Current through Register Vol. 30, No. 38, September 20, 2024
A. To obtain a license, an applicant shall
submit:
1. The application form specified in
R4-22-201;
2. The proof required
under A.R.S. §
32-1822(A);
3. A list of all Board-certified
specializations, the certifying entity, and a copy of each certification or
letter verifying specialization;
4.
A list of each health care facility or employer at which the applicant obtained
practice experience. If the applicant has not passed an examination approved
under
R4-22-203
within the last seven years, the Board may obtain verification of practice
experience from the health care facilities or employers listed for the last
seven years;
5. A malpractice claim
or suit questionnaire for each instance of medical malpractice in which there
was an award, settlement, or payment;
6. A full set of fingerprints and the charge
specified in
R4-22-102(B);
7. A passport-size picture taken within the
last 60 days; and
8. The
application fee required under R4-22-102(A).
B. In addition to the materials required
under subsection (A), an applicant shall have the following information
submitted directly to the Board by the specified entity:
1. Professional Education Verification form
or an official transcript submitted by the osteopathic college from which the
applicant graduated;
2.
Verification of Postgraduate Training form submitted by each postgraduate
facility or program at which the applicant trained;
3. Verification of
passing an examination approved under
R4-22-203
submitted by the examining entity; and
4. Verification of licensure form submitted
by every state in which the applicant is or has been licensed as an
osteo-pathic physician.
C. If an applicant has established a
credentials portfolio with the FCVS or AOIA, the applicant may request that the
FCVS forward to the Board some or all of the materials required under
subsection (B).
D. The Board shall
conduct a substantive review of the information submitted under subsections (A)
and (B) and determine whether the applicant is qualified for licensure by
virtue of:
1. Possessing the knowledge and
skills necessary to practice medicine safely and skillfully;
2. Demonstrating a history of professional
conduct; and
3. Possessing the
physical, mental, and emotional fitness to practice medicine.
E. If the substantive review
referenced in subsection (D) does not yield sufficient information for the
Board to determine whether an applicant is qualified for licensure, the Board
shall request that the applicant appear before the Board for an interview.
1. The Board shall conduct an application
interview in the same manner as an informal hearing conducted under A.R.S.
§
32-1855
and shall accord the applicant the same rights as a respondent.
2. In conjunction with an application
interview, the Executive Director or Board may require that the applicant, at
the applicant's expense:
a. Provide
additional documentation,
b. Submit
to a physical or psychological examination,
c. Submit to a practice assessment
evaluation,
d. Pass an approved
special purposes competency examination listed in
R4-22-203(A)(3),
or
e. Fulfill any combination of
the requirements listed in subsections (E)(2)(a) through (d).
F. If the substantive
review referenced in subsection (D) reveals that an applicant has been subject
to disciplinary action or criminal conviction, the Board shall consider the
following factors to determine whether the applicant has been rehabilitated
from the conduct underlying the disciplinary action or criminal conviction:
1. Nature of the disciplinary or criminal
action including charges and final disposition;
2. Whether all terms of court-ordered
sentencing or Board-issued order were satisfied;
3. Whether the disciplinary action or
criminal conviction was set aside, dismissed with prejudice, or
reduced;
4. Whether a diversion
program was entered and completed;
5. Whether the circumstances, relationships,
or personal attributes that caused or contributed to the underlying conduct
changed;
6. Personal and
professional references attesting to rehabilitation; and
7. Other information the Board determines
demonstrates whether the applicant has been rehabilitated.
