(a) The Guam Board of Medical Examiners (GBME) may issue an Interim Provisional License, a limited licensed, to Internationally-Trained Physicians (ITPs) to practice medicine to a physician when the Board has received satisfactory verification of all of the following requirements: (1) The applicant has been offered employment as a physician at a government of Guam-funded healthcare facility, such as but not limited to Guam Memorial Hospital Authority (GMHA), Department of Public Health Social Services (DPHSS), Federally Qualified Health Centers (FQHCs), or the Guam Behavioral Health and Wellness Center (GBHWC); (2) The applicant has a current and active license in good standing to practice medicine in a foreign country. (3) The applicant previously completed at least one hundred thirty (130) weeks of medical education at a medical school listed in the World Directory of Medical Schools and is certified by the Educational Commission for Foreign Medical Graduates or its Board-approved successor(s), or by an equivalent Board-approved entity, and meets one of the following requirements: (A) The applicant has completed three (3) years of progressive postgraduate training in a graduate medical education program approved by the applicant’s country of licensure; or (B) The applicant has demonstrated competency to practice medicine in one of the following ways:
(i) Successfully passed each part of the United States Medical Licensing Examination (USMLE) or an equivalent examination recognized by the Board; or (ii) Successfully passed each part of a nationally recognized standard medical licensing examination from a country that is Board-approved and that meets all of the following requirements: (aa) Tests for the ability to practice medicine; (bb) Tests for medical knowledge, skills, and understanding of clinical science essential for providing patient care; (cc) Tests for communication and interpersonal skills; and (dd) Includes an interactive testing component; or (iii) Received specialty board certification as approved by any of the following: (aa) The American Board of Medical Specialties; (bb) The Bureau of Osteopathic Specialists of the American Osteopathic Association; (cc) The Royal College of Physicians and Surgeons of Canada; or
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(dd) Any other specialty board recognized pursuant to rules adopted by the Board; or (iv) Submits to a comprehensive assessment demonstrating clinical competence by a program approved by the Board. Alternatively, the Board may waive this requirement and issue a temporary license, requiring the applicant to successfully pass a Post-Licensure Assessment System, such as the Special Purpose Examination (SPEX), within one (1) year from the date of Board approval. (4) The applicant has not had a license revoked, suspended, restricted, denied, or otherwise acted against in any jurisdiction and is not the subject of any pending investigations, in whole or in part.
(5) The applicant does not have any convictions involving violations of medical practice law or a conviction substantially equivalent to a felony. The applicant shall submit to a background check from both the jurisdiction of prior licensure and the Federal Bureau of Investigation (FBI). (6) The applicant has demonstrated proficiency in English through a standardized assessment, documentation of medical education completed entirely in English, or other evidence accepted by the Board. (7) The applicant is legally authorized to work in the United States. An applicant may apply for an ITP License before receiving federal work authorization, but may not begin employment at government of Guam-funded healthcare facilities until receiving legal work authorization and is issued a License by the Board. (8) The applicant must submit an application and pay a fee in accordance with rules adopted by the Board. (9) If an applicant has not engaged in clinical practice for a period of twenty-four (24) or more consecutive months at the time the Board receives the application, the applicant shall complete a physical reentry program approved by the Board in the United States prior to being eligible for an Interim Provisional License under this Article.
SOURCE: Added by P.L. 38-107:6 (Apr. 7, 2026). 2026 NOTE: Subsection designations modified by the Compiler pursuant to the authority of 1 GCA § 1606.