If the Committee on the Professions determines that the applicant is otherwise qualified to practice a licensed profession based upon his or her prior disciplinary history, but has failed to remain current with developments in the profession, and a substantial question is presented as to the applicant's current fitness to enter into the active practice of the profession, the Committee on the Professions may require that the applicant take and obtain satisfactory grades on a proficiency examination satisfactory to the department prior to the issuance of a license, endorsement, or limited permit.