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. 2024 Nov 4;16(11):e72969. doi: 10.7759/cureus.72969

Table 1. PGL programs by state/US territories and description.

The following programs have been passed, allowing medical graduates to practice under the supervision of a board-certified physician while seeking residency positions. The ones that have been implemented are indicated with an asterisk (*).

PA, physician assistant; PGL, postgraduate licensure

Program States/US territories Description
Assistant physician Missouri* and Florida* Allows unmatched medical graduates to work under supervision while seeking residency positions [26,27]
Associate physician Utah* Allows unmatched medical graduates to work under supervision in clinical settings while seeking residency [28]
Bridge physicians Louisiana*, Idaho, and Alabama* Transitional role for unmatched medical graduates reapplying for residency, enabling them to gain clinical experience [29-31]
Graduate physician Tennessee Allows unmatched medical graduates to work in clinical settings while seeking residency positions [32]
Graduate registered physician Arkansas* Allows unmatched medical graduates to work under supervision while seeking residency positions [33]
House physician Florida* Unmatched medical graduates practice under the direct supervision of an MD or DO in-training program [34]
International medical graduate clinical experience license Washington* Provides unmatched international medical graduates with clinical experience under supervision [35]
Limited permit New York* and Arizona* Permits unmatched medical graduates to work in specific clinical roles under supervision [36,37]
PA Commonwealth of Puerto Rico* Allows unmatched medical graduates to work as a PA with a medical degree [38]
Special permit for graduates of the University of Kansas School of Medicine Kansas* Permits unmatched medical graduates to work under the supervision of a licensed attending physician [39]
Supervised medical graduates Maryland Allows unmatched medical graduates to gain supervised clinical experience [40]