The board by regulation shall establish minimum standards of performance to be attained on examinations for an applicant to qualify for a license.

For FLEX examinations taken before June 1, 1985, the following standards apply:

An applicant for permanent licensure shall obtain, in one sitting, a score of at least seventy-five on each day of the examination. If the applicant has a FLEX weighted average of seventy-five or more with no daily score below seventy, the board may accept this score if the applicant currently is board certified by a specialty board recognized by the American Board of Medical Specialities.

For FLEX examinations taken after June 1, 1985, the following standards apply:

An applicant for permanent licensure shall obtain a score of seventy-five or more on both Component I and Component II. An applicant shall pass both Components within five years of the first taking of any Component of this examination.

For the SPEX (Special Purpose) examination, the following standards apply:

An applicant for permanent licensure who has not passed National Boards, FLEX, SPEX, or been certified or recertified by a Specialty Board recognized by the American Board of Medical Specialities within ten years of the date of his application to this board, shall pass the SPEX exam. A passing score on the SPEX examination is seventy-five or better. This requirement is in addition to all other requirements for licensure. The SPEX examination requirement does not apply to a physician employed full time by the South Carolina Department of Corrections, South Carolina Department of Health and Environmental Control, State Department of Mental Health, and State Mental Retardation Department acting within the scope of his employment. A license issued to this physician is revoked immediately if he leaves the full-time employment or acts outside his scope of employment. However, the SPEX examination requirement applies to a physician providing services under a contract for the State and a physician providing services for which there is an expectation of payment, is payment for services, or should have been payment from a source other than the salary the physician receives from the State.