1. (1) At the end of the initial bridge year, the supervising physician shall submit a report directly to the Board which includes the following:

   1. (a) The scope and breadth of the practice of the participating bridge year graduate physician, including the ability of the bridge year graduate physician to complete the following, if applicable:

      1. 1. Gather a history and perform a physical examination,
      2. 2. Prioritize a differential diagnosis following a clinical encounter,
      3. 3. Recommend and interpret common diagnostic and screening tests,
      4. 4. Enter and discuss orders and prescriptions,
      5. 5. Document a clinical encounter in the patient record,
      6. 6. Provide an oral presentation of a clinical encounter,
      7. 7. Form clinical questions and retrieve evidence to advance patient care,
      8. 8. Collaborate as a member of an interprofessional team,
      9. 9. Recognize a patient requiring urgent or emergent care and initiate evaluation and management,
      10. 10. Obtain informed consent for tests and/or procedures,
      11. 11. Perform general procedures of a physician,
      12. 12. Identify system failures and contribute to a culture of safety and improvement.
   2. (b) The instruction and training provided to the bridge year graduate physician by the supervising and any covering physician, if applicable,
   3. (c) A statement as to whether the bridge year graduate physician would be recommended for a residency position upon reapplication.
2. (2) This section shall also apply to a bridge year graduate physician’s renewal bridge year if the bridge year graduate physician applied for a renewal of the initial permit.
3. (3) If the supervising physician has changed prior to the end of the initial bridge year or renewal bridge year, the supervising physician supervising the bridge year graduate physician at the end of the bridge year or renewal bridge year shall be responsible for submitting the report to the Board.

Author: Alabama Board of Medical Examiners

Statutory Authority: Code of Ala. 1975, §34-24-75.2 and Act No. 23-233.

History: New Rule: Published May 31, 2024; effective July 15, 2024.