Graduates of Foreign Medical Schools

(a)Applicants who are graduates of foreign medical schools shall possess the degree of Doctor of Medicine or Osteopathy, Bachelor of Medicine or Osteopathy, or a Board-approved equivalent based on satisfactory completion of educational programs acceptable to the Board.

(b)Applicants who are graduates of foreign medical schools shall be eligible by virtue of their medical education and training for unrestricted licensure or authorization to practice medicine in the country in which they received that education and training.

(c)Applicants who are graduates of foreign medical schools shall have passed an examination acceptable to the Board that adequately assesses the applicants’ basic medical knowledge.

(d)Applicants who are graduates of foreign medical schools shall be certified by the Educational Commission for Foreign Medical Graduates or its Board approved successor(s), or by an equivalent Board approved entity.

(e)Applicants who are graduates of foreign medical schools shall have a demonstrated command of the English or Chamorro language satisfactory to the Board.

(f)The Board shall be authorized to establish regulations requiring all Applicants to satisfactorily complete at least thirty-six

(36)months of Board approved, progressive postgraduate medical training. Applicants shall complete no less than thirty-six

(36)months of postgraduate training, which may include training completed outside the United States if the Board determines such training to be substantially equivalent to Accreditation Council for Graduate Medical Education (ACGME) standards. For the purposes of this Chapter, “substantially equivalent” means postgraduate training that includes supervised, progressively responsible clinical experience with structured assessment of competency, and that is recognized by an accrediting authority or governmental medical education regulator deemed acceptable by the Board.

(g)The Board shall adopt a rule related to recognizing and authenticating educational credentials for applicants who are graduates of foreign medical schools. Such rule shall include a requirement that the CH. 12 MEDICAL PRACTICES - PART I graduate's education be recognized by one or more medical education credentialing bodies, such as, but not limited to the Education Commission of Foreign Medical Graduates. Such rule may include consideration of whether the applicant’s medical school is listed in the World Directory of Medical Schools (WDMS). All credentials, diplomas and other required documentation in a foreign language submitted to the Board by or on behalf of applicants who are graduates of foreign medical schools shall be accompanied by notarized English translations acceptable to the Board.

(h)Applicants who are graduates of foreign medical schools shall have satisfied all of the applicable requirements of the United States Immigration and Naturalization Service, including the U.S. Department of Homeland Security and U.S. Citizenship and Immigration Services regulations governing J-1 and H-1 B physician waivers.

(i)Competency Standards. In evaluating an applicant who is a graduate of a foreign medical school for licensure under this Chapter, the Board shall require evidence of competency in the following domains, consistent with U.S. graduate medical education standards: Patient Care; Medical Knowledge; PracticeBased Learning and Improvement; Interpersonal and Communication Skills; Professionalism; and SystemsBased Practice. The Board shall promulgate rules establishing acceptable methods of documentation and evaluation of such competencies.

(j)Specialty Practice Experience. In addition to the requirements of this Section, an applicant who is a graduate of a foreign medical school shall demonstrate not less than three

(3)years of independent clinical practice experience in the applicant’s area of specialty, completed after the completion of postgraduate medical training. Such experience shall be verified in a manner prescribed by the Board. Experience obtained solely as a medical officer, intern, or house officer shall not satisfy this requirement unless the Board determines that such experience involved independent clinical responsibility consistent with specialty practice standards. This Subsection shall not apply to applicants for, or licenses issued under, §§ 12206.2 through12206.7.

(k)Offer of Employment. An applicant who is a graduate of a foreign medical school seeking licensure under this Section shall provide proof of a bona fide offer of employment from a healthcare facility, clinic, or medical practice located on Guam. Such offer shall be verified in a manner prescribed by the Board and shall identify the intended practice setting and scope of services to be provided. This Subsection shall not apply to applicants for, or licenses issued under, §§ 12206.2 through 12206.7.

(l)Recent Clinical Practice Requirement. An applicant who is a graduate of a foreign medical school shall demonstrate active clinical practice within the five

(5)years immediately preceding the date of application. The Board may, for good cause shown, waive or modify this requirement if the applicant demonstrates continued clinical competency through additional training, education, or assessment acceptable to the Board. This Subsection shall not apply to applicants for, or licenses issued under, §§ 12206.2 through 12206.7.