DEPARTMENT OR REGULATORY AGENCIES Colorado Medical Board Rule 120 - DEMONSTRATION OF CONTINUED COMPETENCY BY PHYSICIAN APPLICANTS FOR LICENSURE, REINSTATEMENT OR REACTIVATION OF A LICENSE 3 CCR 713-22 [Editor’s Notes follow the text of the rules at the end of this CCR Document.] INTRODUCTION BASIS: The authority for promulgation of these rules and regulations by the Colorado Medical Board (“Board” ) is set forth in sections 12-36-104(1)(a), 12-36-114.5, 12-36-116(1)(d), 24-34-102(8)(d)(II) and 12-36-137(5), C.R.S.

PURPOSE: The purpose of these rules and regulations is to set forth the process by which a physician may demonstrate continued competency for the purpose of complying with the statutory sections referenced above to obtain a Colorado medical license, or reinstatement or reactivation of an existing license. These rules apply only to those physician applicants for licensure or reactivation who have not established that they have actively practiced medicine for the two year period immediately preceding the filing of the application or to those physician applicants for reinstatement whose license has expired for more than two years and who have not established that they have actively practiced medicine for the 2 year period immediately preceding the filing of the application. REQUIREMENTS If the physician has practiced medicine only for a portion of the two year period immediately preceding the filing of the application, the Board may determine on a case by case basis in its discretion whether the physician has adequately demonstrated continued competency to practice medicine. Otherwise, to demonstrate continued competency for purposes of complying with section 12-36-116(1)(d), 12-36-114.5, 24-34-102(8)(d)(II) or 12-36-137(5), C.R.S., an applicant must (a) submit to the Board a personalized competency evaluation report prepared by a program approved by the Board and (b) complete any education and/or training recommended by the program as a result of the evaluation prior to obtaining a license. In the discretion of the Board, the physician may be able to receive a re-entry license prior to completing the education and/or training recommended by the program for the purpose of facilitating the completion of such education and/or training. All expenses resulting from the evaluation and/or any recommended education and/or training are the responsibility of the applicant and not of the Board.

Where appropriate, the Board may determine that demonstration of continued competency requires an additional or different approach. For example, a physician practicing in a procedurally based specialty may be required to demonstrate competency in such procedures via over the shoulder monitoring of a specified number of procedures. This monitoring may be in addition to or in lieu of the personalized competency evaluation and/or recommended education and/or training. It is anticipated that this type of exception to the standard method of demonstrating continued competency will be rare. The decision as to the method of determining continued competency shall be at the discretion of the Board. Effective 12/1/95, Revised 8/15/02, Effective 10/30/02, Revised 2/13/03, Effective 4/30/03, Revised 4/14/05, Effective 6/30/05; Revised 2/9/06; Effective 3/31/06; Revised 8/19/10; Effective 10/15/10 _____________________________________________________ Editor’s Notes History Entire Rule eff. 10/15/2010.