Internationally Trained Physicians

In 2027, the Oregon Medical Board (OMB) may grant provisional licensure to internationally trained physicians (ITPs) who demonstrate the required qualifications and competency. Physicians granted a provisional license may practice under the supervision of an Oregon-licensed physician. After completing four years of supervised practice, they may be eligible to apply for full medical licensure in Oregon.

Applicant qualifications and requirements are outlined in the OMB's Internationally Trained Physician rules. The application process will open on January 4, 2027. Check back here for details on how to apply.

Before applying, ITPs must secure an Offer of Employment from an Oregon facility. The offer must outline the plan for supervision and assessment, including who will serve as the supervising physician(s). The OMB does not maintain a list of employers or facilities for ITPs. Once an application is submitted, the OMB will carefully review it. Please allow at least four months for review before a decision is made.

Stay informed: To get email updates as the Internationally Trained Physicians program develops, sign up through Subscriber Lists and select "SB 476 Implementation."

SB 476 Background

Pursuant to SB 476 (2025) sections 4-9, were passed by the Legislature in 2025 and signed by Governor Kotek. The law authorized the Oregon Medical Board (OMB) to establish rules regarding:

Application, licensure, and renewal fees
Supervision and assessment standards
Clinical location requirements
Clinical assessment evaluation for full licensure
Other requirements necessary to carry out SB 476

To receive email updates about the development of the Internationally Trained Physicians program, sign up through Subscriber Lists and select "SB 476 Implementation."

SB 476 ITP Workgroup

The OMB formed a workgroup to assist with implementing SB 476 and developing rules for the provisional license program. The ITP Workgroup includes persons with subject matter expertise who will likely be affected by the proposed rules. The ITP Workgroup is advisory, and consensus is not necessary; the Oregon Medical Board retains final decision-making authority, see ITP Implementation in Oregon/Workgroup Information sheet for details.

Wednesday, January 14, 2026, 5-7PM: Meeting Agenda & Materials, Meeting Slides
Wednesday, January 28, 2026, 5-7PM: Meeting Agenda & Materials, Meeting Slides
Wednesday, February 25, 2026, 5-7PM: Meeting Agenda & Materials, Meeting Slides, Recording
Wednesday, April 15, 2026, 5-7PM: Meeting Agenda & Materials, Meeting Slides, Recording
Wednesday, May 13, 2026, 5-7PM: Meeting Agenda & Materials, Meeting Slides, Recording

All meetings were open to the public and recordings are available upon request if not posted.

Implementation Timeline (all times are in Pacific Standard Time)

July 31, 2025: SB 476 signed by Governor Tina Kotek
January 5, 2026, 5PM: Deadline to submit ITP Workgroup interest email
January 14, 2026, 5-7PM ITP Workgroup Meeting, Informational Session
January 28, 2026, 5-7PM: ITP Workgroup Meeting
February 25, 2026, 5-7PM: ITP Workgroup Meeting
March 11, 2026, 5PM: OMB Administrative Affairs Committee reviews the Workgroup's recommendations/progress and makes recommendations to the Oregon Medical Board
April 2, 2026: Oregon Medical Board reviews all recommendations
April 15, 2026, 5-7PM: ITP Workgroup Meeting
May 13, 2026, 5-7PM: ITP Workgroup Meeting
June 10, 2026, 5PM: OMB Administrative Affairs Committee reviews the Workgroup's recommendations and makes recommendations to the Oregon Medical Board
July 2, 2026: Oregon Medical Board reviews all recommendations, initiates rulemaking
After July 2, 2026: OMB files notice of proposed rules; formal public comment period opens
August 25, 2026, 2PM PDT: Public hearing for members of the public to provide oral testimony, see rulemaking summary
August 25, 2026, 5PM PDT: Deadline to submit written comments
September 9, 2026, 5PM PDT: Final review by the Administrative Affairs Committee
October 1, 2026: Final review and adoption by the Oregon Medical Board, ITP Rules effective January 1, 2027
October-December 2026: OMB staff develop program systems (IT, website, forms, etc.)
January 1, 2027: SB 476 sections 4-9 and OMB rules become effective.
January 4, 2027: OMB starts accepting ITP applications
Dates and times subject to change.

Additional Resources

SB 476 (2025) sections 4-9
Advisory Commission on Additional Licensing Models, established in December 2023 to advise development of laws specific to the licensing of physicians who have already trained and practiced medicine outside the United States.

Guidance Document #1 (February 2025), focuses on eligibility requirements to ensure physicians entering these pathways are ultimately ready to safely practice medicine in the United States.
Guidance Document #2 (August 2025), recommendations for assessment and supervision that should be included during the period of provisional licensure

Assessment of Internationally Trained Physicians During the Supervisory Period: A Toolkit for Institutions and Supervisors
Federation of State Medical Boards, Licensure Pathways for Internationally Trained Physicians Legislation and Regulation
In 2024, the OMB proposed a resolution - Pathways to Licensure for International Medical Graduates (IMGs) - at the Federation of State Medical Board's (FSMB) Annual Meeting that was passed unanimously.

Please email elizabeth.ross@omb.oregon.gov with questions regarding implementation of this provisional license.

For information on requesting accommodations to attend meetings, contact Gretchen Kingham, Executive Assistant, gretchen.kingham@omb.oregon.gov or (971) 673-2700.

webpage updated October 2, 2026