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TITLE 24

Professions and Occupations

CHAPTER 17. MEDICAL PRACTICE ACT

Subchapter III. Certificate to Practice Medicine; Registration of Certificate;

Renewal of Registration

§ 1720. Certification requirements to practice medicine.

(a) A person may not practice medicine in this State unless the person:

(1) Has a certificate to practice medicine issued by the Board of Medical

Practice;

(2) Registers the certificate to practice medicine and renews it biennially;

and

(3) If required, has an occupational license pursuant to Part III of Title 30.

(b) To receive a certificate to practice medicine in this State, an applicant

for a certificate must:

(1) Have a working ability to read, write, speak, understand, and be

understood in the English language;

(2) Possess the following educational credentials:

a. A degree of Doctor of Medicine or Doctor of Osteopathy, or an equivalent

degree, from a legally incorporated medical college or school located in the

United States or Canada, which medical college or school has been approved by

the appropriate accrediting body of the American Medical Association or the

American Osteopathic Association; or

b. A degree of Doctor of Medicine or Doctor of Osteopathy, or an equivalent

degree, from a legally incorporated medical college or school located in a

country other than the United States or Canada, medical college or school

which is listed in the International Medical Education Directory (IMED), along

with documentary proof that the applicant successfully passed the examination

administered by the Educational Commission for Foreign Medical Graduates and

the Federation of State Medical Boards; or

c. A degree of Doctor of Medicine or Doctor of Osteopathy, or an equivalent

degree, from a legally incorporated medical college or school located in a

country other than the United States or Canada, which medical college or

school is not listed in the International Medical Education Directory (IMED),

but the applicant has completed 3 years of postgraduate training in a

residency program which has been approved by the Accreditation Council for

Graduate Medical Education and has successfully passed the examination

administered by the Educational Commission for Foreign Medical Graduates and

the Federation of State Medical Boards;

d. Documentary proof that all clinical rotations served by the applicant in

the United States or Canada as part of training received in a medical college

or school were conducted in institutions that are formal parts, such as a

primary hospital, of a medical college or school or that have formal

affiliation with a medical college or school approved by the appropriate

accrediting body of the American Medical Association or the American

Osteopathic Association, or that the clinical rotations were served in

hospitals which had, at the time the rotations were served, a residency

training program approved by the Accreditation Council for Graduate Medical

Education in the subject matter of the clinical rotation;

(3) Have satisfactorily completed an internship or equivalent training in an

institution, which internship or equivalent training and institution are

approved by the Board;

(4) Submit to the Board a sworn or affirmed statement that the applicant:

a. Has not been convicted of or has not admitted under oath to having

committed a crime substantially related to the practice of medicine;

b. Has not been professionally penalized for or convicted of drug addiction;

c. Has not had the applicant's license or certificate or other authorizing

document to practice allopathic medicine or osteopathic medicine in any other

state, territory, or foreign nation revoked, suspended, restricted, limited,

or subjected to disciplinary or other action by the certifying or licensing

authority thereof, or an application to practice denied;

d. Has not been removed, suspended, expelled, or disciplined by any

professional medical association or society when the removal, suspension,

expulsion, or discipline was based upon what the association or society found

to be unprofessional conduct, professional incompetence, or professional

malpractice;

e. Has not been disciplined by a licensed hospital or by the medical staff of

the hospital, including the removal, suspension, or limitation of hospital

privileges, the nonrenewal of privileges for cause, the resignation of

privileges under pressure of investigation or other disciplinary action, if

the discipline was based upon what the hospital or medical staff found to be

unprofessional conduct, professional incompetence, or professional

malpractice;

f. Has not engaged in the practice of medicine without a certificate or

license or other authorization to practice medicine;

g. Has not unlawfully prescribed narcotic drugs;

h. Has not wilfully violated the confidence of a patient, except under legal

requirement; or

i. Has not been professionally penalized or convicted of fraud;

(5) Submit to the Board a sworn or affirmed statement that the applicant is,

at the time of application, physically and mentally capable of engaging in the

practice of medicine according to generally accepted standards, and submit to

such examination as the Board may deem necessary to determine the applicant's

capability;

(6) Submit, at the applicant's expense, fingerprints and other necessary

information in order to obtain the following:

a. A report of the applicant's entire criminal history record from the State

Bureau of Identification or a statement from the State Bureau of

Identification that the State Central Repository contains no such information

relating to that person.

b. A report of the applicant's entire federal criminal history record pursuant

to the Federal Bureau of Investigation appropriation of Title II of Public

Law 92-544 (28 U.S.C. § 534). The State Bureau of Identification shall be the

intermediary for purposes of this section and the Board of Medical Practice

shall be the screening point for the receipt of said federal criminal history

records.

An applicant may not be certified to practice medicine until the applicant's

criminal history reports have been produced. An applicant whose record shows a

prior criminal conviction may not be certified by the Board unless a waiver

is granted pursuant to subsection (e) of this section;

(7) Pass the professional examination pursuant to § 1721 of this title, unless

excepted under § 1722 of this title or waived as provided in subsection (e)

of this section; and

(8) Submit to a personal interview by a Board member, unless waived by an

officer of the Board for good cause.

(c) An applicant for a certificate to practice medicine in this State must

submit to the Board an application in writing in such form as the Board

requires.

(d) An applicant for a certificate to practice medicine in this State must

fulfill the requirements of subsection (b) of this section in accord with the

form and manner required by the Board in its rules and regulations. The

applicant must also pay the application fee set by the Division, and, unless

an exception in § 1722 of this title applies, the applicant must pass a

professional examination pursuant to § 1721 of this title.

(e) The Board, by the affirmative vote of 12 of its members, may waive any of

the requirements of this section if it finds all of the following by clear and

convincing evidence:

(1) The applicant's education, training, qualifications, and conduct have been

sufficient to overcome the deficiency or deficiencies in meeting the

requirements of this section;

(2) The applicant is capable of practicing medicine in a competent and

professional manner;

(3) The granting of the waiver will not endanger the public health, safety, or

welfare; and

(4) For waiver of a crime substantially related to the practice of medicine,

more than 5 years have elapsed since the applicant has fully discharged all

imposed sentences. As used herein, the term "sentence" includes, but is not

limited to, all periods of modification of a sentence, probation, parole or

suspension. However, sentence does not include fines, restitution or community

service, as long as the applicant is in substantial compliance with such

fines, restitution and community service.

(f) In determining if an applicant qualifies for certification to practice

medicine, the Board may rely upon relevant decisions made by the appropriate

authority in other states and may not permit a collateral attack upon those

decisions.

(20 Del. Laws, c. 40, § 13; 24 Del. Laws, c. 139, § 1; Code 1915, § 846; 33

Del. Laws, c. 58, § 1; Code 1935, § 925; 41 Del. Laws, c. 86, § 1; 24 Del. C.

1953, §§ 1732, 1733; 50 Del. Laws, c. 369, § 1; 52 Del. Laws, c. 323, §§ 1, 2;

58 Del. Laws, c. 511, § 53; 59 Del. Laws, c. 55, §§ 1-3; 60 Del. Laws, c. 462,

§ 1; 64 Del. Laws, c. 477, § 3; 67 Del. Laws, c. 226, § 7; 70 Del. Laws, c.

186, § 1; 71 Del. Laws, c. 102, § 4; 74 Del. Laws, c. 262, § 28; 75 Del. Laws,

c. 141, § 1; 75 Del. Laws, c. 399, § 1; 75 Del. Laws, c. 436, § 13.)

Renewal of Registration

§ 1721. Professional examination.

(a) The Board shall require written and/or clinical professional examination

of each applicant for a certificate to practice medicine in accordance with

the Board's rules and regulations.

(b) A professional examination issued pursuant to this section must be in the

English language, must be comprehensive in character, and must be designed to

determine an applicant's fitness to practice medicine. It must cover those

general subjects and topics, a knowledge of which is commonly and generally

required of candidates for the degree of Doctor of Medicine or Doctor of

Osteopathy conferred by approved medical colleges or schools in the United

States.

(c) The Board shall include in its rules and regulations the number of times

and the conditions under which an applicant who has failed 1 or more

professional examinations conducted pursuant to this section may again apply

for a certificate to practice medicine under this chapter.

(20 Del. Laws, c. 40, § 11; Code 1915, § 844; Code 1935, § 923; 24 Del. C.

1953, § 1735; 50 Del. Laws, c. 369, § 1; 60 Del. Laws, c. 462, § 1; 75 Del.

Laws, c. 141, § 1.)

Renewal of Registration

§ 1722. Waiver of professional examination for temporary certification,

for hospital or institution staff, for physicians licensed in another

jurisdiction, and for physicians passing an alternative exam.

(a) The Board may adopt rules and regulations that waive the professional

examination required pursuant to § 1721 of this title for the issuance of a

certificate to practice medicine in the following cases:

(1) The applicant for whom the examination is to be waived is licensed,

certified, registered, or otherwise legally qualified to practice medicine in

another state of the United States or in another jurisdiction, and seeks a

temporary certificate to practice medicine for not less than 2 weeks nor more

than 3 months for the purpose of taking charge of the practice of a person

certified and registered to practice medicine in this State during the

person's temporary illness or absence from this State. The Board may, in its

discretion, extend a temporary certificate to practice medicine pursuant to

this paragraph for an additional 3 months, but not longer. A temporary

certificate may be issued pursuant to this paragraph to an applicant by the

Board upon the written request of a person certified and registered to

practice medicine in this State and upon the payment of a fee established for

such purpose by the Division of Professional Regulation. The written request

must contain an affirmation that the purpose of the temporary certificate is

to allow the applicant to take charge of the practice of a person certified

and registered to practice medicine in this State during the person's

temporary illness or absence from the State;

(2) The applicant for whom the examination is to be waived:

a. Is employed in this State as an intern, resident, house physician, or

fellow in a hospital accredited by the Joint Commission on the Accreditation

of Hospitals or by the American Osteopathic Hospital Association; or

b. Is a staff physician employed in a governmental institution in this State

and is applying for a certificate to practice medicine for a period of time

not to exceed the length of time of employment in the hospital or governmental

institution.

A certificate issued pursuant to this paragraph is subject to yearly renewal

and restricts the applicant to practice only in the hospital or institution

where the applicant is employed;

(3) The applicant for whom the examination is to be waived is licensed,

certified, registered, or otherwise legally authorized to practice medicine by

competent authority in any other of the United States or in any other

jurisdiction approved by the Board.

(b) When a certificate to practice medicine is issued to an applicant pursuant

to this section and the applicant registers with the Board and obtains an

occupational license pursuant to Chapter 23 of Title 30, the applicant may

practice medicine in this State, but only for the time and only under the

conditions, if any, specified in the certificate.

(60 Del. Laws, c. 462, § 1; 71 Del. Laws, c. 102, § 6; 75 Del. Laws, c. 141,

§ 1.)

Renewal of Registration

§ 1723. Issuance of certificate to practice; registration and registration

renewal; reactivating inactive status.

(a) The Board shall issue a certificate to practice medicine in this State and

register the certificate for an applicant who meets the requirements of this

chapter.

(b) The Division shall keep a current register of all persons certified to

practice medicine in this State. Each such person shall inform the Division of

any change of current address and telephone number within 15 days of the

change.

(c) The registration of a certificate to practice medicine must be renewed

biennially, through a procedure determined by the Division. The procedure must

include payment of an appropriate registration renewal fee; submission of a

renewal form provided by the Division; proof that the certified person has met

the continuing medical education requirements established by the Board; and

the period of time within which a person certified to practice medicine in

this State may renew the certified person's registration without penalty,

notwithstanding the fact that the person failed to renew the person's

registration on or before the renewal date; and the penalty for failure to

renew registration in a timely manner.

(d) The Board may establish, by class and not by individual, requirements for

continuing education or reexamination, or both, for a person issued a

certificate to practice medicine, or issued any authorized document to

practice another profession or occupation regulated under this chapter, who is

on inactive status and wishes to reactivate that person's status.

(20 Del. Laws, c. 40, § 12; Code 1915, § 845; 33 Del. Laws, c. 58, § 1; Code

1935, § 924; 41 Del. Laws, c. 86, § 1; 42 Del. Laws, c. 89, § 2; 45 Del. Laws,

c. 89, § 1; 24 Del. C. 1953, § 1737; 53 Del. Laws, c. 108, § 17; 60 Del. Laws,

c. 462, § 1; 62 Del. Laws, c. 417, § 2; 70 Del. Laws, c. 186, § 1; 71 Del.

Laws, c. 102, § 5; 74 Del. Laws, c. 349, § 1; 75 Del. Laws, c. 141, § 1.)

Renewal of Registration

§ 1724. Temporary emergency certificate during a public emergency.

The Board may issue a temporary emergency certificate to practice medicine for

a period of time not to exceed 12 months, but renewable at the discretion of

the Board, to a person whom it finds qualified to practice medicine in this

State. A temporary emergency certificate may be issued only during a public

emergency declared by the President of the United States or the Governor of

the State. When an occupational license is issued by the Director of Revenue

pursuant to Chapter 23 of Title 30, if such license is required, and the

temporary emergency certificate is registered by the Board, the holder of the

temporary emergency certificate may, during the term specified on the

certificate unless sooner revoked, practice medicine in this State, subject to

all the laws of this State and to the regulations and restrictions which the

Board may adopt, including, but not limited to, location limitations and

limitations on the nature of the practice of medicine within the State.

(24 Del. C. 1953, § 1744; 49 Del. Laws, c. 158, § 1; 50 Del. Laws, c. 369, §

1; 52 Del. Laws, c. 323, § 9; 60 Del. Laws, c. 462, § 1; 61 Del. Laws, c. 68,

§§ 4, 5; 70 Del. Laws, c. 186, § 1; 71 Del. Laws, c. 102, § 7; 75 Del. Laws,

c. 141, § 1.)

Renewal of Registration

§ 1725. Temporary certificate pending certification.

The Executive Director of the Board, with the approval of a physician member

of the Board, may issue a temporary certificate pending certification to

practice medicine for a period of time not to exceed 3 months to a person

otherwise qualified to practice medicine who has applied for certification to

practice medicine. When an occupational license is issued by the Director of

Revenue pursuant to Chapter 23 of Title 30, if such license is required, and

the temporary certificate pending certification is registered by the Board,

the holder of the temporary certificate pending certification may, during the

time specified on the certificate unless sooner revoked, practice medicine in

this State, subject to all the laws of this State and to the regulations and

restrictions which the Board may adopt, including, but not limited to,

location limitations and limitations on the nature of the practice of medicine

within the State.

(24 Del. C. 1953, § 1744; 49 Del. Laws, c. 158, § 1; 50 Del. Laws, c. 369, §

1; 52 Del. Laws, c. 323, § 9; 60 Del. Laws, c. 462, § 1; 61 Del. Laws, c. 68,

§§ 4, 5; 70 Del. Laws, c. 186, § 1; 71 Del. Laws, c. 102, § 7; 75 Del. Laws,

c. 141, § 1.)

Renewal of Registration

§ 1726. Notice of certification required.

The Executive Director of the Board shall, immediately upon issuing a

certificate to practice medicine pursuant to § 1722, § 1723, or § 1724 of this

title, make available to the director of the Division of Public Health of the

Department of Health and Social Services the full name and address of the

person to whom the certificate was issued and the date thereof, and, in the

case of the issuance of a certificate pursuant to § 1722 or § 1724 of this

title, the length of time for which the certificate authorizes the practice of

medicine and the limitation on the authorization, if any.

(30 Del. Laws, c. 58; Code 1915, § 847A; Code 1935, § 927; 24 Del. C. 1953, §

1738; 50 Del. Laws, c. 369, § 1; 52 Del. Laws, c. 323, § 3; 60 Del. Laws, c.

462, § 1; 75 Del. Laws, c. 141, § 1.)

Renewal of Registration

§ 1727. Consulting physicians from other states.

This chapter does not prevent a person who is certified, licensed, or

otherwise authorized to practice medicine in another state or in a foreign

country from engaging in a consultation with a person certified and registered

to practice medicine in this State.

(20 Del. Laws, c. 40, § 16; Code 1915, § 851; Code 1935, § 932; 24 Del. C.

1953, § 1743; 50 Del. Laws, c. 369, § 1; 60Del. Laws, c. 462, § 1; 63 Del.

Laws, c. 9, § 1; 75 Del. Laws, c. 141, § 1.)

NOTICE: The Delaware Code appearing on this site was prepared by the Division of Research of Legislative Council of the General Assembly with the assistance of the Government Information Center, under the supervision of the Delaware Code Revisors and the editorial staff of LexisNexis, includes all acts up to and including 76 Del. Laws, c. 421, effective August 21, 2008.

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