1. Check with your State's Licensing Board: This is the *most crucial* first step. Each state (in the US) or equivalent licensing body (in other countries) has its own requirements and procedures. Their website will be your primary source of information. You need to find out the specific rules for reinstatement or relicensure in your state/country.
2. Requirements Typically Include:
* Application: Completing a detailed application form, which often includes a thorough account of your professional history, including the reasons for the break in practice.
* Fees: Expect significant fees associated with the application and processing.
* Verification of Credentials: Providing proof of your initial medical degree, residency training, and any previous licenses held. This usually requires official transcripts and verifications sent directly from the institutions.
* Continuing Medical Education (CME): You'll almost certainly need to complete a significant amount of CME credits to demonstrate continued competency. The number of required credits and the specific topics will vary depending on the length of your break and the board's requirements. This might include specific courses addressing clinical skills that might have atrophied during your time away from practice.
* Examination(s): Depending on the length of your break and the board's policies, you may need to retake some or all parts of the licensing examination (e.g., USMLE, COMLEX, or equivalent). This is particularly likely if it's been a considerable number of years since you last practiced.
* Background Check: A thorough background check, including criminal history and malpractice claims, is standard.
* Clinical Competency Evaluation: In many cases, particularly after a long absence, you'll need to demonstrate clinical competency. This could involve supervised clinical practice, observation, or a formal assessment to show you're still capable of safely practicing medicine.
* Reference Letters: Letters of recommendation from physicians who can attest to your skills and character might be required.
3. Possible Scenarios:
* Relatively Short Break (1-3 years): The requirements might be relatively straightforward, primarily focused on CME and possibly a brief refresher course.
* Longer Break (3+ years): Expect more rigorous requirements, likely including exams, a clinical competency assessment, and a substantial number of CME credits.
* Significant Break (10+ years): This is likely to be the most challenging, potentially requiring a significant amount of time and resources to meet the board's demands, potentially including further training or even re-entering residency programs (depending on jurisdiction).
4. Seek Professional Guidance:
Consider consulting with a physician licensing attorney or the licensing board itself to clarify the exact steps needed for your specific situation. They can provide expert advice based on your unique circumstances and ensure you navigate the process correctly.
In short, don't assume anything. Contact the relevant licensing authority in your jurisdiction immediately to understand their precise requirements before investing time and money in preparation.