Some states will license you without a second residency.
Which ones depends on where you trained, how long you have practised and what you have already passed. We work through those rules with physicians trained outside the United States, and with the hospitals trying to hire them.
Global Physician Strategies. We are building the state-by-state reference in public, with every requirement tied to the provision it came from.
Status
The state-by-state check is not published yet.
A state appears here only once somebody has read its statute and rules in full and recorded the provision behind every requirement. None has cleared that yet, so there is nothing to check your circumstances against and the tool is switched off rather than shown empty.
This is not a finding that no state has a pathway. Several do. It is a statement about what we have finished reading.
How the reference is builtWhat we do while it is being built.
The reference is one part of the practice. These are the others, and they are open now.
Licensure, for physicians trained abroad
Which states have a pathway that does not require repeating a residency, what each one obliges you to do, and how to work through that board’s application. The alternative routes, not the standard residency one.
What this costsBoard certification
A licence is the first question. Which specialty certification is attainable once you hold one, and what it unlocks — privileges, credentialing, the posts that ask for it — is the next.
Certification pathwaysFor hospitals and health systems
Which pathways your state offers, what supervision or sponsorship each obliges you to provide, and how to credential and privilege a physician who did not train in an ACGME programme.
For employersPolicy and advocacy
We read these statutes for a living. Submissions to boards and legislatures, and public comment on where these pathways work and where they do not.
Our policy workWhy it is taking this long.
Rules about who may practise medicine change often and are written in several places at once. Most summaries of them are uncited, undated, and wrong somewhere. This one is built so you can find out where — which is slower than reading a summary and is the entire point.
Read the source, not a summary
Every requirement comes from the statute, the regulation or the board’s own page. Not from a summary of them, and not from another site that summarised them.
Cite the provision
Each rule carries the provision it came from and a link that resolves to it. A rule that cannot be cited is not encoded — the build fails rather than shipping it.
Say when we do not know
Where a source does not address something, the page says so and says what we looked for. We do not infer a default, because the flattering inference and the correct one are rarely the same.
There is something to read now.
Plain explanations of the terms the state rules use — certification, primary-source verification, the exam steps, what a provisional licence converts into. Written against the sources, and each says where the sources stop.
This is information, not legal advice. Using this site does not create an attorney-client relationship.