INTRODUCTION BASIS. The authority for promulgation of these rules and regulations by the State Board of Medical Examiners is set forth in Sections 12-36-104(1)(a) and 12-36-107(3)(c), C.R.S. PURPOSE. These rules have been adopted by the State Board of Medical Examiners to specify standards related to the qualification and supervision of distinguished foreign teaching physicians. As set forth in Section 12-36-107(3), C.R.S., a physician of noteworthy and recognized professional attainment who is a graduate of a foreign medical school and who is licensed in a foreign jurisdiction if that jurisdiction has a licensing procedure may be granted a distinguished foreign teaching physician license to practice medicine in this state if all conditions set forth in the Medical Practice Act and these rules are met.

I. A “medical school in this state” pursuant to Section 12-36-107(3) must be an approved medical college as defined by Section 12-36-108, C.R.S. located in the state of Colorado.

II. Qualifications for initial licensure as a distinguished foreign teaching physician pursuant to Section 12- 36-107(3), C.R.S.

A. An applicant for initial licensure as a distinguished foreign teaching physician pursuant to Section 12-36-107(3), C.R.S. must:

i. Pay the Board a registration fee to be determined and collected pursuant to Section 12-36-111(1), C.R.S.

ii. Fully and accurately complete the Board’s distinguished foreign teaching physician application form and questionnaire;

iii. Submit a letter from the dean’s office of the medical school on whose academic faculty the applicant will serve containing the following information:

1. 1. The reasons international recruitment for this academic faculty position was necessary;
2. 2. The proposed role of the applicant on the academic faculty and whether the applicant will serve in the role of professor, associate professor, or assistant professor; and 3. The ways in which the applicant’s qualifications match the factors listed in section I(B) of these Rules.

B. When determining whether an applicant for initial licensure as a distinguished foreign teaching physician is a physician of noteworthy and recognized professional attainment, the Board shall in the exercise of its discretion consider the following factors:

i. Whether the applicant holds a current and unrestricted medical license in the applicant’s home country if such medical licenses are issued by the home country, and whether the applicant holds a current and unrestricted medical license in any other country;

ii. Whether the applicant’s medical license and health care privileges are unrestricted and have not been subject to discipline by any licensing body or health care entity;

iii. Information known to the Board about the institutions where the applicant received medical education and training;

iv. The nature and length of the applicant’s post-graduate medical training in the applicant’s area of medical specialty;

v. Whether the applicant holds Board certification conferred by a regular member board of the American Board of Medical Specialties or the American Osteopathic Association in the applicant’s area of medical specialty;

vi. Whether the applicant holds Board certification outside the United States or an equivalent credential in the applicant’s area of medical specialty;

vii. The nature of the applicant’s prior academic experience, including but not limited to teaching experience, other visiting professorships, professorships in the home country, research and publications;

viii. The nature of the applicant’s clinical experience and expertise;

ix. Whether the applicant is free from prior medical malpractice judgments, settlements, or their equivalent;

x. The applicant’s demonstrated teaching ability;

xi. The quality and quantity of the applicant’s medical publications in books and journals; and xii. Whether the applicant’s training, skills or talents will contribute uniquely to clinical medicine and research in Colorado.

C. When determining whether to license an applicant as a distinguished foreign teaching physician pursuant to Section 12-36-107(3), C.R.S., the Board shall require demonstration of the applicant’s noteworthy and recognized professional attainment and evidence that the applicant will continue to demonstrate such attainment during the ensuing period of licensure. The Board will consider whether the applicant will uniquely enhance clinical medicine and research in the state. Such decision shall rest in the discretion of the Board.

III. Qualifications for renewal of licensure as a distinguished foreign teaching physician pursuant to Section 12-36-107(3), C.R.S.

A. An applicant for annual renewal of licensure as a distinguished foreign teaching physician pursuant to Section 12-36-107(3), C.R.S. must:

i. Pay the Board a renewal fee to be determined and collected pursuant to Section 24- 34-105, C.R.S.;

ii. Fully and accurately complete the Board’s distinguished foreign teaching physician renewal application form and questionnaire;

iii. Submit a letter from the medical school on whose academic faculty the applicant will serve containing the following information:

1. 1. The reasons international recruitment for this academic faculty position continues to be necessary;
2. 2. The proposed role of the applicant on the academic faculty and whether the applicant will serve in the role of professor, associate professor, or assistant professor;
3. 3. A narrative regarding the ways in which the applicant has enhanced clinical medicine and research in the state; and 4. The ways in which the applicant has continued to demonstrate noteworthy and recognized professional attainment in the past year. Such continued noteworthy and recognized professional attainment may be demonstrated by submission of an updated curriculum vitae; an updated list of publications and teaching experience; continued post-graduate education; and copies of the applicant’s teaching evaluations.

B. The decision regarding whether to renew the distinguished foreign teaching physician license of an applicant for renewal of licensure pursuant to Section 12-36-107(3), C.R.S. shall be based on the above factors. The Board shall require continued demonstration of the applicant’s noteworthy and recognized professional attainment and evidence that the applicant will continue to demonstrate such attainment during the ensuing period of licensure. The Board will consider whether the applicant has uniquely enhanced clinical medicine and research in the state. Such decision shall rest in the discretion of the Board.

IV. Supervision of a distinguished foreign teaching physician who is not offered the rank of associate professor or above.

A. At the time of application and of renewal application, an applicant or renewal applicant for licensure as a distinguished foreign teaching physician who has not been offered the rank of associate professor or above shall identify on the application form the name of the supervising physician.

B. The supervising physician must have a rank of associate professor or above.

C. The supervising physician must have a current and unrestricted Colorado medical license, which is not a distinguished foreign teaching license.

D. At the time of renewal of the distinguished foreign teaching physician’s license, the supervising physician must submit a letter to the Board detailing the applicant’s teaching and clinical abilities and quality and quantity of the applicant’s publications and research.

V. License issuance and renewal.

A. Upon approval by the Board, the licensee and a representative of the Board shall sign a Licensing Agreement setting forth the terms and conditions of the distinguished foreign teaching physician license. The Licensing Agreement shall clarify that it is valid only if renewed in accordance with the procedures and factors set forth above, and that if it is not so renewed on an annual basis, it is void.

B. If a distinguished foreign teaching physician license is not renewed each year, it shall expire as set forth in Section 12-36-107(3), C.R.S. The physician must thereafter reapply for a new license if such physician wishes to resume practice in the state of Colorado pursuant to Section 12-36-107(3), C.R.S..

Adopted: August 17, 2006, Effective: October 30, 2006