Maryland Code § HO-14-308

Section HO-14-308
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(a) (1) In this section the following terms have the meanings indicated.
(2) "Fifth pathway program" means a program that the Board
approves in its regulations for a student who:
(i) Has studied medicine at an international medical school;
(ii) Was a United States citizen when the student enrolled in
the international medical school; and
(iii) Has completed all of the formal requirements for
graduation from the international medical school, except for any social service or
postgraduate requirements.
(3) "International medical school" means a medical school located
outside of the United States, its territories or possessions, Puerto Rico, or Canada.
(b) An applicant for a license is exempt from the educational requirements
of § 14-307 of this subtitle, if the applicant:
(1) Has studied medicine at an international medical school;
(2) Is certified by the Educational Commission for Foreign Medical
Graduates or by its successor as approved by the Board;
(3) Passes a qualifying examination for international medical school
graduates required by the Board;

(4) Meets any other qualifications for international medical school
graduates that the Board establishes in its regulation for licensing of applicants;
(5) Submits acceptable evidence to the Board of the requirements set
in the Board's regulations; and
(6) Meets one of the following requirements:
(i) The applicant graduated from any international medical
school and submits evidence acceptable to the Board of successful completion of 2
years of training in a postgraduate medical education program accredited by an
accrediting organization recognized by the Board; or
(ii) The applicant successfully completed a fifth pathway
program and submits evidence acceptable to the Board that the applicant:
1. Has a document issued by the international medical
school certifying that the applicant completed all of the formal requirements of that
school for the study of medicine, except for the postgraduate or social service
components as required by the international country or its medical school;
2. Has successfully completed a fifth pathway
program; and
3. Has successfully completed 2 years of training in a
postgraduate medical education program following completion of a Board approved
fifth pathway program.

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