(a) On request of board staff, an applicant must appear
for a personal interview at the board offices and present original
documents to a representative of the board for inspection. Original
documents may include, but are not limited to, those listed in subsections
(b) - (e) of this section.
(b) Documentation required of all applicants for licensure.

  (1) Birth Certificate/Proof of Age. Each applicant
for licensure must provide a copy of a valid passport or birth certificate
and translation if necessary to prove that the applicant is at least
21 years of age. In instances where such documentation is not available,
the applicant must provide copies of other suitable alternate documentation.

  (2) Name Change. Any applicant who submits documentation
showing a name other than the name under which the applicant has applied
must present copies of marriage licenses, divorce decrees, or court
orders stating the name change. In cases where the applicant's name
has been changed by naturalization, the applicant should send the
original naturalization certificate by certified mail to the board
office for inspection.
  (3) Examination Scores. Each applicant for licensure
must have a certified transcript of grades submitted directly from
the appropriate testing service to the board for all examinations
accepted by the board for licensure.
  (4) Dean's Certification. Each applicant for licensure
must have a certificate of graduation submitted directly from the
medical school on a form provided to the applicant by the board. The
applicant shall attach a recent photograph, meeting United States
Government passport standards, to the form before submitting to the
medical school. The school shall have the Dean of the medical school
or designated appointee sign the form attesting to the information
on the form and placing the school seal over the photograph.
  (5) Evaluations. All applicants must provide evaluations
completed by an appropriate supervisor, on a form provided by the
board, of their professional affiliations for the past five years
or since graduation from medical school, whichever is the shorter
period.
  (6) Medical School Transcript. On request of board
staff, an applicant must have his or her medical school submit a transcript
of courses taken and grades obtained.
  (7) National Practitioner Data Bank/Health Integrity
and Protection Data Bank (NPDB-HIPDB). Each applicant must contact
the NPDB-HIPDB and have a report of action submitted directly to the
board on the applicant's behalf.
  (8) Graduate Training Verification. On request of board
staff, an applicant must have any of the training programs in which
they have participated in submit verification on a form provided by
the board. The evaluation must show the beginning and ending dates
of the program and state that the program was successfully completed.
  (9) Specialty Board Certification. Each applicant who
has obtained certification by a board that is a member of the American
Board of Medical Specialties or the Bureau of Osteopathic Specialists
must submit a copy of the certificate issued by the member showing
board certification.
  (10) Medical License Verifications. On request of board
staff, an applicant must have any state in which he or she has ever
been licensed, regardless of the current status of the license, submit
directly to this board a letter verifying the status of the license
and a description of any sanctions or pending disciplinary matters.
  (11) U.S. medical education. Applicants must demonstrate
that any medical school education that was completed in the United
States in satisfaction of their core basic and clinical science courses
as established by the Texas Higher Education Coordinating Board, the
Liaison Council on Medical Education, and/or the American Osteopathic
Association, and in satisfaction of the 130 weeks of required medical
education was accredited by an accrediting body officially recognized
by the United States Department of Education as the accrediting body
for medical education leading to the doctor of medicine degree or
the doctor of osteopathy degree. An applicant who is unable to comply
with these requirements may in the alternative demonstrate that the
applicant:
    (A) received such medical education in a hospital or
teaching institution sponsoring or participating in a program of graduate
medical education accredited by the Accrediting Council for Graduate
Medical Education, the American Osteopathic Association, or approved
by the board under §171.4 of this title (relating to Board-Approved
Postgraduate Fellowship Training Programs) in the same subject as
the medical or osteopathic medical education if the hospital or teaching
institution has an agreement with the applicant's school;
    (B) is specialty board certified by a board approved
by the Bureau of Osteopathic Specialists or the American Board of
Medical Specialties; or
    (C) for the purpose of remedying a single deficient
U.S. clerkship that was obtained while enrolled in medical school,
the applicant may subsequent to graduation from medical school, and
after submission of an application for licensure:
      (i) complete a clerkship in the United States in satisfaction
of clinical science courses as established by the Texas Higher Education
Coordinating Board, the Liaison Committee on Medical Education, and/or
the American Osteopathic Association and in a hospital or teaching
institution sponsoring or participating in a program of graduate medical
education accredited by the Accreditation Council for Graduate Medical
Education or the American Osteopathic Association in the same specialty
or sub-specialty as the deficient clerkship; or
      (ii) re-enroll in a medical school accredited by the
Liaison Council on Medical Education, and/or the American Osteopathic
Association as a visiting student and satisfactorily complete necessary
coursework in the appropriate subject.
(c) Applicants for licensure who are graduates of medical
schools outside the United States or Canada must furnish all appropriate
documentation listed in this subsection, as well as that listed in
subsections (a) and (b) of this section.
  (1) Educational Commission for Foreign Medical Graduates
(ECFMG) Status Report. Each applicant must submit an ECFMG status
report.
  (2) Unique Documentation. The board may request documentation
unique to an individual unapproved medical school and additional documentation
as needed to verify completion of medical education that is substantially
equivalent to a Texas medical school education. This may include but
is not limited to:
    (A) a copy of the applicant's ECFMG file;
    (B) a copy of other states' licensing files;
    (C) copies of the applicant's clinical clerkship evaluations;
and
    (D) a copy of the applicant's medical school file.
  (3) Clinical Clerkship Affidavit. A form, supplied
by the board, to be completed by the applicant, is required listing
each clinical clerkship that was completed as part of an applicant's
medical education in the United States. The form will require the
name of the clerkship, where the clerkship was located (name and location
of hospital) and dates of the clerkship.
  (4) "Substantially equivalent" documentation. An applicant
who is a graduate of a medical school that is located outside the
United States and Canada must present satisfactory proof to the board
that each medical school attended was substantially equivalent to
a Texas medical school at the time of attendance as defined under §163.1(11)
of this title. This may include but is not limited to:
    (A) a Foreign Educational Credentials Evaluation from
the Office of International Education Services of the American Association
of Collegiate Registrars and Admissions Officers (AACRAO) or an International
Credential Evaluation from the Foreign Credential Service of America
(FCSA), or another similar entity as approved by the board;
    (B) a board questionnaire, to be completed by the medical
school and returned directly to board;
    (C) a copy of the medical school's catalog;
    (D) verification from the country's educational agency
confirming the validity of school and licensure of applicant;
    (E) proof of written agreements between the medical
school and all hospitals that are not located in the same country
as the medical school, where medical education was obtained;
    (F) proof that the faculty members of the medical school
had written contracts with the school if they taught a course outside
the country where the medical school was located;
    (G) proof that the medical education courses taught
in the United States complied with the higher education laws of the
state in which the courses were taught;
    (H) proof that the faculty members of the medical school
who taught courses in the United States were on the faculty of the
program of graduate medical education when the courses were taught;
and
    (I) proof that all education completed in the United
States or Canada was while the applicant was enrolled as a visiting
student as evidenced by a letter of verification from the U.S. or
Canadian medical school.
  (5) Medical Diploma. On request of board staff, an
applicant must submit a copy of his or her medical diploma, and translation
if necessary.
(d) Applicants may be required to submit other documentation,
which may include the following:
  (1) Translations. Any document that is in a language
other than the English language will need to have a certified translation
prepared and a copy of the translation will have to be submitted along
with the translated document.
    (A) An official translation from the medical school
(or appropriate agency) attached to the foreign language transcript
or other document is acceptable.
    (B) If a foreign document is received without a translation,
the board will send the applicant a copy of the document to be translated
and returned to the board.
    (C) Documents must be translated by a translation agency
that is a member of the American Translations Association or a United
States college or university official.
    (D) The translation must be on the translator's letterhead,
and the translator must verify that it is a "true word for word translation"
to the best of his/her knowledge, and that he/she is fluent in the
language translated, and is qualified to translate the document.
    (E) The translation must be signed in the presence
of a notary public and then notarized. The translator's name must
be printed below his/her signature. The notary public must use this
phrase: "Subscribed and Sworn to this ________ day of ________, 20___."
The notary must then sign and date the translation, and affix his/her
Notary Seal to the document.
  (2) Arrest Records. If an applicant has ever been arrested,
a copy of the arrest and arrest disposition need to be requested from
the arresting authority and said authority must submit copies directly
to this board.
  (3) Malpractice. If an applicant has ever been named
in a malpractice claim filed with any medical liability carrier or
if an applicant has ever been named in a malpractice suit, the applicant
must do the following:
    (A) have each medical liability carrier complete a
form furnished by the board regarding each claim filed against the
applicant's insurance;
    (B) for each claim that becomes a malpractice suit,
have the attorney representing the applicant in each suit submit a
letter directly to the board explaining the allegation, dates of the
allegation, and current status of the suit. If the suit has been closed,
the attorney must state the disposition of the suit, and if any money
was paid, the amount of the settlement. The letter should include
supporting court records. If such letter is not available, the applicant
will be required to furnish a notarized affidavit explaining why this
letter cannot be provided; and
    (C) provide a statement, composed by the applicant,
explaining the circumstances pertaining to patient care in defense
of the allegations.
  (4) Inpatient Treatment for Alcohol/Substance Disorder
or Physical or Mental Illness. Each applicant who has been admitted
to an inpatient facility within the last five years for the treatment
of alcohol/substance disorder or mental illness (recurrent or severe
major depressive disorder, bipolar disorder, schizophrenia, schizoaffective
disorder, or any severe personality disorder), or a physical illness
that did or could have impaired the applicant's ability to practice
medicine, shall submit documentation to include items listed in subparagraphs
(A) - (D) of this paragraph. An inpatient facility shall include a
hospital, ambulatory surgical center, nursing home, and rehabilitation
facility.
    (A) an applicant's statement explaining the circumstances
of the hospitalization;
    (B) all records, submitted directly from the inpatient
facility;
    (C) a statement from the applicant's treating physician/psychotherapist
as to diagnosis, prognosis, medications prescribed, and follow-up
treatment recommended; and
Cont'd...