1. (a) Approval of fellowship programs by the division shall be pursuant to the following criteria for approval of fellowship programs for foreign trained physicians not located in hospitals affiliated with a medical school:

   1. (1) Programs shall be conducted in hospitals which have a minimum capacity of 150 beds, excluding bassinets, which have a minimum of 5000 annual admissions, and which have a minimum of three (3) major clinical divisions represented in the hospital.
   2. (2) The teaching staff shall include a minimum of three (3) persons; however, the ratio of teaching staff to postgraduate trainees shall be one to one. The hospital shall have a ratio of not less than twenty-five (25) beds per postgraduate trainee.
   3. (3) Programs shall have a qualified teaching staff with educational background and professional experience. Each staff teacher shall be board-certified in his or her specialty area of teaching. The teaching staff shall be directed by a physician who possesses a “medical doctor” degree and is licensed as an “M.D.” by the board and who has a clinical teaching appointment from a medical school approved by the division.
   4. (4) One member of the teaching staff shall be in the facility at all times in which a postgraduate trainee is on duty or in training.
   5. (5) Hospitals shall maintain adequate clinical records in conjunction with the training programs which show evidence of endorsement of the records by supervising physicians.
   6. (6) Programs shall be conducted in hospitals which have a physician specializing in pathology on the staff who conducts clinical pathology conferences and participates in other teaching mortality and morbidity conferences.
   7. (7) Programs shall be conducted in hospitals which have a physician specializing in radiology who participates in hospital teaching conferences. Hospitals shall have adequate fluoroscopy and viewing space to accommodate clinical trainees.
   8. (8) Programs shall maintain an adequate medical library containing standard medical text and reference books and a representative collection of current medical journals covering the major clinical fields.

   9. (9) Programs shall also include:

      1. (A) adequate teaching time in proportion to service time;
      2. (B) participation by the postgraduate in total patient care;
      3. (C) adequate communication with attending physicians;
      4. (D) a training committee or physician responsible for the organization, supervision and evaluation of the instruction given who shall have a teaching appointment from a medical school approved by the division;
      5. (E) lecture facilities and teaching aids;
      6. (F) daily ward or teaching rounds;
      7. (G) ambulatory patient care, where appropriate;
      8. (H) training and departmental conferences on clinical pathology, mortality and morbidity, and radiology.
2. (b) The application fee for approvals pursuant to this section shall be $500.00.
3. (c) All approvals shall be renewed annually. There is no fee charged for filing such a renewal.

Note: Authority cited: Section 2018, Business and Professions Code. Reference: Sections 2005 and 2112, Business and Professions Code.

History

1. New section filed 6-17-77; effective thirtieth day thereafter (Register 77, No. 25).

2. Amendment of subsection (c)(1) filed 8-15-78; effective thirtieth day thereafter (Register 78, No. 33).

3. Amendment of subsection (a) filed 8-5-81; effective thirtieth day thereafter (Register 81, No. 32).

4. Amendment filed 9-21-83; effective thirtieth day thereafter (Register 83, No. 39).

5. Amendment of subsection (a)(3) filed 5-6-92; operative 6-5-92 (Register 92, No. 19).