653—9.3 (147,148) Eligibility for permanent licensure.
	 9.3(1) Requirements. To be eligible for permanent licensure, an applicant shall meet all of the following requirements:
	  a.   	 Fulfill the application requirements specified in rule 9.5(147,148).
	  b.   	 Be at least 21 years of age.
	  c.   	 Hold a medical degree from an educational institution approved by the board at the time the applicant graduated and was awarded the degree.
	 (1) 	 Educational institutions approved by the board shall be fully accredited by an accrediting agency recognized by the board as schools of instruction in medicine and surgery or osteopathic medicine and surgery and empowered to grant academic degrees in medicine.
	 (2) 	 The accrediting bodies currently recognized by the board are:
	  1. 	 LCME for the educational institutions granting degrees in medicine and surgery; and
	  2. 	 AOA for educational institutions granting degrees in osteopathic medicine and surgery.
	 (3) 	 If the applicant holds a medical degree from an educational institution not approved by the board at the time the applicant graduated and was awarded the degree, the applicant shall meet one of the following requirements:
	  1. 	 Hold a valid certificate issued by ECFMG;
	  2. 	 Have successfully completed a fifth pathway program established in accordance with AMA criteria;
	  3. 	 Have successfully passed either a basic science examination administered by a United States or Canadian medical licensing authority or SPEX; and have successfully completed three years of resident training in a program approved by the board; and have submitted evidence of five years of active practice without restriction as a licensee of any United States or Canadian jurisdiction; or
	  4. 	 Have successfully passed either a basic science examination administered by a United States or Canadian medical licensing authority or SPEX; and hold board certification by a specialty board approved by ABMS or AOA; and submit evidence of five years of active practice without restriction as a licensee of any United States or Canadian jurisdiction.
	  d.   	 Have successfully completed one year of resident training in a hospital-affiliated program approved by the board at the time the applicant was enrolled in the program. Beginning July 1, 2006, an applicant who is a graduate of an international medical school shall have successfully completed 24 months of such training.
	 (1) 	 For those required to have 12 months of training, the program shall have been 12 months of progressive training in not more than two specialties and in not more than two programs approved for resident training by the board. Beginning July 1, 2006, for those required to have 24 months of training, the program shall have been 24 months of progressive training in not more than two specialties and in not more than two programs approved for resident training by the board.
	 (2) 	 Resident training approved by the board shall be accredited by an accrediting agency recognized by the board for the purpose of accrediting resident training programs.
	 (3) 	 The board approves resident training programs accredited by:
	  1. 	 ACGME;
	  2. 	 AOA;
	  3. 	 RCPSC; and
	  4. 	 CFPC.
	 (4) 	 The board shall accept each 12 months of practice as a special licensee as equivalent to one year of resident training in a hospital-affiliated program approved by the board.
	  e.   	 Pass one of the licensure examinations or combinations as prescribed in rule 9.4(147,148).
	 9.3(2) Reserved.