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(f) The applicant obtained a total score of not less than 6.5 on the International English
Language Testing System (IELTS) Academic test.
(g) The applicant obtained an overall score of not less than 55 on the 4-skill Michigan English
Test (MET) developed by Michigan Language Assessment.
(h) The applicant obtained an overall score of not less than 300 on the Occupational English
Test (OET).
(i) 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.
R 338.7004 Implicit bias training standards.
Rule 4. (1) Beginning 1 year after promulgation of this rule, an applicant 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) Beginning 1 year after promulgation of this rule and for every renewal cycle thereafter, in
addition to completing any continuing education required for renewal, an applicant for license or
registration renewal 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.
(3) The implicit bias training must be related to reducing barriers and disparities in access to and
delivery of health care 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 health care, 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 health care 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 health
care services.
(b) Training must include strategies to reduce disparities in access to and delivery of health
care services and the administration of pre- and post-test implicit bias assessments.
(c) Acceptable sponsors of this training include any of the following:
(i) Training offered by a nationally-recognized or state-recognized health-related
organization.
(ii) Training offered by, or in conjunction with, a state or federal agency.
(iii) Training obtained in an educational program that has been approved by any board
created under article 15 of the code, MCL 333.16101 to 333.18838, except under part 188 of the
code, MCL 333.18801 to 333.18838, for initial licensure or registration or for the accumulation
of continuing education credits.
(iv) Training offered by an accredited college or university.
(v) An organization specializing in diversity, equity, and inclusion issues.