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Physicians in Training

N.J.S.A. 45:9-8, pertaining to the requirements for licensure, was amended to change the number of years of residency training for applicants who graduate from U.S. and non-U.S. schools after July 1, 2003. The amendment requires an applicant who has graduated from medical school after July 1, 2003 to demonstrate to the Board that after receiving a medical degree, the applicant has completed and received academic credit for at least two years of post-graduate training in an accredited program and has a signed contract for a third year of post-graduate training in an accredited program. In addition, the amendment requires that at least two of the three years of post-graduate training must be in the same field or if the training is in different fields, when considered together, the post-graduate training fields would be credited towards the criteria for certification by a single speciality board recognized by the American Board of Medical Specialties, the American Osteopathic Association, or another certification entity which the Board has determined has comparable standards.

In conjunction with the change in the number of years of residency training required for New Jersey licensure, there is an amendment to N.J.S.A. 45:9-19.12 regarding work by residents outside of the graduate medical education program. Under the amendment, a permit holder may engage in the practice of medicine and surgery or podiatry outside the context of a graduate education program for additional remuneration (moonlighting) only if that practice is approved by the director of the graduate medical program in which the permit holder is participating. The permit holder is also required to engage in the extracurricular practice at or through a health care facility licensed by the Department of Health and Senior Services, and is to be supervised by a plenary license who shall either remain on the premises of the health care facility or be available through electronic communication. The permit holder also has an option to engage in extracurricular practice outside of a health care facility licensed by the Department of Health and Senior Services, and under those circumstances the permit holder is to be supervised by a plenary licensee who shall remain on the premises.

Regulations will be drafted to conform with and implement the statutory amendment to N.J.S.A. 45:9-19.2 which will, among other things, make clear the following important requirements.

  1. The permit holder shall have no prescriptive authority beyond
    that which is already granted at N.J.A.C. 13:35-1.5(r).
    Prescriptions and orders may be issued by permit holders in the
    inpatient setting without countersignature. All prescriptions
    issued by permit holders in the outpatient setting which are to
    be filled in outside pharmacies shall be signed by a licensed
    physician or licensed podiatric physician as appropriate.
  2. There shall be a Verification of Supervisor/Employment Form
    prior to approval of practice outside of the approved graduate
    medical education program.

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