Visiting Clinical Professional Development Certificate

Visiting Clinical Professional Development Application

The holder of a visiting clinical professional development certificate may practice medicine and surgery or osteopathic medicine and surgery only as part of the clinical professional development program in which the certificate holder participates. The certificate holder's practice must be under the direct supervision of a qualified faculty member of the medical school, osteopathic medical school or teaching hospital conducting the program who holds a certificate to practice medicine and surgery or osteopathic medicine and surgery issued by the State Medical Board.

A visiting clinical professional development certificate is valid for the shorter of one year or the duration of the program in which the holder is participating. The certificate ceases to be valid if the holder resigns or is otherwise terminated from the program.

Click here for eligibility requirements. Apply online at You will also need to submit documentation of your acceptance for participation in a clinical professional development program of a medical school or osteopathic medical school in this state.


Please note: the Medical Board is unable to confirm receipt of supporting documents prior to an application being submitted. 

Once an application has been submitted, any documents that have been previously received will be attached to the application. Please allow the Board 10 business days to perform an initial review of your application. After that time, you may check the status of your application by logging into eLicense and navigating to your license application. Select the Options tab and the Review Status option. Any outstanding items will be listed in the ‘Comments’ section at the bottom of the page.


Criminal Offenses


Q: What must be disclosed on the application regarding arrest/criminal history?

A: If you have ever been arrested, charged, or convicted of a misdemeanor or a felony you must disclose the incident(s) on the application, regardless of whether the criminal records were subsequently sealed or expunged.  This includes serious traffic offenses such as reckless driving, driving under the influence of alcohol and/or drugs, hit and run, evading a peace officer, failure to appear, and driving under suspension. Matters in which you were diverted, deferred, pardoned, or pled nolo contendere must also be disclosed.  If you are in doubt as to how to respond to the application questions, full and honest disclosure is recommended.


Failure to provide truthful responses to the questions on the application may result in disciplinary action up to, and including, permanent denial of your application.

Explanatory Statement Disqualifying Offense List 

Disqualifying Offense List 


Initial Application Fees

Transaction fee $3.50