(a) A member of the board or the executive
secretary may issue a residency permit to an applicant who
(1) meets the requirements of
AS
08.64.272;
(2) if an interview is required under
12 AAC 40.055, is interviewed in
accordance with
AS
08.64.279;
(3) provides a complete application;
and
(4) if the applicant is a
foreign medical graduate, meets the requirements of
12 AAC 40.016(a)
(1).
(b) A complete application must include the
following:
(1) a complete notarized
application form with a photograph and signed by the applicant;
(2) a certified true copy of a medical school
diploma as required under
AS
08.64.200,
AS
08.64.205, or
AS
08.64.225, or an official transcript sent
directly from the medical school from which the applicant graduated to the
board;
(3) verification of
successful completion of medical school education sent directly by the medical
school from which the applicant graduated to the board;
(4) a statement signed by the physician
program director, from a residency training program approved by the
Accreditation Council for Graduate Medical Education, the Royal College of
Physicians and Surgeons of Canada, the American Medical Association, or the
American Osteopathic Association stating that the applicant is a resident in
good standing in the program and that the rotation in this state is an approved
part of the post-graduate training program;
(5) a statement from the institution in this
state accepting the resident applicant as a resident in training and accepting
responsibility for the applicant's training while at that institution, signed
by the program director, clinical director, or other physician responsible for
the training of the applicant;
(6)
verification of licensure from all states or licensing jurisdictions where the
applicant holds or has ever held a license to practice medicine as a
physician;
(7) verification of
licensure from all states or licensing jurisdictions where the applicant holds
or has ever held a license as a health care professional;
(8) clearance from the Federation of State
Medical Boards sent directly to the board; and
(9) the application fee and the residency
permit fee established in
12 AAC 02.250.
(c) A residency permit is valid
only for the duration of the residency at the institution in this state, not to
exceed 36 months. The permit may be renewed for an additional 36 months upon
board approval of a new application by the resident.
(d) Notwithstanding (b) of this section, an
applicant for a residency permit may submit the credentials verification
documents through the Federation Credentials Verification Service (FCVS) of the
Federation of State Medical Boards of the United States, Inc., sent directly to
the department from FCVS.
