PURPOSE: This rule sets forth the requirements for licensure in this state for those individuals who graduate from a school of medicine which is located outside the United States.

1. (1) Notwithstanding any other provision of law, an individual $ 25 who has graduated from a school of medicine which is located outside the United States may be eligible for licensure to prac- $ 25 tice the healing arts in this state by reciprocity if he/she has sat- $ 25 isfied the requirements of 20 CSR 2150-2.010, 20 CSR 2150-2.030, 20 CSR 2150-2.040, and the following requirements: $ 25 (A) An applicant must have completed all of the prescribed $ 0 curriculum at his/her school of medicine and the curriculum $ 25 in this state and the applicant must be a graduate of a medical $ 25 school whose curriculum has been approved by the proper $ 25 government agency of the country in which the school is lo- $ 0 cated;

   1. (B) An applicant must meet the academic and postgraduate training requirements for licensure to practice medicine in the country in which the applicant’s school of graduation is located; and
   2. (C) An applicant must be certified by the Educational Commission for Foreign Medical Graduates (ECFMG) and have completed three (3) years of American Medical Association (AMA)-approved postgraduate training in one (1) recognized specialty area of medicine. The board may waive the three

   3. (3) years of postgraduate training if the applicant is American Specialty Board eligible.

      1. 1. ECFMG certification may be waived for a foreign gradu-

   ate who is currently certified by the American Board of Medical Specialties.

   1. 2. ECFMG certification may be waived for a foreign med-

   ical graduate who holds a current state/provincial medical license based on a required examination, if that license was issued prior to January 1, 1959.

   1. (2) As used in this rule, the term fifth pathway shall mean a candidate for licensure who, on or before December 31, 2009, has successfully completed four (4) years of medical education in Mexico and then completes a training program in the United States at a medical college approved and accredited by the AMA or its Liaison Committee on Medical Education or an osteopathic college approved and accredited by the American Osteopathic Association (AOA) in lieu of completing a year of internship and social service work in Mexico.

      1. (A) A fifth pathway candidate may be eligible for licensure to practice the healing arts in this state if he/she satisfies the following requirements:

         1. 1. An applicant must have completed all of the prescribed

   curriculum at his/her school of medicine and the curriculum in this state and the applicant must have completed training at a medical school whose curriculum has been approved by the proper Mexican government agency;

   1. 2. An applicant must meet the academic requirements for

   licensure in Mexico; and

   1. 3. An applicant must have completed three (3) years of

   postgraduate training in one (1) recognized specialty area of medicine in a program which is approved and accredited to teach postgraduate medical education by the accreditation council on graduate medical education of the AMA or the education committee of the AOA. The board may waive the three (3) years of postgraduate training if the applicant is American Specialty Board eligible.

AUTHORITY: sections 334.031, 334.035, and 334.125, RSMo 2000, and section 334.040, RSMo Supp. 2011.* This rule originally filed as 4 CSR 150-2.100. Original rule filed July 12, 1984, effective Jan. 1, 1987. Amended: Filed Sept. 5, 1990, effective Feb. 14, 1991. Emergency amendment filed July 17, 1992, effective Aug. 1, 1992, expired Nov. 28, 1992. Emergency amendment filed Nov. 16, 1992, effective Nov. 29, 1992, expired March 28, 1993. Amended: Filed July 17, 1992, effective April 8, 1993. Amended: Filed Oct. 4, 1993, effective April 9, 1994. Amended: Filed July 25, 2000, effective Dec. 30, 2000. Moved to 20 CSR 2150-2.100, effective Aug. 28, 2006. Amended: Filed Aug. 18, 2009, effective Feb. 28, 2010. Amended: Filed Sept. 28, 2011, effective March 30, 2012. *Original authority: 334.031, RSMo 1959, amended 1981, 1997; 334.035, RSMo 1987; 334.040, RSMo 1939, amended 1941, 1945, 1951, 1959, 1981, 1993, 1997, 2000, 2011; 334.125, RSMo 1959, amended 1993, 1995.