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Location Licensing

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State

PGT for Domestic Grads

PGT for International Grads

ABMS/SPEX/10 Year Rule

Step 3 USMLE Attempts

USMLE 7 Year

1 year
3 years
No
3 (10 total attempts)
7
2 years
3 years
No
2 attempts per step
7 or 10 (MD/PhD
1 year
3 years
Yes – Exempt if Board Certified
None
None if licensed, 7 if this is the first license
2 year
2 years
No
None
None
1 years
1 years
No
None
7 or 10 (MD/PhD)
1 year
3 years
No
6
7+
1 year
3 years
No
3+
7
1 year
2 years
No
None
None
1 year
1 or 3 years. 1 year if Med. Sch. approved by California. 3 years if Med. Sch. not approved by California.
No
3
7 or 9 (Md/PhD)
1 year
3 years
No
2+ per step
None
2 years
2 or 3 years
No
3
7+
1 year
2 years
No
None
None
1 year
2 years
No
3 per step
10
2
2
No
5 attempts allowed on all steps combined – total
7
1 year
2 years
No
6-step 1&2 3-step 3 *3 yrs of approved PGT required if outside of attempt limits
10 (no year limit if Board Certified)
1 year
3 years (2 of which ACGME)
No
3+
10
2 year
2 years
No
4 per step
None

Arkansas

1 year
3 years
No
3 attempts per step
No Time Limit

California

1 year
2 years
Yes – Exempt if NBME or ABMS
4
10

Louisiana

2 year
2 years
Yes
4-step 2 & 3
10
1 year before 07/2004; 3 years after 07/2004
3 years
NA
3 *Waiver required if more than 3
7
1 year
2 years
Yes – Exempt if Board Certified
None
None
1 year
1 year
No
Yes – 3 attempts
No Year Limit
1 year
1 year
Yes
3 (if not licensed) 4 (if licensed and board certified)
Step 3 must be passed within 5 years of Step 2 or before the end of the residency training
1 year
1 year w/ABME or 3 years w/o
Yes
3
7
1 year
3 years
No
3
7
Completion of approved Residency
3 years
No
6
7
1 year
2 years
No
4+ (each step)
10
3 years
3 years
Yes
9 total attempts for all steps combined Step 3 in 3 attempts
7 or 10 (MD/PhD)
2 year
2 years
No
3
none
1 year if before 07/03, 3 years if after 07/03
3 years
No
5
7
2 year
2 years
No
6
7 or 10 (MD/PhD)
1 year
3 years
No
None
None
1 year
2 years
Yes – Exempt-60 CME Hrs 3yrs
3 attempts per step
None
1 year
3 years
No
3 attempts per step
7
1 year
2 years
No
6 attempts per step
10
1 year
2 years
No
3 attempts per step
10
1 year
3 years
Yes – Waiver if ABMS and 150 CME Hrs in 3 years
3
7
2 year
2 years
No
4
7

Puerto Rico

1 year
1 year
No
None
7
2 year
2 years
No
3 attempts per step
None
1 year
3 years
Yes – Waiver if 150 cme hrs 3 yrs
4 attempts per step
10
Complete a Residency
Complete a Residency
No
3
7
1 year
3 years
No
4
10 years
1 year
2 years
No
3 attempts per step
7
2 year
2 years
No
3
7 or 10 (MD/PhD)
2 year
3 years
No
3
7
1 year
1 year
No
4+
10+
2 year
2 years
No
3
7+
1 year
2 years
No
none
10+
1 year
3 years
No
6
10
2 year
2 years
No
3
10
1 or 2 years (see rules)
1 or 2 years (see rules)
No
7 total USMLE attempts
7

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