Federation of State Boards of Physical Therapy Jurisdiction Licensure Reference Guide Topic: Foreign Educated PTs and PTAs

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1 PT Requirements for Licensure Summary: Number of Jurisdictions that Require: Educational Credentials Review 50 from a program equivalent to CAPTE 37 Eligibility to practice in the country in which education was obtained 26 English language proficiency 42 Clinical Internship in US 13 Clinical Internship before licensure 12 Clinical Internship after licensure 1 Educational credentials review from a CAPTE equivalent program Eligibility to practice in the country in which education was obtained English language proficiency Clinical in US Other? AL Jurisprudence exam AK Length of clinical 6 months or if by credentials 6 months of practice in home state Clinical prior to or after licensure? AZ 90 days minimum AR CA CO CT DE OR equivalent education and experience as defined in regulations t to exceed 9 months FSBPT

2 DC Educational credentials review from a CAPTE equivalent program Eligibility to practice in the country in which education was obtained English language proficiency Clinical in US Other? FL Jurisprudence Exam GA Jurisprudence Exam HI ID Jurisprudence Exam IL IN IA KS KY LA ME MD MA MI Length of clinical 1,000 hours if <2 years active practice prior to application t less than 3 month or more than 6 months 6 months with 1000 clinical hours Clinical prior to or after licensure? MN 6 months MS MO MT FSBPT

3 NE NV NH NJ NM NY Educational credentials review from a CAPTE equivalent program Eligibility to practice in the country in which education was obtained English language proficiency Clinical in US Other? OR education deemed equivalent by NY Comparative Education Unit NC Jurisprudence Exam ND 6 months OH Jurisprudence Exam OK OR PA RI Length of clinical 800 hours (at least 120 days) 12 months for other than Endorsement applicants Clinical prior to or after licensure? A time-limited restricted license is issued for the preceptorship time. A full, unrestricted license is issued after completion of the preceptorship SC 1000 clinical hours After Licensure SD FSBPT

4 TN TX UT VT Educational credentials review from a CAPTE equivalent program Eligibility to practice in the country in which education was obtained English language proficiency Clinical in US Other? Length of clinical 480 hours and shall be accomplished at a rate of no more than 40 hours or no less than 20 hrs per week Clinical prior to or after licensure? VI 1,000 hours VA WA WV WI WY FSBPT

5 English Language Proficiency Requirements Summary -. of Jurisdictions that Require: TOEFL 24 TWE 22 TSE 28 TOEFL ibt 34 AL AK AZ AR CA CO CT DE DC Which English language tests required? TOEFL TWE TSE TOEFL ibt Required passing scores for TOEFL, TWE and TSE Required passing scores for TOEFL ibt Comments TOEFL TWE TSE Writing Speaking Reading Listening Total FL GA HI Comments Did not adopt total passing score. FSBPT

6 ID Which English language tests required? TOEFL TWE TSE TOEFL ibt Required passing scores for TOEFL, TWE and TSE Required passing scores for TOEFL ibt Comments TOEFL TWE TSE Writing Speaking Reading Listening Total IL IN IA Comments KS KY LA ME MD MA MI MN MS MO MT Requires passing scores on each section, not just the total score. The Board adopted the individual scores but not a total score. We are drafting changes to the administrative rules to require the scores recommended by FSBPT. New rules take up to two years to promulgate. total. Must meet minimum score in each category. If from a non-english speaking culture, the applicant shall display FSBPT

7 NE NV NH NJ NM NY NC Which English language tests required? TOEFL TWE TSE TOEFL ibt Required passing scores for TOEFL, TWE and TSE Required passing scores for TOEFL ibt Comments TOEFL TWE TSE Writing Speaking Reading Listening Total Passage of the examination can be the determining factor ND OH OK Comments competency in the English language by passing the national examination test of English as foreign language (TOEFL) with a score of 50 percent of the total possible points on each subject. In proposed regulations that are going through promulgation process. Each component must be passed. We do not base it on a total. FSBPT

8 OR PA Which English language tests required? TOEFL TWE TSE TOEFL ibt Required passing scores for TOEFL, TWE and TSE Required passing scores for TOEFL ibt Comments TOEFL TWE TSE Writing Speaking Reading Listening Total RI SC SD TN TX UT VT VI VA WA WV WI or 213- or Comments Use whatever score is accepted by FSBPT. FSBPT

9 WY Which English language tests required? TOEFL TWE TSE TOEFL ibt Required passing scores for TOEFL, TWE and TSE Required passing scores for TOEFL ibt Comments TOEFL TWE TSE Writing Speaking Reading Listening Total Comments FSBPT

10 The following definitions were used in this portion of the survey. Federation of State Boards of Physical Therapy Use of the FSBPT Coursework Tools (CWT) Coursework Tool: This CWT was developed by the Federation to assist in evaluating whether the education and coursework of a foreign educated physical therapist is substantially equivalent to that of the education of a United States-educated physical therapist under the current criteria established by the Commission on Accreditation in Physical Therapy Education (CAPTE). The CWT has been found valid and reliable by independent research and was adopted by Federation s 2003 Delegate Assembly. Retro CWTs: Additional Coursework Tools were developed by the Federation based upon the appropriate educational criteria in place at the time of graduation in 1955, 1978 and 1992 and Each CWT reflects the minimum general and professional educational requirements for substantial equivalence in respect to a US first professional degree in physical therapy at the time of the candidate s graduation. PTA Tool: This PTA Coursework Tool was developed by the Federation in response to the 2008 published regulation number CMS-1385 by the Centers for Medicare and Medicaid Services (CMS) for Medicare reimbursement. This CMS regulation requires a foreign educated physical therapist assistant to show certification of education which is substantially equivalent to an entry-level physical therapist assistant s education in the United States. Statutes are passed by legislators. regulations are written and passed by the board after a public hearing. Policies are internal documents written by the board with no input from the public. Summary. Jurisdictions that accept the current CWT 49. Jurisdictions that REQUIRE the current CWT 36. Jurisdictions that specify CWT in Statutes 1. Jurisdictions that specify CWT in 19. Jurisdictions that specify CWT in Policies 11. Jurisdictions that use the Retro CWTs (previous standards) 41. Jurisdictions that base Retro CWTs on Date of 30. Jurisdictions that base Retro CWTs on Date of Licensure 1. Jurisdictions that use PTA Tool 15 FSBPT

11 Use of the Coursework Tool and Retro CWTs Accept Require Where required? Use Retro CWTs? What date do you base Retro CWTs use on? Use PTA Tool? AL AK AZ AR, endorsement candidates only CA Has a proposed rule change to adopt the CWT and Retro CWTs (12/2010) CO Policies CT Policies t Specified DE DC Policies FL GA HI Policies ID IL ; CWT 4 for firsttime licensees for endorsement candidates IN FSBPT

12 Accept Require Where required? Use Retro CWTs? What date do you base Retro CWTs use on? Use PTA Tool? IA (Admin Rules) KS KY LA ME MD Policies MA Policies MI MN Statute MS MO Policies MT NE NV NH Policies NJ FSBPT

13 Accept Require Where required? Use Retro CWTs? What date do you base Retro CWTs use on? Use PTA Tool? NM NY NC ND Policies OH Licensure OK OR (Rules) PA RI SC Policies SD TN TX UT t Specified VT VI VA FSBPT

14 Accept Require Where required? Use Retro CWTs? What date do you base Retro CWTs use on? Use PTA Tool? WA Policies, CWT 4 only WV (Regulatory Law) WI, CWT 4 only WY Policies t Specified FSBPT