I applaud the effort to create a pathway for qualified international physicians to obtain a state medical license. As a long time residency program director, I would inject a note of caution about striking the language "...two consecutive years" and "...no more than two programs...". When a resident is not sufficiently medically competent to continue in a program (even if there has been no egregious act), is commonplace for US residency programs to give said resident a year of credit, but to not continue them in the program. The verbiage above was designed to keep poor performing trainees from completing a single year in multiple programs in order to obtain licensure. WA state now puts itself in jeopardy of being the final stop for these problematic physicians. The subsequent draft language requiring "satisfactory clinical performance" may/may not prevent this, as program directors are geerally loathe to commit themselves in writing to ending a trainee's career. One consideration would be to add a requirement for either satisfactory program completion, or for a letter from the last program director attesting to clinical competence. Thank you.

Hello, There is a more current ABMS Certification Report, 2018-2019. You might want to update that language or change to "the most current ABMS Board Certification Report". Thank you. LeDenae