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Medical Licensing – State Requirements
Alabama 
SPEX/COMVEX Requirement
No.
USMLE Attempt Limit
There are three attempts per step. A 4th attempt will be allowed, on one part only, if the applicant has been licensed in good standing in an alternative state for a minimum of 5 years, or if he/she has obtained a Texas PIT permit by the 9th of January 2005. Up to 6 attempts will be allowed, on one part, if the applicant has been specialty board-certified by a BOS or ABMS board, and has completed an extra 2 years of residency training in Texas.
USMLE Time Limit
All USMLE steps, I through III, must be successfully completed within 7 years of passing the first step. The time limit is 10 years if the applicant has been specialty board-certified by a BOS or ABMS board, or has been practicing for 1 year under a Texas FTL. This also applies if the institution where the FTL was used recommended has recommended the applicant for the applicant. All dual-degree applicants will need to pass steps I, II, and III within 2 years of completing the required training – postgraduate. The time limit can also be extended to 10 years after postgraduate training completion if the applicant has graduated with a combined MD/PhD or PhD/DO program. No time limit applies to those who have been licensed in good standing in any other state for at least 5 years, or have accepted a limited license to only practice in HPSA or MUA, indefinitely.
US/Canadian Postgraduate Training Requirements
1 year.
International Postgraduate Training Requirements
2 years.
Alaska
SPEX/COMVEX Requirement
No.
USMLE Attempt Limit
There are three attempts per step. A 4th attempt will be allowed, on one part only, if the applicant has been licensed in good standing in an alternative state for a minimum of 5 years, or if he/she has obtained a Texas PIT permit by the 9th of January 2005. Up to 6 attempts will be allowed, on one part, if the applicant has been specialty board-certified by a BOS or ABMS board, and has completed an extra 2 years of residency training in Texas.
USMLE Time Limit
All USMLE steps, I through III, must be successfully completed within 7 years of passing the first step. The time limit is 10 years if the applicant has been specialty board-certified by a BOS or ABMS board, or has been practicing for 1 year under a Texas FTL. This also applies if the institution where the FTL was used recommended has recommended the applicant for the applicant. All dual-degree applicants will need to pass steps I, II, and III within 2 years of completing the required training – postgraduate. The time limit can also be extended to 10 years after postgraduate training completion if the applicant has graduated with a combined MD/PhD or PhD/DO program. No time limit applies to those who have been licensed in good standing in any other state for at least 5 years, or have accepted a limited license to only practice in HPSA or MUA, indefinitely.
US/Canadian Postgraduate Training Requirements
1 year.
International Postgraduate Training Requirements
2 years.
Arizona
SPEX/COMVEX Requirement
No.
USMLE Attempt Limit
There are three attempts per step. A 4th attempt will be allowed, on one part only, if the applicant has been licensed in good standing in an alternative state for a minimum of 5 years, or if he/she has obtained a Texas PIT permit by the 9th of January 2005. Up to 6 attempts will be allowed, on one part, if the applicant has been specialty board-certified by a BOS or ABMS board, and has completed an extra 2 years of residency training in Texas.
USMLE Time Limit
All USMLE steps, I through III, must be successfully completed within 7 years of passing the first step. The time limit is 10 years if the applicant has been specialty board-certified by a BOS or ABMS board, or has been practicing for 1 year under a Texas FTL. This also applies if the institution where the FTL was used recommended has recommended the applicant for the applicant. All dual-degree applicants will need to pass steps I, II, and III within 2 years of completing the required training – postgraduate. The time limit can also be extended to 10 years after postgraduate training completion if the applicant has graduated with a combined MD/PhD or PhD/DO program. No time limit applies to those who have been licensed in good standing in any other state for at least 5 years, or have accepted a limited license to only practice in HPSA or MUA, indefinitely.
US/Canadian Postgraduate Training Requirements
1 year.
International Postgraduate Training Requirements
2 years.
Arkansas
SPEX/COMVEX Requirement
No.
USMLE Attempt Limit
There are three attempts per step. A 4th attempt will be allowed, on one part only, if the applicant has been licensed in good standing in an alternative state for a minimum of 5 years, or if he/she has obtained a Texas PIT permit by the 9th of January 2005. Up to 6 attempts will be allowed, on one part, if the applicant has been specialty board-certified by a BOS or ABMS board, and has completed an extra 2 years of residency training in Texas.
USMLE Time Limit
All USMLE steps, I through III, must be successfully completed within 7 years of passing the first step. The time limit is 10 years if the applicant has been specialty board-certified by a BOS or ABMS board, or has been practicing for 1 year under a Texas FTL. This also applies if the institution where the FTL was used recommended has recommended the applicant for the applicant. All dual-degree applicants will need to pass steps I, II, and III within 2 years of completing the required training – postgraduate. The time limit can also be extended to 10 years after postgraduate training completion if the applicant has graduated with a combined MD/PhD or PhD/DO program. No time limit applies to those who have been licensed in good standing in any other state for at least 5 years, or have accepted a limited license to only practice in HPSA or MUA, indefinitely.
US/Canadian Postgraduate Training Requirements
1 year.
International Postgraduate Training Requirements
2 years.
California
SPEX/COMVEX Requirement
No.
USMLE Attempt Limit
There are three attempts per step. A 4th attempt will be allowed, on one part only, if the applicant has been licensed in good standing in an alternative state for a minimum of 5 years, or if he/she has obtained a Texas PIT permit by the 9th of January 2005. Up to 6 attempts will be allowed, on one part, if the applicant has been specialty board-certified by a BOS or ABMS board, and has completed an extra 2 years of residency training in Texas.
USMLE Time Limit
All USMLE steps, I through III, must be successfully completed within 7 years of passing the first step. The time limit is 10 years if the applicant has been specialty board-certified by a BOS or ABMS board, or has been practicing for 1 year under a Texas FTL. This also applies if the institution where the FTL was used recommended has recommended the applicant for the applicant. All dual-degree applicants will need to pass steps I, II, and III within 2 years of completing the required training – postgraduate. The time limit can also be extended to 10 years after postgraduate training completion if the applicant has graduated with a combined MD/PhD or PhD/DO program. No time limit applies to those who have been licensed in good standing in any other state for at least 5 years, or have accepted a limited license to only practice in HPSA or MUA, indefinitely.
US/Canadian Postgraduate Training Requirements
1 year.
International Postgraduate Training Requirements
2 years.
Colorado
SPEX/COMVEX Requirement
No.
USMLE Attempt Limit
There are three attempts per step. A 4th attempt will be allowed, on one part only, if the applicant has been licensed in good standing in an alternative state for a minimum of 5 years, or if he/she has obtained a Texas PIT permit by the 9th of January 2005. Up to 6 attempts will be allowed, on one part, if the applicant has been specialty board-certified by a BOS or ABMS board, and has completed an extra 2 years of residency training in Texas.
USMLE Time Limit
All USMLE steps, I through III, must be successfully completed within 7 years of passing the first step. The time limit is 10 years if the applicant has been specialty board-certified by a BOS or ABMS board, or has been practicing for 1 year under a Texas FTL. This also applies if the institution where the FTL was used recommended has recommended the applicant for the applicant. All dual-degree applicants will need to pass steps I, II, and III within 2 years of completing the required training – postgraduate. The time limit can also be extended to 10 years after postgraduate training completion if the applicant has graduated with a combined MD/PhD or PhD/DO program. No time limit applies to those who have been licensed in good standing in any other state for at least 5 years, or have accepted a limited license to only practice in HPSA or MUA, indefinitely.
US/Canadian Postgraduate Training Requirements
1 year.
International Postgraduate Training Requirements
2 years.
Connecticut
SPEX/COMVEX Requirement
No.
USMLE Attempt Limit
There are three attempts per step. A 4th attempt will be allowed, on one part only, if the applicant has been licensed in good standing in an alternative state for a minimum of 5 years, or if he/she has obtained a Texas PIT permit by the 9th of January 2005. Up to 6 attempts will be allowed, on one part, if the applicant has been specialty board-certified by a BOS or ABMS board, and has completed an extra 2 years of residency training in Texas.
USMLE Time Limit
All USMLE steps, I through III, must be successfully completed within 7 years of passing the first step. The time limit is 10 years if the applicant has been specialty board-certified by a BOS or ABMS board, or has been practicing for 1 year under a Texas FTL. This also applies if the institution where the FTL was used recommended has recommended the applicant for the applicant. All dual-degree applicants will need to pass steps I, II, and III within 2 years of completing the required training – postgraduate. The time limit can also be extended to 10 years after postgraduate training completion if the applicant has graduated with a combined MD/PhD or PhD/DO program. No time limit applies to those who have been licensed in good standing in any other state for at least 5 years, or have accepted a limited license to only practice in HPSA or MUA, indefinitely.
US/Canadian Postgraduate Training Requirements
1 year.
International Postgraduate Training Requirements
2 years.
Delaware
SPEX/COMVEX Requirement
No.
USMLE Attempt Limit
There are three attempts per step. A 4th attempt will be allowed, on one part only, if the applicant has been licensed in good standing in an alternative state for a minimum of 5 years, or if he/she has obtained a Texas PIT permit by the 9th of January 2005. Up to 6 attempts will be allowed, on one part, if the applicant has been specialty board-certified by a BOS or ABMS board, and has completed an extra 2 years of residency training in Texas.
USMLE Time Limit
All USMLE steps, I through III, must be successfully completed within 7 years of passing the first step. The time limit is 10 years if the applicant has been specialty board-certified by a BOS or ABMS board, or has been practicing for 1 year under a Texas FTL. This also applies if the institution where the FTL was used recommended has recommended the applicant for the applicant. All dual-degree applicants will need to pass steps I, II, and III within 2 years of completing the required training – postgraduate. The time limit can also be extended to 10 years after postgraduate training completion if the applicant has graduated with a combined MD/PhD or PhD/DO program. No time limit applies to those who have been licensed in good standing in any other state for at least 5 years, or have accepted a limited license to only practice in HPSA or MUA, indefinitely.
US/Canadian Postgraduate Training Requirements
1 year.
International Postgraduate Training Requirements
2 years.
District of Columbia
SPEX/COMVEX Requirement
No.
USMLE Attempt Limit
There are three attempts per step. A 4th attempt will be allowed, on one part only, if the applicant has been licensed in good standing in an alternative state for a minimum of 5 years, or if he/she has obtained a Texas PIT permit by the 9th of January 2005. Up to 6 attempts will be allowed, on one part, if the applicant has been specialty board-certified by a BOS or ABMS board, and has completed an extra 2 years of residency training in Texas.
USMLE Time Limit
All USMLE steps, I through III, must be successfully completed within 7 years of passing the first step. The time limit is 10 years if the applicant has been specialty board-certified by a BOS or ABMS board, or has been practicing for 1 year under a Texas FTL. This also applies if the institution where the FTL was used recommended has recommended the applicant for the applicant. All dual-degree applicants will need to pass steps I, II, and III within 2 years of completing the required training – postgraduate. The time limit can also be extended to 10 years after postgraduate training completion if the applicant has graduated with a combined MD/PhD or PhD/DO program. No time limit applies to those who have been licensed in good standing in any other state for at least 5 years, or have accepted a limited license to only practice in HPSA or MUA, indefinitely.
US/Canadian Postgraduate Training Requirements
1 year.
International Postgraduate Training Requirements
2 years.
Florida
SPEX/COMVEX Requirement
No.
USMLE Attempt Limit
There are three attempts per step. A 4th attempt will be allowed, on one part only, if the applicant has been licensed in good standing in an alternative state for a minimum of 5 years, or if he/she has obtained a Texas PIT permit by the 9th of January 2005. Up to 6 attempts will be allowed, on one part, if the applicant has been specialty board-certified by a BOS or ABMS board, and has completed an extra 2 years of residency training in Texas.
USMLE Time Limit
All USMLE steps, I through III, must be successfully completed within 7 years of passing the first step. The time limit is 10 years if the applicant has been specialty board-certified by a BOS or ABMS board, or has been practicing for 1 year under a Texas FTL. This also applies if the institution where the FTL was used recommended has recommended the applicant for the applicant. All dual-degree applicants will need to pass steps I, II, and III within 2 years of completing the required training – postgraduate. The time limit can also be extended to 10 years after postgraduate training completion if the applicant has graduated with a combined MD/PhD or PhD/DO program. No time limit applies to those who have been licensed in good standing in any other state for at least 5 years, or have accepted a limited license to only practice in HPSA or MUA, indefinitely.
US/Canadian Postgraduate Training Requirements
1 year.
International Postgraduate Training Requirements
2 years.
Georgia
SPEX/COMVEX Requirement
No.
USMLE Attempt Limit
There are three attempts per step. A 4th attempt will be allowed, on one part only, if the applicant has been licensed in good standing in an alternative state for a minimum of 5 years, or if he/she has obtained a Texas PIT permit by the 9th of January 2005. Up to 6 attempts will be allowed, on one part, if the applicant has been specialty board-certified by a BOS or ABMS board, and has completed an extra 2 years of residency training in Texas.
USMLE Time Limit
All USMLE steps, I through III, must be successfully completed within 7 years of passing the first step. The time limit is 10 years if the applicant has been specialty board-certified by a BOS or ABMS board, or has been practicing for 1 year under a Texas FTL. This also applies if the institution where the FTL was used recommended has recommended the applicant for the applicant. All dual-degree applicants will need to pass steps I, II, and III within 2 years of completing the required training – postgraduate. The time limit can also be extended to 10 years after postgraduate training completion if the applicant has graduated with a combined MD/PhD or PhD/DO program. No time limit applies to those who have been licensed in good standing in any other state for at least 5 years, or have accepted a limited license to only practice in HPSA or MUA, indefinitely.
US/Canadian Postgraduate Training Requirements
1 year.
International Postgraduate Training Requirements
2 years.
Hawaii
SPEX/COMVEX Requirement
No.
USMLE Attempt Limit
There are three attempts per step. A 4th attempt will be allowed, on one part only, if the applicant has been licensed in good standing in an alternative state for a minimum of 5 years, or if he/she has obtained a Texas PIT permit by the 9th of January 2005. Up to 6 attempts will be allowed, on one part, if the applicant has been specialty board-certified by a BOS or ABMS board, and has completed an extra 2 years of residency training in Texas.
USMLE Time Limit
All USMLE steps, I through III, must be successfully completed within 7 years of passing the first step. The time limit is 10 years if the applicant has been specialty board-certified by a BOS or ABMS board, or has been practicing for 1 year under a Texas FTL. This also applies if the institution where the FTL was used recommended has recommended the applicant for the applicant. All dual-degree applicants will need to pass steps I, II, and III within 2 years of completing the required training – postgraduate. The time limit can also be extended to 10 years after postgraduate training completion if the applicant has graduated with a combined MD/PhD or PhD/DO program. No time limit applies to those who have been licensed in good standing in any other state for at least 5 years, or have accepted a limited license to only practice in HPSA or MUA, indefinitely.
US/Canadian Postgraduate Training Requirements
1 year.
International Postgraduate Training Requirements
2 years.
Idaho
SPEX/COMVEX Requirement
No.
USMLE Attempt Limit
There are three attempts per step. A 4th attempt will be allowed, on one part only, if the applicant has been licensed in good standing in an alternative state for a minimum of 5 years, or if he/she has obtained a Texas PIT permit by the 9th of January 2005. Up to 6 attempts will be allowed, on one part, if the applicant has been specialty board-certified by a BOS or ABMS board, and has completed an extra 2 years of residency training in Texas.
USMLE Time Limit
All USMLE steps, I through III, must be successfully completed within 7 years of passing the first step. The time limit is 10 years if the applicant has been specialty board-certified by a BOS or ABMS board, or has been practicing for 1 year under a Texas FTL. This also applies if the institution where the FTL was used recommended has recommended the applicant for the applicant. All dual-degree applicants will need to pass steps I, II, and III within 2 years of completing the required training – postgraduate. The time limit can also be extended to 10 years after postgraduate training completion if the applicant has graduated with a combined MD/PhD or PhD/DO program. No time limit applies to those who have been licensed in good standing in any other state for at least 5 years, or have accepted a limited license to only practice in HPSA or MUA, indefinitely.
US/Canadian Postgraduate Training Requirements
1 year.
International Postgraduate Training Requirements
2 years.
Illinois
SPEX/COMVEX Requirement
No.
USMLE Attempt Limit
There are three attempts per step. A 4th attempt will be allowed, on one part only, if the applicant has been licensed in good standing in an alternative state for a minimum of 5 years, or if he/she has obtained a Texas PIT permit by the 9th of January 2005. Up to 6 attempts will be allowed, on one part, if the applicant has been specialty board-certified by a BOS or ABMS board, and has completed an extra 2 years of residency training in Texas.
USMLE Time Limit
All USMLE steps, I through III, must be successfully completed within 7 years of passing the first step. The time limit is 10 years if the applicant has been specialty board-certified by a BOS or ABMS board, or has been practicing for 1 year under a Texas FTL. This also applies if the institution where the FTL was used recommended has recommended the applicant for the applicant. All dual-degree applicants will need to pass steps I, II, and III within 2 years of completing the required training – postgraduate. The time limit can also be extended to 10 years after postgraduate training completion if the applicant has graduated with a combined MD/PhD or PhD/DO program. No time limit applies to those who have been licensed in good standing in any other state for at least 5 years, or have accepted a limited license to only practice in HPSA or MUA, indefinitely.
US/Canadian Postgraduate Training Requirements
1 year.
International Postgraduate Training Requirements
2 years.
Indiana
SPEX/COMVEX Requirement
No.
USMLE Attempt Limit
There are three attempts per step. A 4th attempt will be allowed, on one part only, if the applicant has been licensed in good standing in an alternative state for a minimum of 5 years, or if he/she has obtained a Texas PIT permit by the 9th of January 2005. Up to 6 attempts will be allowed, on one part, if the applicant has been specialty board-certified by a BOS or ABMS board, and has completed an extra 2 years of residency training in Texas.
USMLE Time Limit
All USMLE steps, I through III, must be successfully completed within 7 years of passing the first step. The time limit is 10 years if the applicant has been specialty board-certified by a BOS or ABMS board, or has been practicing for 1 year under a Texas FTL. This also applies if the institution where the FTL was used recommended has recommended the applicant for the applicant. All dual-degree applicants will need to pass steps I, II, and III within 2 years of completing the required training – postgraduate. The time limit can also be extended to 10 years after postgraduate training completion if the applicant has graduated with a combined MD/PhD or PhD/DO program. No time limit applies to those who have been licensed in good standing in any other state for at least 5 years, or have accepted a limited license to only practice in HPSA or MUA, indefinitely.
US/Canadian Postgraduate Training Requirements
1 year.
International Postgraduate Training Requirements
2 years.
Iowa
SPEX/COMVEX Requirement
No.
USMLE Attempt Limit
There are three attempts per step. A 4th attempt will be allowed, on one part only, if the applicant has been licensed in good standing in an alternative state for a minimum of 5 years, or if he/she has obtained a Texas PIT permit by the 9th of January 2005. Up to 6 attempts will be allowed, on one part, if the applicant has been specialty board-certified by a BOS or ABMS board, and has completed an extra 2 years of residency training in Texas.
USMLE Time Limit
All USMLE steps, I through III, must be successfully completed within 7 years of passing the first step. The time limit is 10 years if the applicant has been specialty board-certified by a BOS or ABMS board, or has been practicing for 1 year under a Texas FTL. This also applies if the institution where the FTL was used recommended has recommended the applicant for the applicant. All dual-degree applicants will need to pass steps I, II, and III within 2 years of completing the required training – postgraduate. The time limit can also be extended to 10 years after postgraduate training completion if the applicant has graduated with a combined MD/PhD or PhD/DO program. No time limit applies to those who have been licensed in good standing in any other state for at least 5 years, or have accepted a limited license to only practice in HPSA or MUA, indefinitely.
US/Canadian Postgraduate Training Requirements
1 year.
International Postgraduate Training Requirements
2 years.
Kansas
SPEX/COMVEX Requirement
No.
USMLE Attempt Limit
There are three attempts per step. A 4th attempt will be allowed, on one part only, if the applicant has been licensed in good standing in an alternative state for a minimum of 5 years, or if he/she has obtained a Texas PIT permit by the 9th of January 2005. Up to 6 attempts will be allowed, on one part, if the applicant has been specialty board-certified by a BOS or ABMS board, and has completed an extra 2 years of residency training in Texas.
USMLE Time Limit
All USMLE steps, I through III, must be successfully completed within 7 years of passing the first step. The time limit is 10 years if the applicant has been specialty board-certified by a BOS or ABMS board, or has been practicing for 1 year under a Texas FTL. This also applies if the institution where the FTL was used recommended has recommended the applicant for the applicant. All dual-degree applicants will need to pass steps I, II, and III within 2 years of completing the required training – postgraduate. The time limit can also be extended to 10 years after postgraduate training completion if the applicant has graduated with a combined MD/PhD or PhD/DO program. No time limit applies to those who have been licensed in good standing in any other state for at least 5 years, or have accepted a limited license to only practice in HPSA or MUA, indefinitely.
US/Canadian Postgraduate Training Requirements
1 year.
International Postgraduate Training Requirements
2 years.
Kentucky
SPEX/COMVEX Requirement
No.
USMLE Attempt Limit
There are three attempts per step. A 4th attempt will be allowed, on one part only, if the applicant has been licensed in good standing in an alternative state for a minimum of 5 years, or if he/she has obtained a Texas PIT permit by the 9th of January 2005. Up to 6 attempts will be allowed, on one part, if the applicant has been specialty board-certified by a BOS or ABMS board, and has completed an extra 2 years of residency training in Texas.
USMLE Time Limit
All USMLE steps, I through III, must be successfully completed within 7 years of passing the first step. The time limit is 10 years if the applicant has been specialty board-certified by a BOS or ABMS board, or has been practicing for 1 year under a Texas FTL. This also applies if the institution where the FTL was used recommended has recommended the applicant for the applicant. All dual-degree applicants will need to pass steps I, II, and III within 2 years of completing the required training – postgraduate. The time limit can also be extended to 10 years after postgraduate training completion if the applicant has graduated with a combined MD/PhD or PhD/DO program. No time limit applies to those who have been licensed in good standing in any other state for at least 5 years, or have accepted a limited license to only practice in HPSA or MUA, indefinitely.
US/Canadian Postgraduate Training Requirements
1 year.
International Postgraduate Training Requirements
2 years.
Louisiana
SPEX/COMVEX Requirement
No.
USMLE Attempt Limit
There are three attempts per step. A 4th attempt will be allowed, on one part only, if the applicant has been licensed in good standing in an alternative state for a minimum of 5 years, or if he/she has obtained a Texas PIT permit by the 9th of January 2005. Up to 6 attempts will be allowed, on one part, if the applicant has been specialty board-certified by a BOS or ABMS board, and has completed an extra 2 years of residency training in Texas.
USMLE Time Limit
All USMLE steps, I through III, must be successfully completed within 7 years of passing the first step. The time limit is 10 years if the applicant has been specialty board-certified by a BOS or ABMS board, or has been practicing for 1 year under a Texas FTL. This also applies if the institution where the FTL was used recommended has recommended the applicant for the applicant. All dual-degree applicants will need to pass steps I, II, and III within 2 years of completing the required training – postgraduate. The time limit can also be extended to 10 years after postgraduate training completion if the applicant has graduated with a combined MD/PhD or PhD/DO program. No time limit applies to those who have been licensed in good standing in any other state for at least 5 years, or have accepted a limited license to only practice in HPSA or MUA, indefinitely.
US/Canadian Postgraduate Training Requirements
1 year.
International Postgraduate Training Requirements
2 years.
Maine
SPEX/COMVEX Requirement
No.
USMLE Attempt Limit
There are three attempts per step. A 4th attempt will be allowed, on one part only, if the applicant has been licensed in good standing in an alternative state for a minimum of 5 years, or if he/she has obtained a Texas PIT permit by the 9th of January 2005. Up to 6 attempts will be allowed, on one part, if the applicant has been specialty board-certified by a BOS or ABMS board, and has completed an extra 2 years of residency training in Texas.
USMLE Time Limit
All USMLE steps, I through III, must be successfully completed within 7 years of passing the first step. The time limit is 10 years if the applicant has been specialty board-certified by a BOS or ABMS board, or has been practicing for 1 year under a Texas FTL. This also applies if the institution where the FTL was used recommended has recommended the applicant for the applicant. All dual-degree applicants will need to pass steps I, II, and III within 2 years of completing the required training – postgraduate. The time limit can also be extended to 10 years after postgraduate training completion if the applicant has graduated with a combined MD/PhD or PhD/DO program. No time limit applies to those who have been licensed in good standing in any other state for at least 5 years, or have accepted a limited license to only practice in HPSA or MUA, indefinitely.
US/Canadian Postgraduate Training Requirements
1 year.
International Postgraduate Training Requirements
2 years.
Maryland
SPEX/COMVEX Requirement
No.
USMLE Attempt Limit
There are three attempts per step. A 4th attempt will be allowed, on one part only, if the applicant has been licensed in good standing in an alternative state for a minimum of 5 years, or if he/she has obtained a Texas PIT permit by the 9th of January 2005. Up to 6 attempts will be allowed, on one part, if the applicant has been specialty board-certified by a BOS or ABMS board, and has completed an extra 2 years of residency training in Texas.
USMLE Time Limit
All USMLE steps, I through III, must be successfully completed within 7 years of passing the first step. The time limit is 10 years if the applicant has been specialty board-certified by a BOS or ABMS board, or has been practicing for 1 year under a Texas FTL. This also applies if the institution where the FTL was used recommended has recommended the applicant for the applicant. All dual-degree applicants will need to pass steps I, II, and III within 2 years of completing the required training – postgraduate. The time limit can also be extended to 10 years after postgraduate training completion if the applicant has graduated with a combined MD/PhD or PhD/DO program. No time limit applies to those who have been licensed in good standing in any other state for at least 5 years, or have accepted a limited license to only practice in HPSA or MUA, indefinitely.
US/Canadian Postgraduate Training Requirements
1 year.
International Postgraduate Training Requirements
2 years.
Massachusetts
SPEX/COMVEX Requirement
No.
USMLE Attempt Limit
There are three attempts per step. A 4th attempt will be allowed, on one part only, if the applicant has been licensed in good standing in an alternative state for a minimum of 5 years, or if he/she has obtained a Texas PIT permit by the 9th of January 2005. Up to 6 attempts will be allowed, on one part, if the applicant has been specialty board-certified by a BOS or ABMS board, and has completed an extra 2 years of residency training in Texas.
USMLE Time Limit
All USMLE steps, I through III, must be successfully completed within 7 years of passing the first step. The time limit is 10 years if the applicant has been specialty board-certified by a BOS or ABMS board, or has been practicing for 1 year under a Texas FTL. This also applies if the institution where the FTL was used recommended has recommended the applicant for the applicant. All dual-degree applicants will need to pass steps I, II, and III within 2 years of completing the required training – postgraduate. The time limit can also be extended to 10 years after postgraduate training completion if the applicant has graduated with a combined MD/PhD or PhD/DO program. No time limit applies to those who have been licensed in good standing in any other state for at least 5 years, or have accepted a limited license to only practice in HPSA or MUA, indefinitely.
US/Canadian Postgraduate Training Requirements
1 year.
International Postgraduate Training Requirements
2 years.
Michigan
SPEX/COMVEX Requirement
No.
USMLE Attempt Limit
There are three attempts per step. A 4th attempt will be allowed, on one part only, if the applicant has been licensed in good standing in an alternative state for a minimum of 5 years, or if he/she has obtained a Texas PIT permit by the 9th of January 2005. Up to 6 attempts will be allowed, on one part, if the applicant has been specialty board-certified by a BOS or ABMS board, and has completed an extra 2 years of residency training in Texas.
USMLE Time Limit
All USMLE steps, I through III, must be successfully completed within 7 years of passing the first step. The time limit is 10 years if the applicant has been specialty board-certified by a BOS or ABMS board, or has been practicing for 1 year under a Texas FTL. This also applies if the institution where the FTL was used recommended has recommended the applicant for the applicant. All dual-degree applicants will need to pass steps I, II, and III within 2 years of completing the required training – postgraduate. The time limit can also be extended to 10 years after postgraduate training completion if the applicant has graduated with a combined MD/PhD or PhD/DO program. No time limit applies to those who have been licensed in good standing in any other state for at least 5 years, or have accepted a limited license to only practice in HPSA or MUA, indefinitely.
US/Canadian Postgraduate Training Requirements
1 year.
International Postgraduate Training Requirements
2 years.
Minnesota
SPEX/COMVEX Requirement
No.
USMLE Attempt Limit
There are three attempts per step. A 4th attempt will be allowed, on one part only, if the applicant has been licensed in good standing in an alternative state for a minimum of 5 years, or if he/she has obtained a Texas PIT permit by the 9th of January 2005. Up to 6 attempts will be allowed, on one part, if the applicant has been specialty board-certified by a BOS or ABMS board, and has completed an extra 2 years of residency training in Texas.
USMLE Time Limit
All USMLE steps, I through III, must be successfully completed within 7 years of passing the first step. The time limit is 10 years if the applicant has been specialty board-certified by a BOS or ABMS board, or has been practicing for 1 year under a Texas FTL. This also applies if the institution where the FTL was used recommended has recommended the applicant for the applicant. All dual-degree applicants will need to pass steps I, II, and III within 2 years of completing the required training – postgraduate. The time limit can also be extended to 10 years after postgraduate training completion if the applicant has graduated with a combined MD/PhD or PhD/DO program. No time limit applies to those who have been licensed in good standing in any other state for at least 5 years, or have accepted a limited license to only practice in HPSA or MUA, indefinitely.
US/Canadian Postgraduate Training Requirements
1 year.
International Postgraduate Training Requirements
2 years.
Mississippi
SPEX/COMVEX Requirement
No.
USMLE Attempt Limit
There are three attempts per step. A 4th attempt will be allowed, on one part only, if the applicant has been licensed in good standing in an alternative state for a minimum of 5 years, or if he/she has obtained a Texas PIT permit by the 9th of January 2005. Up to 6 attempts will be allowed, on one part, if the applicant has been specialty board-certified by a BOS or ABMS board, and has completed an extra 2 years of residency training in Texas.
USMLE Time Limit
All USMLE steps, I through III, must be successfully completed within 7 years of passing the first step. The time limit is 10 years if the applicant has been specialty board-certified by a BOS or ABMS board, or has been practicing for 1 year under a Texas FTL. This also applies if the institution where the FTL was used recommended has recommended the applicant for the applicant. All dual-degree applicants will need to pass steps I, II, and III within 2 years of completing the required training – postgraduate. The time limit can also be extended to 10 years after postgraduate training completion if the applicant has graduated with a combined MD/PhD or PhD/DO program. No time limit applies to those who have been licensed in good standing in any other state for at least 5 years, or have accepted a limited license to only practice in HPSA or MUA, indefinitely.
US/Canadian Postgraduate Training Requirements
1 year.
International Postgraduate Training Requirements
2 years.
Missouri
SPEX/COMVEX Requirement
No.
USMLE Attempt Limit
There are three attempts per step. A 4th attempt will be allowed, on one part only, if the applicant has been licensed in good standing in an alternative state for a minimum of 5 years, or if he/she has obtained a Texas PIT permit by the 9th of January 2005. Up to 6 attempts will be allowed, on one part, if the applicant has been specialty board-certified by a BOS or ABMS board, and has completed an extra 2 years of residency training in Texas.
USMLE Time Limit
All USMLE steps, I through III, must be successfully completed within 7 years of passing the first step. The time limit is 10 years if the applicant has been specialty board-certified by a BOS or ABMS board, or has been practicing for 1 year under a Texas FTL. This also applies if the institution where the FTL was used recommended has recommended the applicant for the applicant. All dual-degree applicants will need to pass steps I, II, and III within 2 years of completing the required training – postgraduate. The time limit can also be extended to 10 years after postgraduate training completion if the applicant has graduated with a combined MD/PhD or PhD/DO program. No time limit applies to those who have been licensed in good standing in any other state for at least 5 years, or have accepted a limited license to only practice in HPSA or MUA, indefinitely.
US/Canadian Postgraduate Training Requirements
1 year.
International Postgraduate Training Requirements
2 years.
Montana
SPEX/COMVEX Requirement
No.
USMLE Attempt Limit
There are three attempts per step. A 4th attempt will be allowed, on one part only, if the applicant has been licensed in good standing in an alternative state for a minimum of 5 years, or if he/she has obtained a Texas PIT permit by the 9th of January 2005. Up to 6 attempts will be allowed, on one part, if the applicant has been specialty board-certified by a BOS or ABMS board, and has completed an extra 2 years of residency training in Texas.
USMLE Time Limit
All USMLE steps, I through III, must be successfully completed within 7 years of passing the first step. The time limit is 10 years if the applicant has been specialty board-certified by a BOS or ABMS board, or has been practicing for 1 year under a Texas FTL. This also applies if the institution where the FTL was used recommended has recommended the applicant for the applicant. All dual-degree applicants will need to pass steps I, II, and III within 2 years of completing the required training – postgraduate. The time limit can also be extended to 10 years after postgraduate training completion if the applicant has graduated with a combined MD/PhD or PhD/DO program. No time limit applies to those who have been licensed in good standing in any other state for at least 5 years, or have accepted a limited license to only practice in HPSA or MUA, indefinitely.
US/Canadian Postgraduate Training Requirements
1 year.
International Postgraduate Training Requirements
2 years.
Nebraska
SPEX/COMVEX Requirement
No.
USMLE Attempt Limit
There are three attempts per step. A 4th attempt will be allowed, on one part only, if the applicant has been licensed in good standing in an alternative state for a minimum of 5 years, or if he/she has obtained a Texas PIT permit by the 9th of January 2005. Up to 6 attempts will be allowed, on one part, if the applicant has been specialty board-certified by a BOS or ABMS board, and has completed an extra 2 years of residency training in Texas.
USMLE Time Limit
All USMLE steps, I through III, must be successfully completed within 7 years of passing the first step. The time limit is 10 years if the applicant has been specialty board-certified by a BOS or ABMS board, or has been practicing for 1 year under a Texas FTL. This also applies if the institution where the FTL was used recommended has recommended the applicant for the applicant. All dual-degree applicants will need to pass steps I, II, and III within 2 years of completing the required training – postgraduate. The time limit can also be extended to 10 years after postgraduate training completion if the applicant has graduated with a combined MD/PhD or PhD/DO program. No time limit applies to those who have been licensed in good standing in any other state for at least 5 years, or have accepted a limited license to only practice in HPSA or MUA, indefinitely.
US/Canadian Postgraduate Training Requirements
1 year.
International Postgraduate Training Requirements
2 years.
Nevada
SPEX/COMVEX Requirement
No.
USMLE Attempt Limit
There are three attempts per step. A 4th attempt will be allowed, on one part only, if the applicant has been licensed in good standing in an alternative state for a minimum of 5 years, or if he/she has obtained a Texas PIT permit by the 9th of January 2005. Up to 6 attempts will be allowed, on one part, if the applicant has been specialty board-certified by a BOS or ABMS board, and has completed an extra 2 years of residency training in Texas.
USMLE Time Limit
All USMLE steps, I through III, must be successfully completed within 7 years of passing the first step. The time limit is 10 years if the applicant has been specialty board-certified by a BOS or ABMS board, or has been practicing for 1 year under a Texas FTL. This also applies if the institution where the FTL was used recommended has recommended the applicant for the applicant. All dual-degree applicants will need to pass steps I, II, and III within 2 years of completing the required training – postgraduate. The time limit can also be extended to 10 years after postgraduate training completion if the applicant has graduated with a combined MD/PhD or PhD/DO program. No time limit applies to those who have been licensed in good standing in any other state for at least 5 years, or have accepted a limited license to only practice in HPSA or MUA, indefinitely.
US/Canadian Postgraduate Training Requirements
1 year.
International Postgraduate Training Requirements
2 years.
New Hampshire
SPEX/COMVEX Requirement
No.
USMLE Attempt Limit
There are three attempts per step. A 4th attempt will be allowed, on one part only, if the applicant has been licensed in good standing in an alternative state for a minimum of 5 years, or if he/she has obtained a Texas PIT permit by the 9th of January 2005. Up to 6 attempts will be allowed, on one part, if the applicant has been specialty board-certified by a BOS or ABMS board, and has completed an extra 2 years of residency training in Texas.
USMLE Time Limit
All USMLE steps, I through III, must be successfully completed within 7 years of passing the first step. The time limit is 10 years if the applicant has been specialty board-certified by a BOS or ABMS board, or has been practicing for 1 year under a Texas FTL. This also applies if the institution where the FTL was used recommended has recommended the applicant for the applicant. All dual-degree applicants will need to pass steps I, II, and III within 2 years of completing the required training – postgraduate. The time limit can also be extended to 10 years after postgraduate training completion if the applicant has graduated with a combined MD/PhD or PhD/DO program. No time limit applies to those who have been licensed in good standing in any other state for at least 5 years, or have accepted a limited license to only practice in HPSA or MUA, indefinitely.
US/Canadian Postgraduate Training Requirements
1 year.
International Postgraduate Training Requirements
2 years.
New Jersey
SPEX/COMVEX Requirement
No.
USMLE Attempt Limit
There are three attempts per step. A 4th attempt will be allowed, on one part only, if the applicant has been licensed in good standing in an alternative state for a minimum of 5 years, or if he/she has obtained a Texas PIT permit by the 9th of January 2005. Up to 6 attempts will be allowed, on one part, if the applicant has been specialty board-certified by a BOS or ABMS board, and has completed an extra 2 years of residency training in Texas.
USMLE Time Limit
All USMLE steps, I through III, must be successfully completed within 7 years of passing the first step. The time limit is 10 years if the applicant has been specialty board-certified by a BOS or ABMS board, or has been practicing for 1 year under a Texas FTL. This also applies if the institution where the FTL was used recommended has recommended the applicant for the applicant. All dual-degree applicants will need to pass steps I, II, and III within 2 years of completing the required training – postgraduate. The time limit can also be extended to 10 years after postgraduate training completion if the applicant has graduated with a combined MD/PhD or PhD/DO program. No time limit applies to those who have been licensed in good standing in any other state for at least 5 years, or have accepted a limited license to only practice in HPSA or MUA, indefinitely.
US/Canadian Postgraduate Training Requirements
1 year.
International Postgraduate Training Requirements
2 years.
New Mexico
SPEX/COMVEX Requirement
No.
USMLE Attempt Limit
There are three attempts per step. A 4th attempt will be allowed, on one part only, if the applicant has been licensed in good standing in an alternative state for a minimum of 5 years, or if he/she has obtained a Texas PIT permit by the 9th of January 2005. Up to 6 attempts will be allowed, on one part, if the applicant has been specialty board-certified by a BOS or ABMS board, and has completed an extra 2 years of residency training in Texas.
USMLE Time Limit
All USMLE steps, I through III, must be successfully completed within 7 years of passing the first step. The time limit is 10 years if the applicant has been specialty board-certified by a BOS or ABMS board, or has been practicing for 1 year under a Texas FTL. This also applies if the institution where the FTL was used recommended has recommended the applicant for the applicant. All dual-degree applicants will need to pass steps I, II, and III within 2 years of completing the required training – postgraduate. The time limit can also be extended to 10 years after postgraduate training completion if the applicant has graduated with a combined MD/PhD or PhD/DO program. No time limit applies to those who have been licensed in good standing in any other state for at least 5 years, or have accepted a limited license to only practice in HPSA or MUA, indefinitely.
US/Canadian Postgraduate Training Requirements
1 year.
International Postgraduate Training Requirements
2 years.
New York
SPEX/COMVEX Requirement
No.
USMLE Attempt Limit
There are three attempts per step. A 4th attempt will be allowed, on one part only, if the applicant has been licensed in good standing in an alternative state for a minimum of 5 years, or if he/she has obtained a Texas PIT permit by the 9th of January 2005. Up to 6 attempts will be allowed, on one part, if the applicant has been specialty board-certified by a BOS or ABMS board, and has completed an extra 2 years of residency training in Texas.
USMLE Time Limit
All USMLE steps, I through III, must be successfully completed within 7 years of passing the first step. The time limit is 10 years if the applicant has been specialty board-certified by a BOS or ABMS board, or has been practicing for 1 year under a Texas FTL. This also applies if the institution where the FTL was used recommended has recommended the applicant for the applicant. All dual-degree applicants will need to pass steps I, II, and III within 2 years of completing the required training – postgraduate. The time limit can also be extended to 10 years after postgraduate training completion if the applicant has graduated with a combined MD/PhD or PhD/DO program. No time limit applies to those who have been licensed in good standing in any other state for at least 5 years, or have accepted a limited license to only practice in HPSA or MUA, indefinitely.
US/Canadian Postgraduate Training Requirements
1 year.
International Postgraduate Training Requirements
2 years.
North Carolina
SPEX/COMVEX Requirement
No.
USMLE Attempt Limit
There are three attempts per step. A 4th attempt will be allowed, on one part only, if the applicant has been licensed in good standing in an alternative state for a minimum of 5 years, or if he/she has obtained a Texas PIT permit by the 9th of January 2005. Up to 6 attempts will be allowed, on one part, if the applicant has been specialty board-certified by a BOS or ABMS board, and has completed an extra 2 years of residency training in Texas.
USMLE Time Limit
All USMLE steps, I through III, must be successfully completed within 7 years of passing the first step. The time limit is 10 years if the applicant has been specialty board-certified by a BOS or ABMS board, or has been practicing for 1 year under a Texas FTL. This also applies if the institution where the FTL was used recommended has recommended the applicant for the applicant. All dual-degree applicants will need to pass steps I, II, and III within 2 years of completing the required training – postgraduate. The time limit can also be extended to 10 years after postgraduate training completion if the applicant has graduated with a combined MD/PhD or PhD/DO program. No time limit applies to those who have been licensed in good standing in any other state for at least 5 years, or have accepted a limited license to only practice in HPSA or MUA, indefinitely.
US/Canadian Postgraduate Training Requirements
1 year.
International Postgraduate Training Requirements
2 years.
North Dakota
SPEX/COMVEX Requirement
No.
USMLE Attempt Limit
There are three attempts per step. A 4th attempt will be allowed, on one part only, if the applicant has been licensed in good standing in an alternative state for a minimum of 5 years, or if he/she has obtained a Texas PIT permit by the 9th of January 2005. Up to 6 attempts will be allowed, on one part, if the applicant has been specialty board-certified by a BOS or ABMS board, and has completed an extra 2 years of residency training in Texas.
USMLE Time Limit
All USMLE steps, I through III, must be successfully completed within 7 years of passing the first step. The time limit is 10 years if the applicant has been specialty board-certified by a BOS or ABMS board, or has been practicing for 1 year under a Texas FTL. This also applies if the institution where the FTL was used recommended has recommended the applicant for the applicant. All dual-degree applicants will need to pass steps I, II, and III within 2 years of completing the required training – postgraduate. The time limit can also be extended to 10 years after postgraduate training completion if the applicant has graduated with a combined MD/PhD or PhD/DO program. No time limit applies to those who have been licensed in good standing in any other state for at least 5 years, or have accepted a limited license to only practice in HPSA or MUA, indefinitely.
US/Canadian Postgraduate Training Requirements
1 year.
International Postgraduate Training Requirements
2 years.
Ohio
SPEX/COMVEX Requirement
No.
USMLE Attempt Limit
There are three attempts per step. A 4th attempt will be allowed, on one part only, if the applicant has been licensed in good standing in an alternative state for a minimum of 5 years, or if he/she has obtained a Texas PIT permit by the 9th of January 2005. Up to 6 attempts will be allowed, on one part, if the applicant has been specialty board-certified by a BOS or ABMS board, and has completed an extra 2 years of residency training in Texas.
USMLE Time Limit
All USMLE steps, I through III, must be successfully completed within 7 years of passing the first step. The time limit is 10 years if the applicant has been specialty board-certified by a BOS or ABMS board, or has been practicing for 1 year under a Texas FTL. This also applies if the institution where the FTL was used recommended has recommended the applicant for the applicant. All dual-degree applicants will need to pass steps I, II, and III within 2 years of completing the required training – postgraduate. The time limit can also be extended to 10 years after postgraduate training completion if the applicant has graduated with a combined MD/PhD or PhD/DO program. No time limit applies to those who have been licensed in good standing in any other state for at least 5 years, or have accepted a limited license to only practice in HPSA or MUA, indefinitely.
US/Canadian Postgraduate Training Requirements
1 year.
International Postgraduate Training Requirements
2 years.
Oklahoma
SPEX/COMVEX Requirement
No.
USMLE Attempt Limit
There are three attempts per step. A 4th attempt will be allowed, on one part only, if the applicant has been licensed in good standing in an alternative state for a minimum of 5 years, or if he/she has obtained a Texas PIT permit by the 9th of January 2005. Up to 6 attempts will be allowed, on one part, if the applicant has been specialty board-certified by a BOS or ABMS board, and has completed an extra 2 years of residency training in Texas.
USMLE Time Limit
All USMLE steps, I through III, must be successfully completed within 7 years of passing the first step. The time limit is 10 years if the applicant has been specialty board-certified by a BOS or ABMS board, or has been practicing for 1 year under a Texas FTL. This also applies if the institution where the FTL was used recommended has recommended the applicant for the applicant. All dual-degree applicants will need to pass steps I, II, and III within 2 years of completing the required training – postgraduate. The time limit can also be extended to 10 years after postgraduate training completion if the applicant has graduated with a combined MD/PhD or PhD/DO program. No time limit applies to those who have been licensed in good standing in any other state for at least 5 years, or have accepted a limited license to only practice in HPSA or MUA, indefinitely.
US/Canadian Postgraduate Training Requirements
1 year.
International Postgraduate Training Requirements
2 years.
Oregon
SPEX/COMVEX Requirement
No.
USMLE Attempt Limit
There are three attempts per step. A 4th attempt will be allowed, on one part only, if the applicant has been licensed in good standing in an alternative state for a minimum of 5 years, or if he/she has obtained a Texas PIT permit by the 9th of January 2005. Up to 6 attempts will be allowed, on one part, if the applicant has been specialty board-certified by a BOS or ABMS board, and has completed an extra 2 years of residency training in Texas.
USMLE Time Limit
All USMLE steps, I through III, must be successfully completed within 7 years of passing the first step. The time limit is 10 years if the applicant has been specialty board-certified by a BOS or ABMS board, or has been practicing for 1 year under a Texas FTL. This also applies if the institution where the FTL was used recommended has recommended the applicant for the applicant. All dual-degree applicants will need to pass steps I, II, and III within 2 years of completing the required training – postgraduate. The time limit can also be extended to 10 years after postgraduate training completion if the applicant has graduated with a combined MD/PhD or PhD/DO program. No time limit applies to those who have been licensed in good standing in any other state for at least 5 years, or have accepted a limited license to only practice in HPSA or MUA, indefinitely.
US/Canadian Postgraduate Training Requirements
1 year.
International Postgraduate Training Requirements
2 years.
Pennsylvania
SPEX/COMVEX Requirement
No.
USMLE Attempt Limit
There are three attempts per step. A 4th attempt will be allowed, on one part only, if the applicant has been licensed in good standing in an alternative state for a minimum of 5 years, or if he/she has obtained a Texas PIT permit by the 9th of January 2005. Up to 6 attempts will be allowed, on one part, if the applicant has been specialty board-certified by a BOS or ABMS board, and has completed an extra 2 years of residency training in Texas.
USMLE Time Limit
All USMLE steps, I through III, must be successfully completed within 7 years of passing the first step. The time limit is 10 years if the applicant has been specialty board-certified by a BOS or ABMS board, or has been practicing for 1 year under a Texas FTL. This also applies if the institution where the FTL was used recommended has recommended the applicant for the applicant. All dual-degree applicants will need to pass steps I, II, and III within 2 years of completing the required training – postgraduate. The time limit can also be extended to 10 years after postgraduate training completion if the applicant has graduated with a combined MD/PhD or PhD/DO program. No time limit applies to those who have been licensed in good standing in any other state for at least 5 years, or have accepted a limited license to only practice in HPSA or MUA, indefinitely.
US/Canadian Postgraduate Training Requirements
1 year.
International Postgraduate Training Requirements
2 years.
Rhode Island
SPEX/COMVEX Requirement
No.
USMLE Attempt Limit
There are three attempts per step. A 4th attempt will be allowed, on one part only, if the applicant has been licensed in good standing in an alternative state for a minimum of 5 years, or if he/she has obtained a Texas PIT permit by the 9th of January 2005. Up to 6 attempts will be allowed, on one part, if the applicant has been specialty board-certified by a BOS or ABMS board, and has completed an extra 2 years of residency training in Texas.
USMLE Time Limit
All USMLE steps, I through III, must be successfully completed within 7 years of passing the first step. The time limit is 10 years if the applicant has been specialty board-certified by a BOS or ABMS board, or has been practicing for 1 year under a Texas FTL. This also applies if the institution where the FTL was used recommended has recommended the applicant for the applicant. All dual-degree applicants will need to pass steps I, II, and III within 2 years of completing the required training – postgraduate. The time limit can also be extended to 10 years after postgraduate training completion if the applicant has graduated with a combined MD/PhD or PhD/DO program. No time limit applies to those who have been licensed in good standing in any other state for at least 5 years, or have accepted a limited license to only practice in HPSA or MUA, indefinitely.
US/Canadian Postgraduate Training Requirements
1 year.
International Postgraduate Training Requirements
2 years.
South Carolina
SPEX/COMVEX Requirement
No.
USMLE Attempt Limit
There are three attempts per step. A 4th attempt will be allowed, on one part only, if the applicant has been licensed in good standing in an alternative state for a minimum of 5 years, or if he/she has obtained a Texas PIT permit by the 9th of January 2005. Up to 6 attempts will be allowed, on one part, if the applicant has been specialty board-certified by a BOS or ABMS board, and has completed an extra 2 years of residency training in Texas.
USMLE Time Limit
All USMLE steps, I through III, must be successfully completed within 7 years of passing the first step. The time limit is 10 years if the applicant has been specialty board-certified by a BOS or ABMS board, or has been practicing for 1 year under a Texas FTL. This also applies if the institution where the FTL was used recommended has recommended the applicant for the applicant. All dual-degree applicants will need to pass steps I, II, and III within 2 years of completing the required training – postgraduate. The time limit can also be extended to 10 years after postgraduate training completion if the applicant has graduated with a combined MD/PhD or PhD/DO program. No time limit applies to those who have been licensed in good standing in any other state for at least 5 years, or have accepted a limited license to only practice in HPSA or MUA, indefinitely.
US/Canadian Postgraduate Training Requirements
1 year.
International Postgraduate Training Requirements
2 years.
South Dakota
SPEX/COMVEX Requirement
No.
USMLE Attempt Limit
There are three attempts per step. A 4th attempt will be allowed, on one part only, if the applicant has been licensed in good standing in an alternative state for a minimum of 5 years, or if he/she has obtained a Texas PIT permit by the 9th of January 2005. Up to 6 attempts will be allowed, on one part, if the applicant has been specialty board-certified by a BOS or ABMS board, and has completed an extra 2 years of residency training in Texas.
USMLE Time Limit
All USMLE steps, I through III, must be successfully completed within 7 years of passing the first step. The time limit is 10 years if the applicant has been specialty board-certified by a BOS or ABMS board, or has been practicing for 1 year under a Texas FTL. This also applies if the institution where the FTL was used recommended has recommended the applicant for the applicant. All dual-degree applicants will need to pass steps I, II, and III within 2 years of completing the required training – postgraduate. The time limit can also be extended to 10 years after postgraduate training completion if the applicant has graduated with a combined MD/PhD or PhD/DO program. No time limit applies to those who have been licensed in good standing in any other state for at least 5 years, or have accepted a limited license to only practice in HPSA or MUA, indefinitely.
US/Canadian Postgraduate Training Requirements
1 year.
International Postgraduate Training Requirements
2 years.
Tennessee
SPEX/COMVEX Requirement
No.
USMLE Attempt Limit
There are three attempts per step. A 4th attempt will be allowed, on one part only, if the applicant has been licensed in good standing in an alternative state for a minimum of 5 years, or if he/she has obtained a Texas PIT permit by the 9th of January 2005. Up to 6 attempts will be allowed, on one part, if the applicant has been specialty board-certified by a BOS or ABMS board, and has completed an extra 2 years of residency training in Texas.
USMLE Time Limit
All USMLE steps, I through III, must be successfully completed within 7 years of passing the first step. The time limit is 10 years if the applicant has been specialty board-certified by a BOS or ABMS board, or has been practicing for 1 year under a Texas FTL. This also applies if the institution where the FTL was used recommended has recommended the applicant for the applicant. All dual-degree applicants will need to pass steps I, II, and III within 2 years of completing the required training – postgraduate. The time limit can also be extended to 10 years after postgraduate training completion if the applicant has graduated with a combined MD/PhD or PhD/DO program. No time limit applies to those who have been licensed in good standing in any other state for at least 5 years, or have accepted a limited license to only practice in HPSA or MUA, indefinitely.
US/Canadian Postgraduate Training Requirements
1 year.
International Postgraduate Training Requirements
2 years.
Texas
SPEX/COMVEX Requirement
No.
USMLE Attempt Limit
There are three attempts per step. A 4th attempt will be allowed, on one part only, if the applicant has been licensed in good standing in an alternative state for a minimum of 5 years, or if he/she has obtained a Texas PIT permit by the 9th of January 2005. Up to 6 attempts will be allowed, on one part, if the applicant has been specialty board-certified by a BOS or ABMS board, and has completed an extra 2 years of residency training in Texas.
USMLE Time Limit
All USMLE steps, I through III, must be successfully completed within 7 years of passing the first step. The time limit is 10 years if the applicant has been specialty board-certified by a BOS or ABMS board, or has been practicing for 1 year under a Texas FTL. This also applies if the institution where the FTL was used recommended has recommended the applicant for the applicant. All dual-degree applicants will need to pass steps I, II, and III within 2 years of completing the required training – postgraduate. The time limit can also be extended to 10 years after postgraduate training completion if the applicant has graduated with a combined MD/PhD or PhD/DO program. No time limit applies to those who have been licensed in good standing in any other state for at least 5 years, or have accepted a limited license to only practice in HPSA or MUA, indefinitely.
US/Canadian Postgraduate Training Requirements
1 year.
International Postgraduate Training Requirements
2 years.
Utah
SPEX/COMVEX Requirement
No.
USMLE Attempt Limit
There are three attempts per step. A 4th attempt will be allowed, on one part only, if the applicant has been licensed in good standing in an alternative state for a minimum of 5 years, or if he/she has obtained a Texas PIT permit by the 9th of January 2005. Up to 6 attempts will be allowed, on one part, if the applicant has been specialty board-certified by a BOS or ABMS board, and has completed an extra 2 years of residency training in Texas.
USMLE Time Limit
All USMLE steps, I through III, must be successfully completed within 7 years of passing the first step. The time limit is 10 years if the applicant has been specialty board-certified by a BOS or ABMS board, or has been practicing for 1 year under a Texas FTL. This also applies if the institution where the FTL was used recommended has recommended the applicant for the applicant. All dual-degree applicants will need to pass steps I, II, and III within 2 years of completing the required training – postgraduate. The time limit can also be extended to 10 years after postgraduate training completion if the applicant has graduated with a combined MD/PhD or PhD/DO program. No time limit applies to those who have been licensed in good standing in any other state for at least 5 years, or have accepted a limited license to only practice in HPSA or MUA, indefinitely.
US/Canadian Postgraduate Training Requirements
1 year.
International Postgraduate Training Requirements
2 years.
Vermont
SPEX/COMVEX Requirement
No.
USMLE Attempt Limit
There are three attempts per step. A 4th attempt will be allowed, on one part only, if the applicant has been licensed in good standing in an alternative state for a minimum of 5 years, or if he/she has obtained a Texas PIT permit by the 9th of January 2005. Up to 6 attempts will be allowed, on one part, if the applicant has been specialty board-certified by a BOS or ABMS board, and has completed an extra 2 years of residency training in Texas.
USMLE Time Limit
All USMLE steps, I through III, must be successfully completed within 7 years of passing the first step. The time limit is 10 years if the applicant has been specialty board-certified by a BOS or ABMS board, or has been practicing for 1 year under a Texas FTL. This also applies if the institution where the FTL was used recommended has recommended the applicant for the applicant. All dual-degree applicants will need to pass steps I, II, and III within 2 years of completing the required training – postgraduate. The time limit can also be extended to 10 years after postgraduate training completion if the applicant has graduated with a combined MD/PhD or PhD/DO program. No time limit applies to those who have been licensed in good standing in any other state for at least 5 years, or have accepted a limited license to only practice in HPSA or MUA, indefinitely.
US/Canadian Postgraduate Training Requirements
1 year.
International Postgraduate Training Requirements
2 years.
Virginia
SPEX/COMVEX Requirement
No.
USMLE Attempt Limit
There are three attempts per step. A 4th attempt will be allowed, on one part only, if the applicant has been licensed in good standing in an alternative state for a minimum of 5 years, or if he/she has obtained a Texas PIT permit by the 9th of January 2005. Up to 6 attempts will be allowed, on one part, if the applicant has been specialty board-certified by a BOS or ABMS board, and has completed an extra 2 years of residency training in Texas.
USMLE Time Limit
All USMLE steps, I through III, must be successfully completed within 7 years of passing the first step. The time limit is 10 years if the applicant has been specialty board-certified by a BOS or ABMS board, or has been practicing for 1 year under a Texas FTL. This also applies if the institution where the FTL was used recommended has recommended the applicant for the applicant. All dual-degree applicants will need to pass steps I, II, and III within 2 years of completing the required training – postgraduate. The time limit can also be extended to 10 years after postgraduate training completion if the applicant has graduated with a combined MD/PhD or PhD/DO program. No time limit applies to those who have been licensed in good standing in any other state for at least 5 years, or have accepted a limited license to only practice in HPSA or MUA, indefinitely.
US/Canadian Postgraduate Training Requirements
1 year.
International Postgraduate Training Requirements
2 years.
Washington
SPEX/COMVEX Requirement
No.
USMLE Attempt Limit
There are three attempts per step. A 4th attempt will be allowed, on one part only, if the applicant has been licensed in good standing in an alternative state for a minimum of 5 years, or if he/she has obtained a Texas PIT permit by the 9th of January 2005. Up to 6 attempts will be allowed, on one part, if the applicant has been specialty board-certified by a BOS or ABMS board, and has completed an extra 2 years of residency training in Texas.
USMLE Time Limit
All USMLE steps, I through III, must be successfully completed within 7 years of passing the first step. The time limit is 10 years if the applicant has been specialty board-certified by a BOS or ABMS board, or has been practicing for 1 year under a Texas FTL. This also applies if the institution where the FTL was used recommended has recommended the applicant for the applicant. All dual-degree applicants will need to pass steps I, II, and III within 2 years of completing the required training – postgraduate. The time limit can also be extended to 10 years after postgraduate training completion if the applicant has graduated with a combined MD/PhD or PhD/DO program. No time limit applies to those who have been licensed in good standing in any other state for at least 5 years, or have accepted a limited license to only practice in HPSA or MUA, indefinitely.
US/Canadian Postgraduate Training Requirements
1 year.
International Postgraduate Training Requirements
2 years.
West Virginia
SPEX/COMVEX Requirement
No.
USMLE Attempt Limit
There are three attempts per step. A 4th attempt will be allowed, on one part only, if the applicant has been licensed in good standing in an alternative state for a minimum of 5 years, or if he/she has obtained a Texas PIT permit by the 9th of January 2005. Up to 6 attempts will be allowed, on one part, if the applicant has been specialty board-certified by a BOS or ABMS board, and has completed an extra 2 years of residency training in Texas.
USMLE Time Limit
All USMLE steps, I through III, must be successfully completed within 7 years of passing the first step. The time limit is 10 years if the applicant has been specialty board-certified by a BOS or ABMS board, or has been practicing for 1 year under a Texas FTL. This also applies if the institution where the FTL was used recommended has recommended the applicant for the applicant. All dual-degree applicants will need to pass steps I, II, and III within 2 years of completing the required training – postgraduate. The time limit can also be extended to 10 years after postgraduate training completion if the applicant has graduated with a combined MD/PhD or PhD/DO program. No time limit applies to those who have been licensed in good standing in any other state for at least 5 years, or have accepted a limited license to only practice in HPSA or MUA, indefinitely.
US/Canadian Postgraduate Training Requirements
1 year.
International Postgraduate Training Requirements
2 years.
Wisconsin
SPEX/COMVEX Requirement
No.
USMLE Attempt Limit
There are three attempts per step. A 4th attempt will be allowed, on one part only, if the applicant has been licensed in good standing in an alternative state for a minimum of 5 years, or if he/she has obtained a Texas PIT permit by the 9th of January 2005. Up to 6 attempts will be allowed, on one part, if the applicant has been specialty board-certified by a BOS or ABMS board, and has completed an extra 2 years of residency training in Texas.
USMLE Time Limit
All USMLE steps, I through III, must be successfully completed within 7 years of passing the first step. The time limit is 10 years if the applicant has been specialty board-certified by a BOS or ABMS board, or has been practicing for 1 year under a Texas FTL. This also applies if the institution where the FTL was used recommended has recommended the applicant for the applicant. All dual-degree applicants will need to pass steps I, II, and III within 2 years of completing the required training – postgraduate. The time limit can also be extended to 10 years after postgraduate training completion if the applicant has graduated with a combined MD/PhD or PhD/DO program. No time limit applies to those who have been licensed in good standing in any other state for at least 5 years, or have accepted a limited license to only practice in HPSA or MUA, indefinitely.
US/Canadian Postgraduate Training Requirements
1 year.
International Postgraduate Training Requirements
2 years.
Wyoming
SPEX/COMVEX Requirement
No.
USMLE Attempt Limit
There are three attempts per step. A 4th attempt will be allowed, on one part only, if the applicant has been licensed in good standing in an alternative state for a minimum of 5 years, or if he/she has obtained a Texas PIT permit by the 9th of January 2005. Up to 6 attempts will be allowed, on one part, if the applicant has been specialty board-certified by a BOS or ABMS board, and has completed an extra 2 years of residency training in Texas.
USMLE Time Limit
All USMLE steps, I through III, must be successfully completed within 7 years of passing the first step. The time limit is 10 years if the applicant has been specialty board-certified by a BOS or ABMS board, or has been practicing for 1 year under a Texas FTL. This also applies if the institution where the FTL was used recommended has recommended the applicant for the applicant. All dual-degree applicants will need to pass steps I, II, and III within 2 years of completing the required training – postgraduate. The time limit can also be extended to 10 years after postgraduate training completion if the applicant has graduated with a combined MD/PhD or PhD/DO program. No time limit applies to those who have been licensed in good standing in any other state for at least 5 years, or have accepted a limited license to only practice in HPSA or MUA, indefinitely.
US/Canadian Postgraduate Training Requirements
1 year.
International Postgraduate Training Requirements
2 years.
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