1. (a) Graduates of medical schools in the United States or Canada. To be eligible for full licensure, an applicant who is a graduate from a school in the United States or Canada must:

   1. (1) be 21 years of age;
   2. (2) be of good professional character as defined under §163.1(8) of this title (relating to Definitions);
   3. (3) have completed 60 semester hours of college courses as defined under §163.1(10) of this title;
   4. (4) be a graduate of an acceptable approved medical school as defined under §163.1(2) of this title;
   5. (5) have successfully completed a one-year training program of graduate medical training in the United States or Canada as defined under §163.1(9) of this title;
   6. (6) submit evidence of passing an examination accepted by the board for licensure as defined under §163.6(a) of this title (relating to Examinations Accepted for Licensure); and
   7. (7) pass the Texas Medical Jurisprudence Examination.

2. (b) Graduates of medical schools outside the United States or Canada. To be eligible for full licensure, an applicant who is a graduate from a school outside the United States or Canada must:

   1. (1) be 21 years of age;
   2. (2) be of good professional character as defined under §163.1(8) of this title;
   3. (3) have completed 60 semester hours of college courses as defined under §163.1(10) of this title;

   4. (4) be a graduate of:

      1. (A) an acceptable unapproved medical school as defined under §163.1(2) of this title; or
      2. (B) any medical school and hold a certificate from a specialty board that is a member of the American Board of Medical Specialties or the Bureau of Osteopathic Specialists.

   5. (5) have either:

      1. (A) successfully completed a three-year training program of graduate medical training in the United States or Canada as defined under §163.1(13) of this title; or
      2. (B) successfully completed at least two years of graduate medical training in the United States or Canada that was approved by the board and at least one year of graduate medical training outside the United States or Canada that was approved for advanced standing by the American Board of Medical Specialties or the Bureau of Osteopathic Specialists;
   6. (6) submit evidence of passing an examination accepted by the board for licensure as defined under §163.6 of this title;
   7. (7) pass the Texas Medical Jurisprudence Examination;
   8. (8) possess a valid certificate issued by the Educational Commission for Foreign Medical Graduates (ECFMG);
   9. (9) have the ability to communicate in the English language; and
   10. (10) have supplied all additional information that the board may require concerning the applicant's medical school.

3. (c) Fifth Pathway Program. To be eligible for licensure, an applicant who has completed a Fifth Pathway Program must:

   1. (1) be at least 21 years of age;
   2. (2) be of good professional character as defined under §163.1(8) of this title;
   3. (3) have completed 60 semester hours of college courses as defined under §163.1(10) of this title;

   4. (4) have completed all of the didactic work, but not graduated from a foreign medical school and meet the requirements subparagraph (A) or (B) of this paragraph.

      1. (A) The medical school's curriculum meets the requirements for an acceptable unapproved medical school as determined by a committee of experts selected by the Texas Higher Education Coordinating Board; or

      2. (B) Either:

         1. (i) the medical school's curriculum is substantially equivalent to a Texas medical school as defined under §163.1(11) of this title and has not been disapproved by another state physician licensing agency unless the applicant can provide evidence that the disapproval was unfounded, or:

         2. (ii) the applicant must:

            1. (I) have passed the basic sciences portion of an acceptable examination listed in §163.6(a) of this title within two attempts;
            2. (II) have not been the subject of disciplinary action by any other state, the uniformed services of the United States, or the applicant's peers in a local, regional, state, or national professional medical association or staff of a hospital;
            3. (III) have, on a full-time basis, actively diagnosed or treated persons or have been on the active teaching faculty of an acceptable approved medical school for three of the last fours years preceding receipt of an Application for licensure, which may include post-graduate training (The term "full-time basis" shall have the same meaning provided in §163.11(b) of this title (relating to Active Practice of Medicine)); and
            4. (IV) hold a certificate from a specialty board that is a member of the American Board of Medical Specialties or the Bureau of Osteopathic Specialists.
   5. (5) have successfully completed a three-year training program of graduate medical education in the United States or Canada that was approved by the board on the date the training was completed;
   6. (6) submit evidence of passing an examination, that is acceptable to the board for licensure;
   7. (7) pass the Texas Medical Jurisprudence Examination;
   8. (8) submit a sworn affidavit that no proceedings, past or current, have been instituted against the applicant before any state medical board, provincial medical board, in any military jurisdiction or federal facility;
   9. (9) have attained a passing score on the ECFMG examination;
   10. (10) have the ability to communicate in the English language;
   11. (11) have attained a satisfactory score on a qualifying examination and have completed one academic year of supervised clinical training for foreign medical students as defined by the American Medical Association Council on Medical Education (Fifth Pathway Program) in a United States medical school; and
   12. (12) have supplied all additional information that the board may require, concerning the applicant's medical school, before approving the applicant.

Source Note:The provisions of this §163.2 adopted to be effective November 10, 1999, 24 TexReg 9835; amended to be effective March 7, 2002, 27 TexReg 1487; amended to be effective May 2, 2004, 29 TexReg 3961; amended to be effective November 7, 2004, 29 TexReg 10104; amended to be effective January 25, 2006, 31 TexReg 382; amended to be effective June 28, 2006, 31 TexReg 5098; amended to be effective January 4, 2007, 31 TexReg 10797; amended to be effective July 3, 2007, 32 TexReg 3991; amended to be effective November 29, 2009, 34 TexReg 8530.