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Medical Licensing – State Requirements

Alabama
SPEX/COMVEX Requirement
The Board Order may require this if the written licensure or board certification exam was last taken 10+ years ago.
USMLE Attempt Limit
No limit (Steps I + II). Three attempts for step III. Steps I-III must be passed by the 10th attempt. To repeat step III after three attempts, further education/training will be required.
USMLE Time Limit
Steps I-III to be completed within 10 years (MD/Ph.D.)
US/Canadian Postgraduate Training Requirements
1 Year
International Postgraduate Training Requirements
3 Years
Alaska
SPEX/COMVEX Requirement
Restore retired license.
USMLE Attempt Limit
Two attempts for steps I, II, and III. Alternative pathway available for those licensed everywhere.
USMLE Time Limit
Steps I-III to be completed within 7 years.
US/Canadian Postgraduate Training Requirements
2 Years, or 1 year if the applicant has completed med school prior to January 1995.
International Postgraduate Training Requirements
3 Years
Arizona
SPEX/COMVEX Requirement
Competence to be assessed if required by board for MD. May be needed if written licensure or board certification exam was last taken 7+ years ago.
USMLE Attempt Limit
No attempt limit on steps I, II, and III.
USMLE Time Limit
Steps I-III to be completed within 7 years. No time limit for applicants holding licenses in other states.
US/Canadian Postgraduate Training Requirements
1 year for MD.
International Postgraduate Training Requirements
3 Years.
Arkansas
SPEX/COMVEX Requirement
Competence to be assessed if required by board for MD.
USMLE Attempt Limit
All steps to be passed in no more than 3 attempts.
USMLE Time Limit
Steps I-III to be completed within 7 years. Board-certified applicants may have this waived to 10 years.
US/Canadian Postgraduate Training Requirements
1 year.
International Postgraduate Training Requirements
3 Years. Alternatively, applicant must be enrolled in a UAMS training program.
California
SPEX/COMVEX Requirement
The Board Order may require this if the written licensure or board certification exam was last taken 10+ years ago.
USMLE Attempt Limit
No attempt limits on steps I, II, or III for exam sequences passed before 2007. After 2007, four attempts on steps I-III.
USMLE Time Limit
Steps I-III to be completed within 10 years.
US/Canadian Postgraduate Training Requirements
1 year.
International Postgraduate Training Requirements
1 year AOA/ACGME accredited GME.
Colorado
SPEX/COMVEX Requirement
Competence to be assessed if required by board.
USMLE Attempt Limit
No attempt limit on steps I, II, or III.
USMLE Time Limit
Steps I-III to be completed within 7 years, or 10 years for PhD/MD.
US/Canadian Postgraduate Training Requirements
1 year.
International Postgraduate Training Requirements
3 years.
Connecticut
SPEX/COMVEX Requirement
Competence to be assessed if required by board.
USMLE Attempt Limit
No attempt limit on steps I, II, or III.
USMLE Time Limit
Time limit not applicable.
US/Canadian Postgraduate Training Requirements
2 years.
International Postgraduate Training Requirements
2 years.
Delaware
SPEX/COMVEX Requirement
Competence to be assessed if required by board for those who have been out of practice for several years.
USMLE Attempt Limit
No more than 6 attempts for each step.
USMLE Time Limit
All steps (I-III) to be passed within 7 years.
US/Canadian Postgraduate Training Requirements
1 year.
International Postgraduate Training Requirements
3 years.
District of Columbia
SPEX/COMVEX Requirement
May be ordered by Board to assess current competence.
USMLE Attempt Limit
No attempt limit for Steps I and II. No attempt limit for Step III (after three failed Step III attempts, 1 additional year GME required).
USMLE Time Limit
Must complete all three Steps within 7 years. Board may grant waiver.
US/Canadian Postgraduate Training Requirements
1 year.
International Postgraduate Training Requirements
3 years.
Florida
SPEX/COMVEX Requirement
Competence to be assessed if required by board.
USMLE Attempt Limit
No attempt limit on steps I, II, or III.
USMLE Time Limit
No time limit.
US/Canadian Postgraduate Training Requirements
1 year (MD) and AOA-approved rotating internship.
International Postgraduate Training Requirements
2 years.
Georgia
SPEX/COMVEX Requirement
Competence to be assessed if required by board.
USMLE Attempt Limit
No attempt limit on steps I and II. Three attempts for step III.
USMLE Time Limit
All steps (I-III) must be passed within 7 years. Waiver may be granted by board.
US/Canadian Postgraduate Training Requirements
1 year.
International Postgraduate Training Requirements
If your school falls under the list of “Medical Schools Recognized by the Medical Board of California,” you must complete 1 year of ACGME accredited postgraduate training. Graduates not listed must complete 3 years.
Hawaii
SPEX/COMVEX Requirement
No.
USMLE Attempt Limit
No attempt limits on any steps.
USMLE Time Limit
All steps (I-III) must be passed within 7 years. MD/PhD = 10 years.
US/Canadian Postgraduate Training Requirements
1 year.
International Postgraduate Training Requirements
2 years.
Idaho
SPEX/COMVEX Requirement
Competence to be assessed if required by board.
USMLE Attempt Limit
Two attempts for steps I, II, or III.
USMLE Time Limit
All steps (I-III) must be passed within 7 years. MD/PhD = 10 years.
US/Canadian Postgraduate Training Requirements
1 year.
International Postgraduate Training Requirements
3 years.
Illinois
SPEX/COMVEX Requirement
This is needed for those who need to restore their license following disciplinary action, those out of practice for several years, or to assess competence as ordered by board.
USMLE Attempt Limit
4 attempts for steps I, II, and III.
USMLE Time Limit
All steps (I-III) must be passed within 7 years. Waiver may be granted by board.
US/Canadian Postgraduate Training Requirements
2 year. 1 year for those who entered GME prior to January 1988.
International Postgraduate Training Requirements
1 year for those who entered GME prior to 1998. 2 years for those who entered GME after 1998.
Indiana
SPEX/COMVEX Requirement
Needed for those who have been out of practice for several years, or to assess competence as ordered by board.
USMLE Attempt Limit
3 attempts for steps I, II, and III. Board may grant waiver if necessary.
USMLE Time Limit
All steps (I-III) must be passed within 10 years.
US/Canadian Postgraduate Training Requirements
1 year.
International Postgraduate Training Requirements
2 years.
Iowa
SPEX/COMVEX Requirement
Needed for those who have been out of practice for several years, or to assess competence as ordered by board.
USMLE Attempt Limit
6 attempts for steps I and II. 3 attempts for step II. 3 years of progressive GME required following 3 failed attempts.
USMLE Time Limit
All steps (I-III) must be passed within 10 years.
US/Canadian Postgraduate Training Requirements
1 year (AOA, RCPSC, ACGME, CFPC accredited GME)
International Postgraduate Training Requirements
2 years.
Kansas
SPEX/COMVEX Requirement
Competence to be assessed if required by board.
USMLE Attempt Limit
No attempt limits for steps I or II. 3 attempts for step II. Further training required following 3 failed attempts.
USMLE Time Limit
All steps (I-III) must be passed within 10 years.
US/Canadian Postgraduate Training Requirements
1 year.
International Postgraduate Training Requirements
3 years, 2 years to be ACGME-accredited.
Kentucky
SPEX/COMVEX Requirement
Competence to be assessed if required by board.
USMLE Attempt Limit
4 attempts for steps I, II, and III.
USMLE Time Limit
No time limit.
US/Canadian Postgraduate Training Requirements
2 years.
International Postgraduate Training Requirements
2 years.
Louisiana
SPEX/COMVEX Requirement
Needed if no board certification or written licensure exam has been taken in the last 10 years.
USMLE Attempt Limit
No attempt limit for step I. 4 attempts for steps II and III.
USMLE Time Limit
All steps (I-III) must be passed within 10 years.
US/Canadian Postgraduate Training Requirements
1 year (allopathic GME).
International Postgraduate Training Requirements
3 years. Fifth pathway counted as 1 year of GME.
Maine
SPEX/COMVEX Requirement
Needed if the applicant has not been practicing for 1+ year, or as ordered by the board to assess competence.
USMLE Attempt Limit
No attempt limit for step I and II. 3 attempts for step III.
USMLE Time Limit
All steps (I-III) must be passed within 7 years.
US/Canadian Postgraduate Training Requirements
3 years for graduates after July 1st of 2004 (MD). 1 year ACGME accredited GME (DO) or AOA.
International Postgraduate Training Requirements
3 years. Those who took GME in the British Isles or Canada may qualify depending on the individual situation.
Maryland
SPEX/COMVEX Requirement
Required if licensure has been interrupted in the past 10 years, or if physician hasn’t passed licensure exam in last 15 years.
USMLE Attempt Limit
Four attempts for steps I, II, and III. 1 year additional GME required following 3 failed attempts.
USMLE Time Limit
All steps (I-III) must be passed within 10 years.
US/Canadian Postgraduate Training Requirements
1 year + 1 year GME after three exam failures.
International Postgraduate Training Requirements
2 years RCPSC accredited GME or ACGME. 1 year GME may be required after three exam failures.
Massachusetts
SPEX/COMVEX Requirement
No.
USMLE Attempt Limit
There are no limits on steps I and II. Step III has 6 attempts.
USMLE Time Limit
All steps, I, II, and III, must be completed within 7 years of completing the first step successfully.
US/Canadian Postgraduate Training Requirements
1 year.
International Postgraduate Training Requirements
2 years.
Michigan
SPEX/COMVEX Requirement
No.
USMLE Attempt Limit
There are no attempt limits on any steps.
USMLE Time Limit
There are no time limits for steps I and II. However, step III must be successfully completed within 5 years of completing steps I and II.
US/Canadian Postgraduate Training Requirements
2 years.
International Postgraduate Training Requirements
2 years unless completed prior to 1984, in which case the requirement is 3 years.
Minnesota
SPEX/COMVEX Requirement
Yes, unless the applicant has been re-certified or board-certified over the past 10 years by a specialty or sub-specialty.
USMLE Attempt Limit
There are 3 attempts per step, and 4 attempts for step III if the applicant is board-certified.
USMLE Time Limit
There are no time limits for steps I and II. However, step III must be successfully completed within 5 years of completing step II.
US/Canadian Postgraduate Training Requirements
1 year.
International Postgraduate Training Requirements
2 years.
Mississippi
SPEX/COMVEX Requirement
Yes, unless the applicant has been re-certified or board-certified over the past 10 years by a specialty or sub-specialty.
USMLE Attempt Limit
There are no attempt limits for steps I or II. There are 3 attempts for step III.
USMLE Time Limit
All steps, I through III, must be successfully completed within 7 years of passing the preliminary step.
US/Canadian Postgraduate Training Requirements
3 years.
International Postgraduate Training Requirements
1 year if you are board-certified. Otherwise, 3 years.
Missouri
SPEX/COMVEX Requirement
No.
USMLE Attempt Limit
There are 3 attempts per step I through to III.
USMLE Time Limit
All steps, I through III, must be successfully completed within 7 years of passing the preliminary step.
US/Canadian Postgraduate Training Requirements
1 year.
International Postgraduate Training Requirements
3 years.
Montana
SPEX/COMVEX Requirement
No
USMLE Attempt Limit
There are no attempt limits for steps I or II. There are 3 attempts for step II.
USMLE Time Limit
All USMLE steps, I through III, must be successfully completed within 7 years of passing the first step.
US/Canadian Postgraduate Training Requirements
2 years.
International Postgraduate Training Requirements
3 years.
Nebraska
SPEX/COMVEX Requirement
No.
USMLE Attempt Limit
There are 4 attempts per step I to III.
USMLE Time Limit
All USMLE steps, I through III, must be successfully completed within 10 years of passing the initial step.
US/Canadian Postgraduate Training Requirements
1 year.
International Postgraduate Training Requirements
3 years.
Nevada
SPEX/COMVEX Requirement
Yes, unless the applicant has been re-certified or board-certified over the past 10 years by a specialty or sub-specialty or if the applicant is lifetime certified.
USMLE Attempt Limit
There are no attempt limits for steps I or II. There are 3 attempts for step II.
USMLE Time Limit
All USMLE steps, I through III, must be successfully completed within 7 years of passing the first step. If the applicant is an MD or PhD, the time limit is 10 years.
US/Canadian Postgraduate Training Requirements
3 years.
International Postgraduate Training Requirements
3 years.
New Hampshire
SPEX/COMVEX Requirement
No.
USMLE Attempt Limit
There are three attempts per step I through to III.
USMLE Time Limit
US/Canadian Postgraduate Training Requirements
International Postgraduate Training Requirements
New Jersey
SPEX/COMVEX Requirement
No.
USMLE Attempt Limit
There are no attempt limits for steps I or II. There are 5 attempts for step III.
USMLE Time Limit
All USMLE steps, I through III, must be successfully completed within 7 years of passing the first step. A waver can be made available upon request.
US/Canadian Postgraduate Training Requirements
3 years generally, or 1 year if you graduated prior to July 2003.
International Postgraduate Training Requirements
3 years generally, or 1 year if you graduated prior to July 2003.
New Mexico
SPEX/COMVEX Requirement
No.
USMLE Attempt Limit
There are 6 attempts for all steps, I, II, and III.
USMLE Time Limit
All USMLE steps, I through III, must be successfully completed within 7 years of passing the first step. For MD and PhD, the time limit is 10 years.
US/Canadian Postgraduate Training Requirements
2 years.
International Postgraduate Training Requirements
2 years.
New York
SPEX/COMVEX Requirement
YES, if the applicant has taken the State Board Exam prior to 1968.
USMLE Attempt Limit
There are no attempt limits on any of the USMLE steps.
USMLE Time Limit
There is no time limit for any of the USMLE steps.
US/Canadian Postgraduate Training Requirements
1 year.
International Postgraduate Training Requirements
3 years.
North Carolina
SPEX/COMVEX Requirement
YES – unless the applicant has completed any of the following over the last 10 years: USMLE, COMLEX, MCCQE. Other exceptions include those who have been re-certified or board-certified over the past 10 years by an AOA, ABMS, FRCP, FRCS, or CCFP specialty board. the applicants are also excluded if they lack 60 hours of practice relevant, Category 1, or have been pursuing CME (Continuing Medical Education) during the past 3 years. PR Awards are excepted. Finally, exceptions include those who have completed any of the following over the last 10 year: CFPC, AOA, RCPSC, or ACGME.
USMLE Attempt Limit
There are three attempt limits for all steps – I, II, and III.
USMLE Time Limit
There is no time limit for any of the USMLE steps.
US/Canadian Postgraduate Training Requirements
1 year.
International Postgraduate Training Requirements
3 years.
North Dakota
SPEX/COMVEX Requirement
No.
USMLE Attempt Limit
There are 3 attempt limits for all steps – I, II, and III.
USMLE Time Limit
All USMLE steps, I through III, must be successfully completed within 7 years of passing the first step.
US/Canadian Postgraduate Training Requirements
1 year.
International Postgraduate Training Requirements
3 years.
Ohio
SPEX/COMVEX Requirement
No.
USMLE Attempt Limit
There are 4 attempt limits for all steps – I, II, and III.
USMLE Time Limit
All USMLE steps, I through III, must be successfully completed within 10 years of passing the first step.
US/Canadian Postgraduate Training Requirements
1 year.
International Postgraduate Training Requirements
2 years.
Oklahoma
SPEX/COMVEX Requirement
No.
USMLE Attempt Limit
There are 3 attempt limits for all steps – I, II, and III.
USMLE Time Limit
All USMLE steps, I through III, must be successfully completed within 10 years of passing the first step.
US/Canadian Postgraduate Training Requirements
1 year.
International Postgraduate Training Requirements
2 years.
Oregon
SPEX/COMVEX Requirement
YES – unless the applicant has been re-certified or board-certified over the past 10 years by a specialty or sub-specialty. Other exceptions include those who have taken their State Board Exam prior to 1968.
USMLE Attempt Limit
There are no attempt limits on steps I or II. Step III has 4 attempts.
USMLE Time Limit
All USMLE steps, I through III, must be successfully completed within 7 years of passing the first step, or 10 years for PhD/MD.
US/Canadian Postgraduate Training Requirements
1 year.
International Postgraduate Training Requirements
1 year, or 3 years if the med school was non-approved.
Pennsylvania
SPEX/COMVEX Requirement
No.
USMLE Attempt Limit
There are no attempt limits on any of the steps.
USMLE Time Limit
There is no time limit for any of the steps.
US/Canadian Postgraduate Training Requirements
2 years, or 1 year if completion occurred prior to July 1987.
International Postgraduate Training Requirements
3 years, or 1 year if completion occurred prior to July 1987.
Rhode Island
SPEX/COMVEX Requirement
No.
USMLE Attempt Limit
There are three attempt limits per step.
USMLE Time Limit
All USMLE steps, I through III, must be successfully completed within 7 years of passing the first step.
US/Canadian Postgraduate Training Requirements
2 years.
International Postgraduate Training Requirements
3 years.
South Carolina
SPEX/COMVEX Requirement
YES – unless the applicant has been re-certified or board-certified over the past 10 years by a specialty or sub-specialty. The exam will be waived if the applicant has completed 150 CME hours during the past 3 years.
USMLE Attempt Limit
There are three attempt limits per step.
USMLE Time Limit
All USMLE steps, I through III, must be successfully completed within 10 years of passing the first step. years for PhD/MD.
US/Canadian Postgraduate Training Requirements
1 year.
International Postgraduate Training Requirements
3 years.
South Dakota
SPEX/COMVEX Requirement
No.
USMLE Attempt Limit
There are three attempt limits per step.
USMLE Time Limit
All USMLE steps, I through III, must be successfully completed within 7 years of passing the first step, or 10 years for PhD/MD.
US/Canadian Postgraduate Training Requirements
Must complete the Residency Program.
International Postgraduate Training Requirements
1 year if completed prior to July 1987, otherwise, must complete the Residency Program.
Tennessee
SPEX/COMVEX Requirement
No.
USMLE Attempt Limit
There are no attempt limits on any of the steps.
USMLE Time Limit
All USMLE steps, I through III, must be successfully completed within 7 years of passing the first step.
US/Canadian Postgraduate Training Requirements
1 year.
International Postgraduate Training Requirements
3 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
This only applies to DO’s unless the applicant has been re-certified or board-certified over the past 10 years by a specialty or sub-specialty.
USMLE Attempt Limit
There are three attempt limits per step
USMLE Time Limit
All USMLE steps, I through III, must be successfully completed within 7 years of passing the first step. MD/PhD – 10 years.
US/Canadian Postgraduate Training Requirements
2 years generally, or 1 year if applicant has graduated prior to July 1985.
International Postgraduate Training Requirements
2 years
Vermont
SPEX/COMVEX Requirement
No.
USMLE Attempt Limit
No attempt limit on steps I and II. Three attempts for step III.
USMLE Time Limit
All USMLE steps, I through III, must be successfully completed within 7 years of passing the first step. MD/PhD – 10 years.
US/Canadian Postgraduate Training Requirements
1 year.
International Postgraduate Training Requirements
3 years.
Virginia
SPEX/COMVEX Requirement
No.
USMLE Attempt Limit
There are no attempt limits.
USMLE Time Limit
All USMLE steps, I through III, must be successfully completed within 10 years of passing the first step – exception.
US/Canadian Postgraduate Training Requirements
1 year.
International Postgraduate Training Requirements
2 years.
Washington
SPEX/COMVEX Requirement
No.
USMLE Attempt Limit
There are no attempt limits for steps I or II. There are 3 attempt limits for step III.
USMLE Time Limit
All USMLE steps, I through III, must be successfully completed within 7 years of passing the first step. MD/PhD – 10 years.
US/Canadian Postgraduate Training Requirements
2 years generally, or 1 year if you graduated prior to July 1985.
International Postgraduate Training Requirements
2 years generally, or 1 year if you graduated prior to July 1985.
West Virginia
SPEX/COMVEX Requirement
No.
USMLE Attempt Limit
There are no attempt limits for any of the steps.
USMLE Time Limit
There are no time limits for NBOME.
US/Canadian Postgraduate Training Requirements
1 year.
International Postgraduate Training Requirements
Not applicable.
Wisconsin
SPEX/COMVEX Requirement
No.
USMLE Attempt Limit
There are three attempts for all steps – I, II, and III.
USMLE Time Limit
All USMLE steps, I through III, must be successfully completed within 10 years of passing the first step. MD/PhD – 12 years.
US/Canadian Postgraduate Training Requirements
1 year.
International Postgraduate Training Requirements
2 years.
Wyoming
SPEX/COMVEX Requirement
No.
USMLE Attempt Limit
There are no attempt limits for any of the steps.
USMLE Time Limit
There is no time limit on any of the steps.
US/Canadian Postgraduate Training Requirements
1 year.
International Postgraduate Training Requirements
1 year.
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