PURPOSE: This rule provides requirements to applicants desiring to take the examination in Missouri for permanent licensure to practice as a physician and a surgeon. (1) The applicant shall furnish satisfactory evidence as to his/her innocence of unprofessional or dishonorable conduct and good moral character, including postgraduate reference letters from the applicant’s training programs. (2) The applicant shall furnish a certificate of graduation from an accredited high school, satisfactory evidence of completion of preprofessional education consisting of a minimum sixty (60) semester hours of college credit in acceptable subjects from a reputable college or university approved by the board.

1. (3) The applicant shall furnish satisfactory evidence of having attended throughout at least four (4) terms of thirty-two (32) weeks of actual instructions in each term and of having received a diploma from some reputable medical or osteopathic college that enforces requirements of four (4) terms of thirty-two
2. (32) weeks for actual instruction in each term, including, in addition to class work, experience in operative and hospital work during the last two (2) years of instruction as is required by the American Medical Association (AMA) and the American Osteopathic Association (AOA) before the college is approved and accredited as reputable.
3. (4) All applicants shall have on file, in the office of the executive director, a photocopy of their professional degrees before licenses can be issued to them.

4. (5) For applicants desiring to take the board’s examination after January 1, 1994, the applicant shall furnish satisfactory evidence of having passed—

   1. (A) Component 1 of the Federation Licensing Examination (FLEX); or

   2. (B) Both—

      1. 1. Part I of the NBME (National Board

of Medical Examiners) examination, Part I of the NBOE (National Board of Osteopathic Examiners) examination or Step 1 of the USMLE (United States Medical Licensing Examination); and

1. 2. Part II of the NBME examination or

Part II of the NBOE examination or Step 2 of the USMLE.

1. (6) For applicants desiring to take the examination after January 1, 1994, the applicant shall provide evidence that the applicant will have met the board’s postgraduate training requirements as stated in 4 CSR 150-2.004, within sixty (60) days of the examination.
2. (7) Upon proper showing, the State Board of Registration for the Healing Arts may accept the certificate of the National Board of Medical Examiners of the United States, chartered under the laws of the District of Columbia, of The National Board of Examiners for Osteopathic Physicians and Surgeons, chartered under the laws of Indiana, in lieu of and as equivalent to its own professional examination, upon proper application and an appropriate fee to be established by the board.

3. (8) The board does not necessarily accept the operative and hospital work of any medical or osteopathic school outside the United States and Canada; therefore an applicant from an international school may be required to have at least three (3) years of AMA/AOA approved training in a hospital in the United States approved for resident training by the board before making application for examination.

   1. (A) This applicant must furnish to the board a copy of his/her credentials in the original form with translated copy of each attached and shall be verified to the board by the school of graduation direct or documents bearing the evidence shall be visaed by the United States consul in the country the school of graduation is or was located.
   2. (B) This applicant is required to get a certificate from the Educational Commission for Foreign Medical Graduates or show evidence to the board that s/he has passed the equivalent examination in another state or national board.
4. (9) Medical or osteopathic colleges in Canada, at the discretion of the board, may not be considered international schools by the State Board of Registration for the Healing Arts.

AUTHORITY: section 334.125, RSMo Supp. 1995.* This rule originally filed as 4 CSR 150-2.010. Original rule filed Dec. 19, 1975, effective Dec. 29, 1975. Amended: Filed Aug. 10, 1984, effective Jan. 1, 1987. Amended: Filed July 3, 1989, effective Dec. 1, 1989. Amended: Filed Oct. 4, 1993, effective April 9, 1994. Amended: Filed April 15, 1996, effective Nov. 30, 1996. Moved to 20 CSR 2150-2.010, effective Aug. 28, 2006.

*Original authority: 334.125, RSMo 1959, amended 1993, 1995. State Board of Registration for the Healing Arts of Missouri v. De Vore, 517 SW2d 480 (Mo. App. 1975). Administrative Hearing Commission Act, section 161.252, RSMo (1969), repealed the former authority of the board to conduct evidentiary hearings on the qualifications of applicants for licensure. State Board of Registration for the Healing Arts of Missouri v. Masters, 512 SW2d 150 (Mo. App. 1974). Board’s refusal to issue osteopath an annual certificate of registration held not tantamount to refusal to renew license as would give Administrative Hearing Commission jurisdiction and authority. 20 CSR 2150-2 State Board of Registration for the Healing Arts of Missouri v. Masters, 512 SW2d 150 (Mo. App. 1974). Board may not issue annual certificate of registration to person who is not licensed to practice medicine in this state. Op. Atty. Gen. No. 257, Goode (6-1-70). Pathology is a branch of the practice of medicine within the provisions of Chapter 334, RSMo (1969) and a profession under the jurisdiction of the State Board of Registration for the Healing Arts, and that an individual must be licensed by the board before s/he can lawfully practice pathology. The prosecuting and circuit attorneys have the responsibility for criminal prosecutions arising out of violations of Chapter 334. Op. Atty. Gen. No. 82, Hardwicke (3-1-65). Physicians who accept professional staff appointments in Missouri hospitals and regularly practice medicine and surgery in those hospitals are maintaining an “appointed place to meet patients or receive calls within the limits of this state.” These physicians are required to have a Missouri license. Op. Atty. Gen. No. 36, Hailey (3-29-55). A physician who is not licensed in the state of Missouri may not engage in activities constituting the practice of medicine within the state, regardless of who his/her employer may be or under whose supervision s/he may do so.