License and DEA Resources

 

Medical Licensure

House staff should work with their program coordinators on licensure related issues.

UCSF Fresno’s GME office hosts an annual license fair to assist residents with the Postgraduate Training License application process.  The next fair is scheduled for Monday, February 24 from 9 a.m. to 1 p.m. See flyer for details.

Please review UCSF Fresno’s Licensure Policy for more information.

The information below includes resources and links for the following:

DEA Certificate

See the UCSF Fresno DEA policy for details on how to apply and information about fee exemption for your DEA certificate. Fee exemption doesn’t apply for external moonlighting purposes.

 

Postgraduate Training License (PTL) Information and Resources

 

MD

DO

UCSF Fresno
PTL Instructions

 

Instructions for MD

Read this document before
starting the application process.

Instructions for DO

Read this document before starting the application process.

Medical Board Websites

Medical Board of California

Osteopathic Medical Board of California

Applications

Application for a PTL (Forms PTL1-PTL5)

Online Application for a PTL*

*current UCSF Fresno residents should apply by mail, not online. Incoming residents are encouraged to apply online.

Application for Osteopathic PTL (Form OMB.22)

Online Application for PTL*

*current UCSF Fresno residents should apply by mail, not online. Incoming residents are encouraged to apply online.

Individual Forms & Resources for Applicants and Programs

Application for a PTL Information & Checklist

Explanation for Application Question (Form EXP)

Timeline of Activities (Form TOA)

Certificate of Medical Education (Form MED)

Certificate of Completion of ACGME Postgraduate Training (Form PTA-PTB)

Postgraduate Training License Enrollment (Form EF)

Notarized Signatory Page (Form PTL5)

Translation of International Academic Credentials

Program Status Update/Change Form (Form PSU1-PSU2)

Applicant Address Change Request Form

Notification of Name Change

 

Application for Osteopathic PTL Instructions

Postgraduate Training Program Enrollment Certification Form (Form OMB.23)

Certificate of Completion of AOA or ACGME Postgraduate Training (Form OMB.25)

Online PTL Application Notary Form (Form OMB.26)

Postgraduate Training Program Status Update/Change Form (Form OMB.24)

PTL Address Change Form (Form OMB.17)

Fees
Not covered/reimbursed by UCSF Fresno GME.

Application Fee – $491.00

Application Fee – $540.00

Fingerprinting

 

Live Scan Forms

Live Scan Fresno

Live Scan Locations in California

Fingerprint Cards are required for applicants residing outside of California. The MBC will mail fingerprint cards when the application and processing fees have been received.

Live Scan Forms

Live Scan Fresno

Live Scan Locations in California

Fingerprint Cards are required for applicants residing outside of California. Contact the OMBC to obtain fingerprint cards.

USMLE/COMLEX
Score Report/Transcript

FSMB Online USMLE Transcript Request

NBOME Certified COMLEX Transcripts

Notary Services

UCSF Fresno has staff members available to provide notary services to residents at no cost. Please contact your program coordinator or the GME office for a current list of notaries at UCSF Fresno.

Photos

UCSF Fresno provides photos of current trainees at no charge. Please work with your program coordinator or the GME office to obtain copies from the UCSF Fresno Graphics department.

Photos should be head and shoulders only (passport quality), size 2”x2”, full color.

Photos are required on application documents before they can be notarized, so please be sure you have photos before you get documents notarized.

 

 

Transition from a Postgraduate Training License (PTL) to a Physician’s and Surgeon’s License Information and Resources

 

MD

DO

UCSF Fresno Transition Instructions

Instructions for MD

Read this document before starting the application process.

Instructions for DO

Not available at this time. This section will be updated when the OMBC releases instructions, transition requirements, and application.

Medical Board Websites

Medical Board of California

Osteopathic Medical Board of California

Applications

Application to Transition from a PTL to a Physician’s and Surgeon’s License (Forms TF1-TF4)

Transition Application isn’t available yet.

Individual Forms & Resources for Applicants and Programs

Application to Transition from a PTL to a Physician’s and Surgeon’s License Information & Checklist

Explanation for Application Question (Form EXP)

Certificate of Completion of ACGME/RCPSC/CFPC Postgraduate Training (Form PTA-PTB)

Current Postgraduate Training Verification (Form CTV)

Notarized Signatory Page (Form TF4)

Program Status Update/Change Form (Form PSU1-PSU2)

Applicant Address Change Request Form

Notification of Name Change

Postgraduate Training Program Enrollment Certification Form (Form OMB.23)

Certificate of Completion of AOA or ACGME Postgraduate Training (Form OMB.25)

Postgraduate Training Program Status Update/Change Form (Form OMB.24)

 

Fees

Covered/reimbursed by UCSF Fresno GME.

License Fee – $416.50*

*reduced fee when enrolled in a training program

UCSF Fresno (GME) will provide a check payable to the Medical Board of California or will reimburse applicants through MyExpense for this fee upon receipt of a completed transition application package. Checks will be released to program coordinators, not to residents.

License Fee – prorated fee TBD

UCSF Fresno (GME) will provide a check payable to the Osteopathic Medical Board of California or will reimburse applicants through MyExpense for this fee upon receipt of a completed transition application package. Checks will be released to program coordinators, not to residents.

Fingerprinting

Fingerprinting was completed with PTL.

Fingerprinting was completed with PTL.

USMLE/COMLEX
Score Report/Transcript

FSMB Online USMLE Transcript Request

Applicants should request an official examination history report verifying passage of USMLE Step 3 from the FSMB. Steps 1 and 2 (CK and CS) were reported with PTL application.

NBOME Certified COMLEX Transcripts

Applicants should request an official examination history report verifying passage of COMLEX Level 3 from the NBOME. Levels 1 and 2 (CE and PE) were reported with PTL application.

Notary Services

UCSF Fresno has staff members available to provide notary services to residents at no cost. Please contact your program coordinator or the GME office for a current list of notaries at UCSF Fresno.

Photos

UCSF Fresno provides photos at no charge. Please work with your coordinator or the GME office to obtain copies from the UCSF Fresno’s Graphics department.

Photos should be head and shoulders only (passport quality), size 2”x2”, full color.

Photos are required on application documents before they can be notarized, so please be sure you have photos before you get documents notarized.