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Pathway to Restricted Licensure – American Board Internal Medicine

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Preamble

In general, Full Licensure in Nova Scotia is granted to physicians who hold the following:

  1. a Medical Degree from a school listed in the World Directory of Medical Schools;
  2. the LMCC or an acceptable alternative to the LMCC; and
  3. certification by the College of Family Physicians of Canada (CFPC) or certification by the Royal College of Physicians and Surgeons of Canada (RCPSC).

American Board Internal Medicine certified physicians that are eligible may be offered an alternate route to restricted licensure as a hospitalist for adult medicine following a period of satisfactory supervision and assessment at the discretion of the Registrar or the Registration Committee.

Policy

  1. Eligibility Criteria

    American Board Certified Internal Medicine physicians may be offered conditional licensure provided they:

    1. Have a medical degree accredited by:
      1. the Liaison Committee of Medical Education (LCME); or
      2. the Council on Accreditation of Canadian Medical Schools (CACMS); or
      3. a ‘doctor of osteopathy’ degree granted and accredited by the American Osteopathic Association (AOA); and
    2. Have completed residency training accredited by the Accreditation Council for Graduate Medical Education (ACGME); and
    3. Are a Licentiate of the Medical Council of Canada or hold an acceptable alternative to the LMCC; and
    4. Demonstrate evidence of good standing by the American Board of Medical Specialties; and
    5. Demonstrate evidence of an independent, unrestricted licence to practise in the United States.
  2. Assessment

    All physicians qualified under this policy will initially be issued a Defined Licence with standard level supervision. Physicians must undergo a practice assessment following a minimum of one year of regular practice in Nova Scotia. The physician’s readiness for a practice assessment is determined by the physician’s supervisor and sponsor.

    Regular practice is defined in the College’s policy Currency of Practice Experience.

    All costs associated with the assessment, including administrative costs of the College, will be borne by the candidate and the sponsor.

  3. Outcomes

    In all cases, the assessment will be conducted to assist the Registrar and the Registration Committee in its efforts to determine whether a candidate should or should not be granted a Restricted licence.

    There are three possible outcomes:

    1. The physician has demonstrated the competencies necessary for safe, independent practice as a Hospitalist in adult medicine; or
    2. The physician has demonstrated the competencies necessary for safe, independent practice in as a Hospitalist in adult medicine with exceptions; or
    3. The physician has not at this time demonstrated the competencies necessary for safe, independent practice as a Hospitalist.

      Failure in the practice assessment at any time will result in an immediate revocation of licensure.

      The final practice assessment must occur within 2 years of issuance of the Defined licence.

  4. Licensure

    Physicians with outcome #1 will be issued a Restricted Licence, with practice restricted to the scope of a Hospitalist in adult medicine.

    Physicians with outcome #2 will be required to continue on a Defined Licence with supervision including a College approved remediation plan. Physicians will be required to undergo a final assessment within one year of the first assessment. Failure in the final assessment will result in an immediate revocation of licensure.

    Physicians with outcome #3 will be denied licensure and removed from the Medical Registrar.

  5. Appeals

    Appeals of these decisions will be through the College’s Registration Committee and Registration Appeals Committee, per regulations.

 

Applicable Legislation

Section 19 (3)

Section 59 (1)(a)(i)(b)(ii)

Approved by

Registration Policy Committee, Executive Committee

Approval date

July 17, 2019

July 24, 2019

Review date

April 2020