1. (1) Under Subsection 58-67-302(1)(f), the required licensing examination sequence is as follows:

   1. (a) the FLEX components I and II, with a score of not less than 75 on each component part;
   2. (b) the NBME examination parts I, II, and III, with a passing score on each part;
   3. (c) the USMLE steps 1, 2, and 3, with a passing score on each step;
   4. (d) the LMCC examination, Parts 1 and 2;

   5. (e)(i) the NBME part I or the USMLE step 1;

      1. (ii) the NBME part II or the USMLE step 2; and
      2. (iii) the NBME part III or the USMLE step 3;
   6. (f) the FLEX component 1 and the USMLE step 3; or

   7. (g)(i) the NBME part I or the USMLE step 1;

      1. (ii) the NBME part II or the USMLE step 2; and
      2. (iii) the FLEX component 2.

   8. (h) Under Subsection 58-67-302.5(1)(d), a foreign medical school graduate shall pass:

      1. (i) the FMGEMS; or
      2. (ii) the USMLE steps 1 and 2.
      3. (i) An individual who fails any combination of the USMLE, FLEX and NBME three times shall submit to the Division a narrative regarding the failure and may be required to meet with the Board and Division.

2. (2) Under Subsections 58-67-302(1)(f) and (h), 58-67-302(2)(e) and (f), and Subsection 58-1-401(2)(d), the Division may require an applicant to pass the SPEX examination with a score of not less than 75, if within the past five years the applicant:

   1. (a) has not practiced;
   2. (b) has had disciplinary action; or
   3. (c) has had a substance abuse disorder or physical or mental impairment that may affect the applicant's ability to practice with reasonable skill and safety.

KEY: physicians, licensing

Date of Last Change: December 24, 2024

Notice of Continuation: January 7, 2026

Authorizing, and Implemented or Interpreted Law: 58-67-101; 58-1-106(1)(a); 58-1-202(1)(a)