Department of Licensing and Regulatory Affairs  
Bureau of Professional Licensing  
Administrative Rules for Medicine - General Rules  
Rule Set 2021-44 LR  
NOTICE OF PUBLIC HEARING  
Friday, June 17, 2022  
09:00 AM  
G. Mennen Williams Building Auditorium  
525 W. Ottawa Street, Lansing, Michigan  
The Department of Licensing and Regulatory Affairs will hold a public hearing to receive public  
comments on proposed changes to the Medicine - General Rules rule set.  
The proposed revisions to the rules clarify the meaning of terms used in the set; update accreditation  
standards; incorporate recent legislative changes that allow licensure by endorsement for individuals  
licensed in another state or a province of Canada, including allowing Part I of the Medical Council of  
Canada Qualifying Examination (MCCQE) to function as a substitute for passing all steps of the USMLE;  
revise the requirements for verification of licenses held in other jurisdictions; clarify that foreign  
applicants for educational limited licenses must pass step 1 and step 2 clinical knowledge (CK) of the  
USMLE; change the three-attempt limitation to the USMLE and follows the 4 attempt policy that the  
Federation of State Medical Boards allows on the USMLE; clarify that applicants for a clinical academic  
license must either show proof of graduation from a medical school that satisfies the requirements of R  
338.2421(1) or provide a certification from the ECFMG that the applicant graduated from a medical  
school listed in the World Directory of Medical Schools and received passing scores on step 1 and step 2  
CK of the USMLE; allow proof of licensure in another province of Canada as a pathway to relicensure;  
and remove certain activities for achieving continuing education credit, as they no longer apply.  
By authority conferred on the department in consultation with the board under MCL 333.16145,  
333.16148, 333.16174, 333.16204, 333.16215, 333.16287, 333.17031, 333.17033, 333.17048, and  
333.17076, and Executive Reorganization Nos. 1991-9, 1996-2, 2003-1 and 2011-4, MCL 338.3501,  
445.2001, 445.2011, and 445.2030.  
The proposed rules will take effect immediately after filing with the Secretary of State. The proposed  
rules are published on the State of Michigan's website at www.michigan.gov/ARD and in the 6/15/2022  
issue of the Michigan Register. Copies of these proposed rules may also be obtained by mail or  
electronic mail at the following email address: BPL-BoardSupport@michigan.gov.  
Comments on these proposed rules may be made at the hearing, by mail, or by electronic mail at the  
following addresses until 6/17/2022 at 05:00PM.  
Department of Licensing and Regulatory Affairs Bureau of Professional Licensing – Boards and  
Committees Section P.O. Box 30670 Lansing, MI 48909-8170 Attention: Departmental Specialist  
Department of Licensing and Regulatory Affairs Bureau of Professional Licensing – Boards and  
Committees Section P.O. Box 30670 Lansing, MI 48909-8170 Attention: Departmental Specialist  
BPL-BoardSupport@michigan.gov  
The public hearing will be conducted in compliance with the 1990 Americans with Disabilities Act. If the  
hearing is held at a physical location, the building will be accessible with handicap parking available.  
Anyone needing assistance to take part in the hearing due to disability may call 711- to make  
arrangements.  
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