WSR 03-15-068

EXPEDITED RULES

DEPARTMENT OF HEALTH


(Medical Quality Assurance Commission)

[ Filed July 15, 2003, 10:51 a.m. ]

     Title of Rule: WAC 246-919-110, 246-919-320, 246-919-330 and 246-919-360, licensing requirement housekeeping.

     Purpose: These rules are being proposed as amendments because they are correcting typographical errors, changing names or adding clarifying language to the rule without changing its effect.

     Statutory Authority for Adoption: RCW 18.71.017.

     Statute Being Implemented: Chapter 18.71 RCW.

     Summary: Amending the proposed rules will correct, change a name and clarify language to the rules without changing their effects.

     Reasons Supporting Proposal: Amending these rules will assure the commission's rules are up to date and clarify current licensing requirements without increasing the requirements. As a result of this action the licensing requirement rules will be clearer.

     Name of Agency Personnel Responsible for Drafting, Implementation and Enforcement: Beverly A. Teeter, Health Administrator, 310 Israel Road, Tumwater, WA 98501, (360) 236-4788.

     Name of Proponent: Department of Health, Medical Quality Assurance Commission, Beverly Teeter, Health Administrator, governmental.

     Rule is not necessitated by federal law, federal or state court decision.

     Explanation of Rule, its Purpose, and Anticipated Effects: The rule amendments will correct typographical errors, change an entity name and clarify language for licensing requirements. This will ensure that the regulations are up-to-date and reflect current approved licensing requirements.

     Proposal Changes the Following Existing Rules: Amending WAC 246-919-110 Commission meetings, 246-919-320 Approved United States and Canadian medical schools, 246-919-330 Postgraduate medical training defined, and 246-919-360 Examinations accepted for reciprocity or waiver.

NOTICE

     THIS RULE IS BEING PROPOSED UNDER AN EXPEDITED RULE-MAKING PROCESS THAT WILL ELIMINATE THE NEED FOR THE AGENCY TO HOLD PUBLIC HEARINGS, PREPARE A SMALL BUSINESS ECONOMIC IMPACT STATEMENT, OR PROVIDE RESPONSES TO THE CRITERIA FOR A SIGNIFICANT LEGISLATIVE RULE. IF YOU OBJECT TO THE USE OF THE EXPEDITED RULE-MAKING PROCESS, YOU MUST EXPRESS YOUR OBJECTIONS IN WRITING AND THEY MUST BE SENT TO Beverly A. Teeter, Health Administrator, Department of Health, Medical Quality Assurance Commission, 310 Israel Road, Tumwater, WA 98501, P.O. Box 47866, Olympia, WA 98504 , AND RECEIVED BY September 23, 2003.


July 7, 2003

Maryella E. Jansen

Deputy Executive Director

OTS-6395.1


AMENDATORY SECTION(Amending WSR 96-03-073, filed 1/17/96, effective 2/17/96)

WAC 246-919-110   Commission meetings.   Regular commission meetings shall be held at least four times yearly. Additional regular or special meetings may be called at the discretion of the chair or by a quorum of the commission.

[Statutory Authority: RCW 18.71.017 and 18.71A.020. 96-03-073, § 246-919-110, filed 1/17/96, effective 2/17/96.]


AMENDATORY SECTION(Amending WSR 96-03-073, filed 1/17/96, effective 2/17/96)

WAC 246-919-320   Approved United States and Canadian medical schools.   For the purposes of the Medical Practice Act, the commission approves those medical schools ((listed as)) accredited ((medical schools in the United States set forth in Appendix II, Table I, and as accredited schools in Canada set forth in Appendix III, Table I, as published in the Journal of the American Medical Association for March 7, 1980)) by the Liaison Committee on Medical Education.

[Statutory Authority: RCW 18.71.017 and 18.71A.020. 96-03-073, § 246-919-320, filed 1/17/96, effective 2/17/96.]


AMENDATORY SECTION(Amending WSR 01-18-087, filed 9/5/01, effective 10/6/01)

WAC 246-919-330   Postgraduate medical training defined.   (1) For the purposes of this chapter, postgraduate medical training means clinical training approved by the commission in general medicine or surgery, or a ((recognized)) specialty or subspecialty in the field of medicine or surgery as recognized by the American Board of Medical Specialties. The training must be acquired after completion of a formal course of undergraduate medical instruction outlined in RCW 18.71.055. Only satisfactory clinical performance evaluations will be accepted. This definition includes, but is not limited to, internships, residencies and fellowships in medical or surgical subjects.

     (2) The commission approves only the following postgraduate clinical training courses:

     (a) Programs accredited by the Accreditation Council for Graduate Medical Education (ACGME) which are listed in the 1984-85 directory of residency programs, or programs approved by the Accreditation Council at the time of residency.

     (b) Programs accredited by the Royal College of Physicians and Surgeons of Canada (RCPSC) or the College of Family Physicians of Canada (CFPC), or programs accredited by the RCPSC or CFPC at the time of residency.

[Statutory Authority: RCW 18.71.017, 18.71.050 and chapter 18.71 RCW. 01-18-087, § 246-919-330, filed 9/5/01, effective 10/6/01. Statutory Authority: RCW 18.71.017 and 18.71A.020. 96-03-073, § 246-919-330, filed 1/17/96, effective 2/17/96.]


AMENDATORY SECTION(Amending WSR 96-03-073, filed 1/17/96, effective 2/17/96)

WAC 246-919-360   Examinations accepted for reciprocity or waiver.   (1) The commission may accept certain examinations as a basis for licensure. These examinations include USMLE, FLEX, NBE, or those given by the other states, or territories of the United States, with the exception of Florida and Hawaii. Those who have taken the Licentiate of the Medical Council of Canada (L.M.C.C.) and holds a valid LMCC certification obtained after 1969, may be granted a license without examination.

     (2) Examination combination acceptable. Any applicant who has successfully completed Part I (NBE) or Step 1 (USMLE) plus Part II or Step 2 plus Part III or Step 3; or FLEX Component 1 plus Step 3; or Part I or Step 1, plus Part II or Step 2, plus FLEX Component 2 shall be deemed to have successfully completed a medical licensure examination as required by RCW 18.71.070. (For clarification, see Table 1.)


Accepted

Examinations taken

in Sequence

 Other Acceptable

Combinations
NBME Part I

plus

NBME Part II

plus

NBME Part III

 NBME Part I or USMLE Step 1

plus

NBME Part II or USMLE Step 2

plus

NBME Part III or USMLE Step 3

FLEX Component 1

plus

FLEX Component 2

 FLEX Component 1

plus

USMLE Step 3

or

NBME Part I or USMLE Step 1

plus

NBME Part II or USMLE Step 2

plus

FLEX Component 2
USMLE Step 1

plus

USMLE Step 2

plus

USMLE Step 3

[Statutory Authority: RCW 18.71.017 and 18.71A.020. 96-03-073, § 246-919-360, filed 1/17/96, effective 2/17/96.]

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