Foreign Medical Graduates of a medical school that is not substantially equivalent must provide:

1. (1) an Educational Commission for Foreign Medical Graduate (ECFMG) status report; and

2. (2) proof of one of the following:

   1. (A) completion of at least two years of an approved medical graduate training program that is progressive in nature, along with an International Credential Evaluation from the Foreign Credential Service of America (FCSA) determining the foreign medical education program is equivalent to a U.S. medical education;
   2. (B) successful completion of an approved medical graduate training program;
   3. (C) board eligibility or certification by the American Board of Medical Specialties or the Bureau of Osteopathic Specialists; or
   4. (D) practice under an unrestricted full license issued in the U.S. for at least five years, without any disciplinary action in any state.

Source Note:The provisions of this §161.16 adopted to be effective January 9, 2025, 50 TexReg 319.