
its agents necessary to determine whether the clinical program
offered is in compliance with this subdivision.
2089.7. (a) The requirement of four weeks of clinical course
instruction in family medicine shall apply only to those applicants
for licensure who graduate from medical school or a school of
osteopathic medicine after May 1, 1998.
(b) This section shall become operative on June 30, 1999.
2090. "Human sexuality" as used in Sections 2089 and 2191 means the
study of a human being as a sexual being and how he or she functions
with respect thereto.
2091. The requirement that instruction in child abuse detection and
treatment be provided shall apply only to applicants who matriculate
on or after September 1, 1979.
2091.1. The requirement that instruction in alcoholism and other
chemical substance dependency be provided applies only to applicants
who matriculate on or after September 1, 1985.
2091.2. The requirements that instruction in spousal or partner
abuse detection and treatment be provided shall apply only to
applicants who matriculate on or after September 1, 1994. The
requirement for coursework in spousal or partner abuse detection and
treatment shall be satisfied by, and the board shall accept in
satisfaction of the requirement, a certification from the chief
academic officer of the educational institution from which the
applicant graduated that the required coursework is included within
the institution's required curriculum for graduation.
2102. Any applicant whose professional instruction was acquired in
a country other than the United States or Canada shall provide
evidence satisfactory to the division of compliance with the
following requirements to be issued a physician's and surgeon's
certificate:
(a) Completion in a medical school or schools of a resident course
of professional instruction equivalent to that required by Section
2089 and issuance to the applicant of a document acceptable to the
division that shows final and successful completion of the course.
However, nothing in this section shall be construed to require the
division to evaluate for equivalency any coursework obtained at a
medical school disapproved by the division pursuant to this section.
(b) Certification by the Educational Commission for Foreign
Medical Graduates, or its equivalent, as determined by the division.
This subdivision shall apply to all applicants who are subject to
this section and who have not taken and passed the written
examination specified in subdivision (d) prior to June 1, 1986.
(c) Satisfactory completion of the postgraduate training required
under Section 2096. An applicant shall be required to have
substantially completed the professional instruction required in
subdivision (a) and shall be required to make application to the
division and have passed steps 1 and 2 of the written examination
relating to biomedical and clinical sciences prior to commencing any
postgraduate training in this state. In its discretion, the division
may authorize an applicant who is deficient in any education or
clinical instruction required by Sections 2089 and 2089.5 to make up
any deficiencies as a part of his or her postgraduate training
program, but that remedial training shall be in addition to the
postgraduate training required for licensure.
(d) Pass the written examination as provided under Article 9
(commencing with Section 2170). If an applicant has not
satisfactorily completed at least two years of approved postgraduate
training, the applicant shall also pass the clinical competency
written examination. An applicant shall be required to meet the
requirements specified in subdivision (b) prior to being admitted to
the written examination required by this subdivision.
Nothing in this section prohibits the division from disapproving
any foreign medical school or from denying an application if, in the
opinion of the division, the professional instruction provided by the
medical school or the instruction received by the applicant is not
equivalent to that required in Article 4 (commencing with Section
2080).
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