If you are an intern, you don't have to worry about this yet!
Go to a different tab of this website -- see you second year :)
**Information adapted from a presentation by Jean Wong 01/2024**
LICENSES
Permanent Medical License
State-specific
You need to apply separately in each state where you will practice, including telemedicine
Interstate Medical Licensure Compact (imlcc.org): 32 participating states (including MI). What this means is that any one of these states can act as the primary state of licensure and source of verification when applying for a license in any of the other states in the compact
If you get your permanent license in MI, it will VOID your educational license (this is not the case for out-of-state permanent licenses). This can create issues with prescribing controlled substances for the rest of residency, as you will not have your DEA yet
Anticipate a minimum of 60-day processing time
Requirements
Varies by state; make sure to look this up
In general, you need direct primary-source verification of your 1) Education, 2) Graduate training, 3) Exam scores, 4) References, and 5) current/past licenses
You will also likely need your birth certificate, passport, and a passport-quality photo
Controlled Substance License
State-specific
Some states combine the applications for the permanent medical license and the controlled substance license, but they are separate licenses
You need BOTH a controlled substance license (state) AND a DEA license (federal) to prescribe controlled substances. During residency, you have been using your program's institutional DEA license
DEA License
Federal license
You need BOTH a controlled substance license (state) AND a DEA license (federal) to prescribe controlled substances
You need a permanent license to apply for a DEA license
There is a 120-day grace period after receiving your permanent license during which you can prescribe controlled substances without a DEA license. This gives you the ability to prescribe controlled substances during the 6-8 week processing time
Takes around 6-8 weeks to process these applications. Apply as soon as you get your permanent license!!
BOARDS
This is the organization through which you obtain and maintain your family medicine board certification
What do I need for board certification?
1) Medical License
2) CME (see below)
3) Board Exam (see below)
4) Certification Fees
5) Certification Activities (see below)
How much CME do I need to maintain my board certification?
150 points every 3 years
Division I points
75 points MINIMUM must come from this category
Includes activities such as grand rounds presentations, residency, fellowship, AAFP/AMA courses, ABFM certification activities
Divison II points
75 points MAXIMUM allowed to come from this category
Includes teaching students/residents, completing non-accredited fellowships, reviewing manuscripts (e.g. journal editor), publishing a review or research article
What are my options for the Board Exam?
Everyone needs to take the board exam for initial certification
Thereafter, you have 3 options:
1) Retake the boards every 7 years
2) Retake the boards every 10 years AND 50 KSA + PI points every 3 years
3) CKSA option: Answer 25 CKSA questions per quarter AND complete at least 1 PI activity per 3 years
This option is nice because you never have to take the board exam again
What are Certification Activities and how much do I need?
50 points every 3 years
Certification activities fall into 2 categories: KSA and PI
KSA (Knowledge Self-Assessment)
10 points minimum (of the 50 total points)
These activities are located on ABFM's website
The KSA activities are online educational modules for further learning
The CKSA (Continuous Knowledge Self-Assessment) questions are 25 quarterly questions. If you do this for one year (i.e. 100 questions), you can get 10 KSA points
PI (Performance Improvement)
20 points minimum (of the 50 total points)
It is required to "meaningfully particiate" in one PI activity per 3-year cycle
These are QI projects
See the ABFM page for more information
PROFESSIONAL ORGANIZATIONS
AAFP (American Association of Family Physicians)
Membership is not required. This is not a board-certifying body
The AAFP puts on the FMX yearly conference
AAFP publications include AFP, FPM, and FP Essentials
This organization is a great way to connect with other family medicine doctors and participate in advocacy on a state or federal level
STFM (Society of Teachers of Family Medicine)
This organization is more specific to FM physicians in academic institutions
STFM has an annual conference
STFM has career development for faculty and teaching resources