The Michigan Board of Medicine (the “Board”) recently updated provisions of the Michigan Administrative Code (the “Code”) related to English proficiency requirements, training related to identifying victims of human trafficking, delegation of prescriptive authority for schedule II controlled substances and continuing medical education. Specifically, the Board made the following updates to the Code.

English Proficiency – Applicants for a medical license, including an educational limited medical license, who were taught in a language other than English will need to demonstrate a working knowledge of English. Demonstration of a working knowledge involves showing that the applicant obtained a total score of not less than 80 on the test of English as a foreign language internet-based test (TOEFL-IBT). [R 338.2403]

Delegation of Prescriptive Authority – A physician may delegate the prescribing of Schedule II to V controlled substances to a registered nurse who holds a specialty certification under the Michigan Public Health Code [333.17210] in any setting but cannot authorize the prescribing of a Schedule II controlled substance for a quantity greater than a 30-day supply. [R 338.2411]

Human Trafficking Training – Pursuant to the Michigan Public Health Code [333.16148], licensed individuals or those seeking licensure are required to complete training in identifying victims of human trafficking, with content that includes:

  • Understanding the types and venues of human trafficking in Michigan or the United States;
  • Identifying victims of human trafficking in health care settings;
  • Identifying the warning signs of human trafficking in health care settings for adults and minors; and
  • Resources for reporting the suspected victims of human trafficking.

Acceptable modalities of training include teleconference or webinar, online presentation, live presentation or printed or electronic media. Acceptable methods of training include:

  • Training offered by a nationally or state-recognized health-related organization or by a state or federal agency;
  • Training obtained in an educational program approved by the board for initial licensure or by a college or university; or
  • Reading an article about identifying victim of human trafficking, if the article meets the content requirements listed above and is published in a peer review journal, health care journal or professional or scientific journal.

Beginning with the 2019 renewal cycle, licensees must have completed training in identifying victims of human trafficking that meet the standards established in the Code. Beginning March 17, 2021, individuals seeking licensure must have completed human trafficking training prior to obtaining a license. [R 333.2413]

Limitation on Examination Attempts – An applicant may not make more than three attempts to pass any part of the United States Medical License Examination (“USMLE”) and must successfully pass all components of the USMLE within seven years from the date the applicant first passed a component of the USMLE. Additionally, if an applicant fails to pass the USMLE-part 3 within four years of the first attempt at the USMLE-part 3, the applicant will need to complete one year of postgraduate training before sitting for the USMLE-part 3. [R 338.2433]

Continuing Education – In an attempt to simplify the continuing education requirements, there are now just two categories of continuing education (instead of the six categories used historically) in which the applicant for license renewal can accumulate the minimum of 150 hours during the three years immediately preceding the application for renewal. A minimum of 75 hours of continuing education credits needs to be obtained in category 1, and a minimum of 1 hour of continuing education credit needs to be earned in medical ethics. Pursuant to the Michigan Public Health Code [333.17033(2)] and beginning on December 6, 2017, a minimum of 3 hours of continuing education needs to be earned in pain and symptom management. [R 338.2443]