Physician and Surgeon Licensing Types and Descriptions

Type "A" — Licensee is a U.S. or Canadian medical school graduate whose pathway to licensure was based on: 1) The FLEX, USMLE, or LMCC written examination and has been licensed less than four years in another state, OR 2) An international medical school graduate whose pathway to licensure was based on the above exams or approved combinations of the NBME, FLEX, and USMLE.

Type "C" — Licensee is a U.S., Canadian, or international medical school graduate whose pathway to licensure was based on licensure in another state for four or more years. Additionally, international graduates may also be subject to the C-SPEX examination.

Type "G" — Licensee is a U.S. or Canadian medical school graduate whose pathway to licensure was based on the NBME examination.

Special Programs

Permit holders are international physicians who have been sponsored by the Dean of a California medical school or by a hospital approved by the Joint Commission to either participate in a postgraduate medical school study, participate in a fellowship program in a field in which the physician is clearly an outstanding specialist, or to serve in a full-time faculty position. There are time limits on Special Programs permits. Depending upon the type of Special Program, there may be supervision requirements, limits on permitted activities, or eligibility limits based on U.S. citizenship.

Special Faculty Permits

Permit holders are internationally trained physicians who have been recognized as academically eminent in their field of specialty and who have been sponsored by the Dean of a California medical school where a great need exists to fill those positions. Permit holders are authorized to practice only in the sponsoring medical school and any affiliated institutions.