BILL ANALYSIS �
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THIRD READING
Bill No: AB 1533
Author: Mitchell (D)
Amended: 3/21/12 in Assembly
Vote: 21
SENATE BUSINESS, PROF. & ECON. DEVELOP COMM : 9-0, 6/11/12
AYES: Price, Emmerson, Corbett, Correa, Hernandez, Negrete
McLeod, Strickland, Vargas, Wyland
SENATE APPROPRIATIONS COMMITTEE : Senate Rule 28.8
ASSEMBLY FLOOR : 74-0, 4/26/12 - See last page for vote
SUBJECT : Medicine: trainees: international medical
graduates
SOURCE : Medical Board of California
University of California
DIGEST : This bill, until January 1, 2019, authorizes a
clinical instruction pilot program for certain bilingual
international medical graduates (IMGs) at the University of
California Los Angeles (UCLA) as part of an existing
pre-residency training program, at the option of UCLA.
This bill allows IMGs to engage in hands-on clinical
training during their participation in the IMG pilot
program they meet specified requirements.
ANALYSIS : Existing law:
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1.The Medical Practice Act provides for licensing and
regulation of physicians and surgeons by the Medial Board
of California (Board).
2.Requires an applicant for a license as a physician or a
surgeon to complete specified medical curriculum,
clinical instruction program and training program.
3.Provides that nothing in the Medical Practice Act shall
be construed to prohibit a foreign medical graduate from
engaging in the practice of medicine subject to certain
conditions.
This bill:
1.Authorizes a clinical instruction pilot program for
certain bilingual international medical graduates at the
David Geffen School of Medicine of the UCLA as part of an
existing pre-residency training program.
2.Provides that nothing in the Medical Practice Act shall
be construed to prohibit a foreign medical graduate
participating in the pilot program from engaging in the
practice of medicine when required as part of the pilot
program.
3.Allows IMGs to participate in the pilot program if they
meet the following requirements:
A. Graduated from a medical school recognized by the
Medical Board of California.
B. Taken and passed the United States Medical
Licensing Examination Steps 1 and 2 (Clinical
Knowledge and Clinical Science).
C. Submitted an application and material to the
Educational Commission of Foreign Medical Graduates.
D. Receive all clinical instruction at health care
facilities operated by the UCLA or other approved
teaching sites.
E. Participate in clinical instruction offered by the
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pilot program for a 16 to 24 week time period.
F. Be supervised by a licensed physician on faculty at
UCLA or affiliated with UCLA.
G. Be evaluated on a regular basis by the supervising
faculty.
1.Requires UCLA to provide the Board with identifying
information about the participants including but not
limited to the names of the participants, course
successfully completed and dates of instruction.
2.Authorizes the Board to consider participation in the
clinical instruction pilot program as remediation for
medical education deficiencies in a participant's
subsequent application for licensure as a physician and
surgeon.
3.Requests that the UCLA report to the Board and the
Legislature on or before January 1, 2018, including the
number of participants, those who were issued a physician
and surgeons certificate by the Board, the number who
practice in designated medically underserved areas and
the potential for retention or expansion of the program.
Background
California law allows for regularly matriculated medical
students to engage in the practice of medicine whenever and
wherever prescribed as part of their required/approved
course of student (Business and Professions Code (BPC)
Section 2064). However, for foreign trained medical
students who complete pre-residency training programs in
the United States, they are not covered under the
provisions of BPC Section 2064.
In 2006, the David Geffen School of Medicine at UCLA
developed a program to prepare bilingual IMGs to enter
accredited family medicine programs in California in order
to pursue licensure and Board certification as family
physicians. The program recruits proficient bilingual IMGs
from international medical schools with curricula that meet
the educational requirements set forth by the Board for
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purposes of physician licensure. To be eligible for the
program, participants must have United States citizenship,
permanent resident or refugee status. As part of the
program, all participants complete a Clinical Observership
program. Trainees are placed in approved clinical teaching
environments at UCLA health care facilities or approved
affiliates, which provide and ensure supervision by
licensed physician faculty. Students are assigned to these
settings 16-24 weeks.
FISCAL EFFECT : Appropriation: No Fiscal Com.: Yes
Local: No
SUPPORT : (Verified 6/25/12)
Medical Board of California (co-source)
University of California (co-source)
California Academy of Family Physicians
California Medical Association
California State Rural Health Association
Los Angeles County Board of Supervisors
ARGUMENTS IN SUPPORT : The bill's sponsors indicate that
the addition of the hands-on clinical practice experience
will allows the UCLA IMGs to receive valuable clinical
learning opportunities that will ensure they received the
best training and chances for a family medicine residency
match. They also state that the program will benefit
California family medicine programs seeking to increase the
recruitment of bilingual physicians to their programs.
Additionally, because the graduate commit to 24-36 months
of post-residency employment in a California health care
facility located in a designated medically underserved
area, the continued success of the program offers long term
benefits for underserved communities throughout the state.
ASSEMBLY FLOOR : 74-0, 4/26/12
AYES: Achadjian, Alejo, Allen, Ammiano, Atkins, Beall,
Bill Berryhill, Block, Blumenfield, Bonilla, Bradford,
Brownley, Buchanan, Butler, Charles Calderon, Campos,
Carter, Chesbro, Conway, Cook, Davis, Dickinson,
Donnelly, Eng, Feuer, Fletcher, Fong, Fuentes, Beth
Gaines, Galgiani, Garrick, Gatto, Gordon, Gorell, Grove,
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Hagman, Hall, Hayashi, Roger Hern�ndez, Hill, Huber,
Hueso, Huffman, Jeffries, Knight, Lara, Logue, Bonnie
Lowenthal, Ma, Mansoor, Mendoza, Miller, Mitchell,
Monning, Morrell, Nestande, Nielsen, Norby, Olsen, Pan,
Perea, V. Manuel P�rez, Portantino, Silva, Skinner,
Solorio, Swanson, Torres, Valadao, Wagner, Wieckowski,
Williams, Yamada, John A. P�rez
NO VOTE RECORDED: Cedillo, Furutani, Halderman, Harkey,
Jones, Smyth
JJA:n 6/26/12 Senate Floor Analyses
SUPPORT/OPPOSITION: SEE ABOVE
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