653—10.3 (147,148,150,150A) Resident physician licensure.
	 10.3(1) General provisions.
	  a.   	 The resident physician license shall authorize the licensee to practice as an intern, resident or fellow while under the supervision of a licensed practitioner of medicine and surgery or osteopathic medicine and surgery in a board-approved resident training program in Iowa. When the ACGME, AOA, RCPSC, or CFPC fails to offer accreditation for a fellowship or the fellowship fails to seek accreditation, the board shall approve the program if the parent program is accredited by one of the aforementioned accrediting bodies. However, completion of one or more years of a program that itself lacks such accreditation does not fulfill the one-year resident training requirement for permanent licensure.
	  b.   	 An Iowa resident physician license or an Iowa permanent physician license is required of any resident physician enrolled in an Iowa resident training program and practicing in Iowa.
	  c.   	 A resident physician license issued on or after February 14, 2003, shall expire on the expected date of completion of the resident training program as indicated on the licensure application. A resident physician license may be extended thereafter at the discretion of the board.
	  d.   	 A resident physician license is valid only for practice in the program designated in the application. When the physician leaves that program, the license shall immediately become inactive. The director of the resident training program shall notify the board within 30 days of the licensee’s terminating from the program.
	  e.   	 A resident physician licensee who changes resident training programs shall apply for a new resident physician license as described in subrule 10.3(3). Such changes include a transfer to a different program in the same institution, a move to a program in another institution, or becoming a fellow after completing a residency in the same core program. An individual who contracts with an institution to be in two programs from the time of application for the resident license shall not be required to apply for another resident license for the second program. For example, if a residency requires one year in internal medicine prior to three years in dermatology, the individual may apply initially for a four-year resident license to cover the bundled program. Relicensure is not required if the individual holds a permanent physician license in Iowa.
	  f.   	 A visiting resident physician may come to Iowa to practice as a part of the physician’s resident training program if the physician is under the supervision of an Iowa-licensed physician. An Iowa physician license is not required of a physician in training if the physician has a resident or permanent license in good standing in the home state of the resident training program. An Iowa temporary physician license is required of a physician in training if the physician does not hold a resident or permanent physician license in good standing in the home state of the resident trainign program (see rule 653—10.5(147,148,150,150A)).
	  g.   	 An Iowa license is not required for residents when they are training in a federal facility in Iowa. An Iowa license is not required for faculty who are teaching in and employed by a federal facility in Iowa and who are licensed in another state.
	  h.   	 The director of a resident training program that enrolls a resident with an Iowa resident physician license shall report annually on October 1 on the resident’s progress and whether any warnings have been issued, investigations conducted or disciplinary actions taken, whether by voluntary agreement or formal action. The board shall inform the program directors on September 1 of the impending deadline.
	  i.   	 A resident physician licensee shall notify the board of any change in name within one month of making the name change. Notification requires a notarized copy of a marriage license or a notarized copy of court documents.
	  j.   	 A resident physician licensee’s file shall be closed and labeled “deceased” when the board receives a copy of the physician’s death certificate.
	 10.3(2) Resident licensure eligibility. To be eligible for a resident license, an applicant shall meet all of the following requirements:
	  a.   	 Fulfill the application requirements specified in subrule 10.3(3).
	  b.   	 Be at least 20 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:
	  1. 	 Hold a valid certificate issued by ECFMG, or
	  2. 	 Have successfully completed a fifth pathway program established in accordance with AMA criteria.
	 10.3(3) Resident physician licensure application.
	  a.   	 Requirements. To apply for resident physician licensure, an applicant shall:
	 (1) 	 Pay a nonrefundable application fee of $150 plus the fee identified in 653—subrule 8.4(7) for the evaluation of the fingerprint packet and the criminal history background checks by the Iowa division of criminal investigation (DCI) and the Federal Bureau of Investigation (FBI); and
	 (2) 	 Complete and submit forms provided by the board, including required credentials, documents, a completed fingerprint packet, and a sworn statement by the applicant attesting to the truth of all information provided by the applicant. A completed fingerprint packet is not required if the applicant has held active physician licensure in Iowa within 12 months of applying for licensure and fingerprinting was done prior to the issuance of that license.
	  b.   	 Application. The application shall require the following information:
	 (1) 	 Name, date and place of birth, home address, and mailing address;
	 (2) 	 A photograph of the applicant suitable for positive identification;
	 (3) 	 A statement listing every jurisdiction in which the applicant is or has been authorized to practice, including license numbers and dates of issuance;
	 (4) 	 A chronology accounting for all time periods from the date the applicant entered medical school to the date of the application;
	 (5) 	 A photocopy of the applicant’s medical degree issued by an educational institution.
	  1. 	 A complete translation shall be submitted for any diploma not written in English. An official transcript, written in English and received directly from the school, verifying graduation from medical school is a suitable alternative. An official FCVS Physician Information Profile is a suitable alternative.
	  2. 	 If a copy of the medical degree cannot be provided because of extraordinary circumstances, the board may accept other reliable evidence that the applicant obtained a medical degree from a specific educational institution;
	 (6) 	 If the educational institution awarding the applicant the degree has not been approved by the board, the applicant shall provide a valid ECFMG certificate or evidence of successful completion of a fifth pathway program in accordance with criteria established by the AMA. An official FCVS Physician Information Profile is a suitable alternative;
	 (7) 	 A statement disclosing and explaining any warnings issued, investigations conducted, or disciplinary actions taken, whether by voluntary agreement or formal action, by a medical or professional regulatory authority, an educational institution, training or research program, or health care facility in any jurisdiction;
	 (8) 	 A statement of the applicant’s physical and mental health, including full disclosure and a written explanation of any dysfunction or impairment which may affect the ability of the applicant to engage in practice and provide patients with safe and healthful care;
	 (9) 	 A statement disclosing and explaining the applicant’s involvement in civil litigation related to practice in any jurisdiction. Copies of the legal documents may be requested if needed during the review process;
	 (10) 	 A statement disclosing and explaining any charge of a misdemeanor or felony involving the applicant filed in any jurisdiction, whether or not any appeal or other proceeding is pending to have the conviction or plea set aside; and
	 (11) 	 A completed fingerprint packet to facilitate a national criminal history background check. The fee for the evaluation of the fingerprint packet and the DCI and FBI criminal history background checks will be assessed to the applicant.
	 10.3(4) Resident license application review process. The process below shall be utilized to review each application for a resident license.
	  a.   	 An application shall be considered open from the date the application form is received in the board office with the nonrefundable resident licensure fee.
	  b.   	 After reviewing each application, staff shall notify the applicant or designee about how to resolve any problems identified by the reviewer.
	  c.   	 If the final review indicates no questions or concerns regarding the applicant’s qualifications for licensure, staff may grant administratively a resident license.
	  d.   	 If the final review indicates questions or concerns that cannot be remedied by continued communication with the applicant, the executive director, director of licensure and administration, and director of legal affairs shall determine if the questions or concerns indicate any uncertainty about the applicant’s current qualifications for licensure.
	 (1) 	 If there is no current concern, staff shall grant administratively a resident license.
	 (2) 	 If any concern exists, the application shall be referred to the committee.
	  e.   	 Staff shall refer to the committee for review matters which include, but are not limited to, falsification of information on the application, criminal record, substance abuse, competency, physical or mental illness, or educational disciplinary history.
	  f.   	 If the committee is able to eliminate questions or concerns without dissension from staff or a committee member, the committee may direct staff to grant administratively a resident license.
	  g.   	 If the committee is not able to eliminate questions or concerns without dissension from staff or a committee member, the committee shall recommend that the board:
	 (1) 	 Request an investigation;
	 (2) 	 Request that the applicant appear for an interview;
	 (3) 	 Grant a resident physician license for a particular residency program;
	 (4) 	 Grant a license under certain terms and conditions or with certain restrictions;
	 (5) 	 Request that the applicant withdraw the licensure application; or
	 (6) 	 Deny a license.
	  h.   	 The board shall consider applications and recommendations from the committee and shall:
	 (1) 	 Request an investigation;
	 (2) 	 Request that the applicant appear for an interview;
	 (3) 	 Grant a resident physician license for a particular residency program;
	 (4) 	 Grant a license under certain terms and conditions or with certain restrictions;
	 (5) 	 Request that the applicant withdraw the licensure application; or
	 (6) 	 Deny a license. The board may deny a license for any grounds on which the board may discipline a license. The procedure for appealing a license denial is set forth in 653—9.15(147,148,150,150A).
	 10.3(5) Resident license application cycle. If the applicant does not submit all materials within 90 days of the board office’s last documented request for further information, the application shall be considered inactive. The board office shall notify the applicant of this change in status. An applicant must reapply and submit a new nonrefundable application fee and a new application, documents and credentials.
	 10.3(6) Extension of a resident physician license.
	  a.   	 On or after February 14, 2003, the board shall issue a resident license for the full period of the resident training program. The board shall offer to all who hold a current, active resident license on February 13, 2003, an extension of the license to the expected completion date of the resident training program. A licensee who wishes to extend the license shall submit the extension application materials within two months of the offer.
	  b.   	 If the licensee fails to complete the program by the expiration date on the license, the licensee has a one-month grace period in which to complete the program or secure an extension from the board.
	  c.   	 The resident physician licensee is responsible for applying for an extension if the licensee has not been granted permanent physician licensure and the licensee will not complete the program within the grace period. The following extension application materials are due in the board office prior to the expiration of the license;
	 (1) 	 A letter requesting an extension and providing an explanation of the need for an extension;
	 (2) 	 The extension fee of $25; and
	 (3) 	 A statement from the director of the resident training program attesting to the new expected date of completion of the program and the individual’s progress in the program and whether any warnings have been issued, investigations conducted or disciplinary actions taken, whether by voluntary agreement or formal action.
No documentation of continuing medical education or mandatory training on identifying and reporting abuse is required since a resident is in training.
	  d.   	 Failure of the licensee to extend a license within one month following the expiration date shall cause the license to become inactive and invalid. For example, a license that expires on June 26 becomes inactive and invalid on July 26. A licensee whose license is inactive is prohibited from practice until the license is extended or replaced by a permanent physician or new resident physician license.
	  e.   	 To extend an inactive resident license within one year of becoming inactive, an applicant shall submit the following:
	 (1) 	 A letter requesting an extension and providing an explanation of the need for an extension;
	 (2) 	 The extension fee of $25;
	 (3) 	 A $50 late fee; and
	 (4) 	 A statement from the director of the resident training program attesting to the new expected date of completion of the program and the individual’s progress in the program and whether any warnings have been issued, investigations conducted or disciplinary actions taken, whether by voluntary agreement or formal action.
No documentation of continuing medical education or mandatory training on identifying and reporting abuse is required since a resident is in training.
	  f.   	 If more than one year has passed since the resident license became inactive, the applicant shall apply for a new resident license as described in subrule 10.3(3).
	 10.3(7) Review process for extending a resident license. The process below shall be utilized to review each request for an extension of a resident license.
	  a.   	 An extension request shall be considered open from the date the required letters and nonrefundable extension fee are received in the board office.
	  b.   	 After reviewing each request for extension, staff shall notify the licensee or designee about how to resolve any problems identified by the reviewer.
	  c.   	 If the final review indicates no questions or concerns regarding the applicant’s qualifications for continued licensure, staff may grant administratively an extension to a resident license.
	  d.   	 If the final review indicates questions or concerns that cannot be remedied by continued communication with the applicant, the executive director, the director of licensure and administration, and the director of legal affairs shall determine if the questions or concerns indicate any uncertainty about the applicant’s current qualifications for licensure.
	 (1) 	 If there is no current concern, staff shall grant administratively an extension to a resident license.
	 (2) 	 If any concern exists, the application shall be referred to the committee.
	  e.   	 Staff shall refer to the committee for review matters which include, but are not limited to, falsification of information in the request, criminal record, substance abuse, competency, physical or mental illness, or educational disciplinary history.
	  f.   	 If the committee is able to eliminate questions or concerns without dissension from staff or a committee member, the committee may direct staff to grant administratively an extension to a resident license.
	  g.   	 If the committee is not able to eliminate questions or concerns without dissension from staff or a committee member, the committee shall recommend that the board:
	 (1) 	 Request an investigation;
	 (2) 	 Request that the licensee appear for an interview;
	 (3) 	 Grant a license under certain terms and conditions or with certain restrictions;
	 (4) 	 Request that the licensee withdraw the request for an extension; or
	 (5) 	 Deny a request for an extension of the license.
	  h.   	 The board shall consider applications and recommendations from the committee and shall:
	 (1) 	 Request an investigation;
	 (2) 	 Request that the licensee appear for an interview;
	 (3) 	 Grant an extension to the resident physician license;
	 (4) 	 Grant an extension to the resident physician license under certain terms and conditions or with certain restrictions;
	 (5) 	 Request that the licensee withdraw the request for an extension; or
	 (6) 	 Deny a request for an extension of the license. The board may deny an extension of a license for any grounds on which the board may discipline a license. The procedure for appealing a license denial of an extension is set forth in 653—9.15(147,148,150,150A).
	 10.3(8) An Iowa resident physician who changes resident training programs in Iowa. A resident physician who changes resident training programs shall acquire new resident physician licensure or permanent licensure prior to entering the new resident training program. Such changes include a transfer to a different program in the same institution, a move to a program in another institution, or becoming a fellow after completing a residency in the same core program. An individual who contracts with an institution to be in two programs from the time of application for the resident license shall not be required to apply for another resident license for the second program. A resident physician licensee applying for a new resident license shall submit the following:
	  a.   	 A nonrefundable resident licensure application fee of $100;
	  b.   	 Materials required in subparagraphs 10.3(3)“b”(1) to (4) and (7) to (10);
	  c.   	 A statement from the director of the applicant’s most recent residency program documenting the applicant’s progress in the program and whether any warnings had been issued, investigations conducted or disciplinary actions taken, whether by voluntary agreement or formal action; and
	  d.   	 The original resident license as soon as the applicant for relicensure leaves the residency program.
	 10.3(9) Discipline of a resident license. The board may discipline a license for any of the grounds for which licensure may be revoked or suspended as specified in Iowa Code section 147.55 or 148.6, Iowa Code chapter 272C, and 653—Chapter 23.
	 10.3(10) Transition from a resident license to a permanent license. When a resident physician receives a permanent Iowa license, the resident physician license shall immediately become inactive.