3
(g) The applicant obtained a total score of not less than 6.5 on the International English
Language Testing System (IELTS) Academic test within 2 years of the date of application.
(h) The applicant obtained an overall score of not less than 55 on the 4-skill Michigan
English Test (MET) developed by Michigan Language Assessment.
(i) The applicant obtained an overall score of not less than 300 on the Occupational
English Test (OET).
(j) The applicant obtained an overall score of not less than 55 and not less than 50 on any
section of the Pearson PTE Academic Examination.
(k) 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) administered by the Educational
Testing Service within 2 years of the date of application.
(l) The applicant obtained a score of not less than 725 on the reading and listening section,
not less than 150 on the writing section, and not less than 160 on the speaking section of
the Test of English for International Communication (TOEIC) within 2 years of the date
of application.
R 338.7004 Implicit bias training standards.
Rule 4. (1) An individual applying for licensure or registration under article 15 of the
code, MCL 333.16101 to 333.18838, except those seeking to be licensed under part 188 of
the code, MCL 333.18801 to 333.18838, shall have completed a minimum of 2 hours of
implicit bias training within the 5 years immediately preceding issuance of the license or
registration.
(2) An individual applying for licensure or registration renewal, reregistration, or
relicensure under article 15 of the code, MCL 333.16101 to 333.18838, except those
licensed under part 188 of the code, MCL 333.18801 to 333.18838, shall have completed
a minimum of 1 hour of implicit bias training for each year of the applicant’s license or
registration cycle. Unless prohibited by the code or rules, this training may be used to
satisfy other training or continuing education requirements for license renewal.
(3) A licensee or registrant shall not carry forward implicit bias training hours earned
during 1 renewal cycle to the next renewal cycle.
(4) A licensee or registrant shall not earn implicit bias training hours for completing
implicit bias training that is identical or substantially identical to implicit bias training that
the licensee or registrant has already completed during the same renewal cycle.
(5) The implicit bias training must be related to reducing barriers and disparities in access
to and delivery of healthcare services and meet all of the following requirements:
(a) Training content must include, but is not limited to, 1 or more of the following topics:
(i) Information on implicit bias, equitable access to healthcare, serving a diverse
population, diversity and inclusion initiatives, and cultural sensitivity.
(ii) Strategies to remedy the negative impact of implicit bias by recognizing and
understanding how it impacts perception, judgment, and actions that may result in
inequitable decision making, failure to effectively communicate, and result in barriers and
disparities in the access to and delivery of healthcare services.
(iii) The historical basis and present consequences of implicit biases based on an
individual’s characteristics.
(iv) Discussion of current research on implicit bias in the access to and delivery of
healthcare services.