Section R4-22-202. Determining Qualification for Licensure

A.      To obtain a license, an applicant shall submit:

1.        The application form specified in R4-22-201;

2.        The proof required under A.R.S. § 32-1822(A);

3.        A list of all Board-certified specializations, the certifying entity, and a copy of each certification or letter verifying specialization;

4.        A malpractice claim or suit questionnaire for each instance of medical malpractice in which there was an award, settlement, or payment;

5.        A passport-size picture taken within the last 60 days; and

6.        The application fee required under R4-22-102(A).

B.       In addition to the materials required under subsection (A), an applicant shall have the following information submitted directly to the Board by the specified entity:

1.        Professional Education Verification form or an official transcript submitted by the osteopathic college from which the applicant graduated;

2.        Verification of Postgraduate Training form submitted by each postgraduate facility or program at which the appli- cant trained;

3.        Practice Experience Verification form for at least seven of the last 10 years submitted by each health care facility or employer at which the applicant obtained experience;

4.        Verification of passing the medical licensure examination if the examination was passed within the last seven years submitted by the examining entity; and

5.        Verification of licensure form submitted by every state in which the applicant is or has been licensed as an osteo- pathic physician.

ward to the Board some or all of the materials required under

subsection (B).

D.      The Board shall conduct a substantive review of the informa- tion submitted under subsections (A) and (B) and determine whether the applicant is qualified for licensure by virtue of:

1.        Possessing the knowledge and skills necessary to practice medicine safely and skillfully;

2.        Demonstrating a history of professional conduct; and

3.        Possessing the physical, mental, and emotional fitness to practice medicine.

E.       If the substantive review referenced in subsection (D) does not yield sufficient information for the Board to determine whether an applicant is qualified for licensure, the Board shall request that the applicant appear before the Board for an inter- view.

1.        The Board shall conduct an application interview in the same manner as an informal hearing conducted under

A.R.S. § 32-1855 and shall accord the applicant the same rights as a respondent.

2.        In conjunction with an application interview, the Execu- tive Director or Board may require that the applicant, at the applicant’s expense:

a.         Provide additional documentation,

b.        Submit to a physical or psychological examination,

c.         Submit to a practice assessment evaluation,

d.        Pass  an  approved  special  purposes  competency examination listed in R4-22-203(A)(3), or

e.         Fulfill any combination of the requirements listed in subsections (E)(2)(a) through (d).

F.       If the substantive review referenced in subsection (D) reveals that an applicant has been subject to disciplinary action or criminal conviction, the Board shall consider the following factors to determine whether the applicant has been rehabili- tated from the conduct underlying the disciplinary action or criminal conviction:

1.        Nature of the disciplinary or criminal action including charges and final disposition;

2.        Whether all terms of court-ordered sentencing or Board- issued order were satisfied;

3.        Whether the disciplinary action or criminal conviction was set aside, dismissed with prejudice, or reduced;

4.        Whether a diversion program was entered and completed;

5.        Whether the circumstances, relationships, or personal attributes that caused or contributed to the underlying conduct changed;

6.        Personal and professional references attesting to rehabili- tation; and

7.        Other information the Board determines demonstrates whether the applicant has been rehabilitated.

Historical Note

New Section made by final rulemaking at 20 A.A.R. 2654, effective November 8, 2014 (Supp. 14-3).