Title 510

(a)  Licensure. It is the general requirement in the State of Oklahoma that osteopathic physicians be licensed by the State Board of Osteopathic Examiners. No person shall be licensed by the Board unless and until that person first fully complies with all licensure provisions of the Act and these Rules and has satisfied the Board of the ability to practice osteopathic medicine and surgery with reasonable skill and safety.

(b)  Postgraduate training. One completed year of postgraduate training is a requirement for full licensure. The training must be or have been completed in a residency program that is approved by the Accreditation Council for Graduate Medical Education (ACGME), the Accreditation Council for Graduate Medical Education International (ACGME-I), the American Osteopathic Association (AOA) or the World Federation Medical Education (WFME). If the applicant did not complete a residency, then this experience may be in the form of a rotating internship or its equivalent, in an accredited internship or residency program acceptable to the Board. Clerkships are not permitted and do not replace the Postgraduate training requirements.

(c)  Application. An applicant for a license to practice osteopathic medicine and surgery shall complete an application provided by the Board, which is available on the Board's website. The applicant shall complete and submit the application in full prior to the Board consideration. In addition to the application form online, each candidate must also provide the following materials:

(1)  A 3x4 photograph or larger taken within the previous sixty (60) days which meets the requirements of a passport photo;

(2)  Verification of graduation from an osteopathic medical school approved by the American Osteopathic Association (AOA) or the Board. The applicant's medical school shall provide a copy of a final transcript and diploma in addition to verifying graduation;

(3)  the postgraduate training certificate, as applicable;

(4)  certificate of specialty board certification, as applicable;

(5)  Payment of all fees as established by the Board in the Fee Schedule under rule 510:10-7-1;

(6)  A transcript ordered from the National Board of Osteopathic Medical Examiners (NBOME) or the National Board of Medical Examiners (NBME), with a passing score on all steps of the examination as set forth by the testing entity. Any applicant who has failed more than four (4) of the following examination attempts: COMLEX-USA, FLEX, or USMLE, may be required to appear before the Board. The Board may accept an equivalent exam given by another State Board. The Board is not required, however, to accept these exams in lieu of the COMLEX-USA or USMLE examinations;

(7)  A notarized copy of the applicant's birth certificate or passport;

(8)  Verification of postgraduate training on a form furnished by the Board on its website. The postgraduate training form shall be filled out in its entirety by the program's residency coordinator or director, for each residency that the physician attended;

(9)  License verification of standing from each state where the physician has held a license, whether that license is current or inactive and whether or not the physician has been the subject of any disciplinary action in that state. If action has been taken by another state board, all orders and relevant documentation are required to be sent to the Board before the physician can be reviewed for licensure;

(10)  A chronology of events which accounts for the applicants time and activity, from medical school graduation to the present.

(11) A report from the National Practitioner Data Bank (NPDB), shall be ordered by the applicant and sent to the Board;

(12)  Fingerprint-based background check completed by a Board approved entity that meets the requirements of a National Criminal History Record check pursuant to 74 O.S. § 150.9.

(d)  Interview. The Board may require a personal interview from any applicant.

(e)  Beginning of practice. Applicants for licensure shall not begin practice until their license information is publicly provided on the Board's website.

[Source: Amended at 11 Ok Reg 3419, eff6-27-94;Amended at 13 Ok Reg 2229, eff6-27-96;Amended at 17 Ok Reg 3176, eff7-27-00; Amended at 33 Ok Reg 1771, eff 9-11-16; Amended at 39 Ok Reg 2050, eff 9-11-22; Amended at 42 Ok Reg, Number 20, effective 7-11-25]

(a)  Reciprocity. An applicant for licensure by reciprocity, may, at the discretion of the Board, be licensed without further examination. Such applicants may be required to appear before the Board. An applicant for a license to practice osteopathic medicine and surgery by reciprocal endorsement shall:

(1)  Complete and submit the uniform application together with all applicable fees and required documentation;

(2)  Provide evidence of graduation from a medical school accredited by the Commission on Osteopathic College Accreditation (COCA);

(3)  Provide license verification from each state in which the applicant is currently or was previously licensed.

(b)  Endorsement of the National Board of Osteopathic Medical Examiners or the National Board of Medical Examiners. An applicant who has successfully completed all parts of the examination sequence of the National Board of Osteopathic Medical Examiners or the National Board of Medical Examiners and, who presents the required documentation of having met all of the scholastic and other requirements of the Board, may, at the discretion of the Board, be licensed without further examination.

(c)  Interstate Medical Licensure Compact. An applicant for licensure who has successfully completed the Letter of Qualification (LOQ) process in their State of Principal License (SPL), may be granted licensure upon submittal of a license application through the Interstate Medical Licensure Compact (IMLC). [Title 59 O.S. 493.7 et seq.]

(d)  Reinstatement. A previously cancelled license issued by this Board, may, at the discretion of the Board, be reinstated. Such applicants may be required to appear before the Board. An applicant for reinstatement in this state, whose license has been cancelled for a period of two (2) years or greater, shall complete and submit the uniform application together with required documentation and payment of applicable fee.

(e)  Board discretion. The Board may refuse to grant a license by reciprocity or endorsement to any applicant.

[Source: Amended at 11 Ok Reg 3419, eff 6-27-94; Amended at 33 Ok Reg 1771, eff9-l 1-16; Amended at 39 Ok Reg 2050, eff9-I1-22; Amended

at 42 Ok Reg, Number 20, effective 7-11-25]

An application for licensure or renewal may be denied or tabled if the applicant has engaged in any of the conduct described at Title 59 O.S. Section 637 or any other conduct prescribed by statute or Board rule.

[Source: Amended at 13 Ok Reg 2229, eff6-27-96; Amended at 42 Ok Reg, Number 20, effective 7-11-25]

^{[Source: Amended at 11 Ok Reg 3419, eff 6-27-94; Amended 9-11-22]}

 A physician may request another wall certificate if the physician pays the applicable fee pursuant to the Fee Schedule 510:10-7-1.

^{[Source: Amended at 11 Ok Reg 3419, eff 6-27-94; Amended 9-11-22]}

(a)  A licensee shall renew his or her license every year, by submitting a renewal application, which is available on the Board's website, and paying a non-refundable renewal fee in an amount established by the Board in its Fee Schedule pursuant to 510:10-7-1. If the licensee pays by mailing in a check, the payment must be postmarked by June 30. A physician who fails to acquire and submit a renewal application may not practice using alapsed license. The renewal application together with all documents submitted with the application is the property of the Board and shall not be returned.

(b)  Continuing education required. Annual license renewal requires proof of having attended and received credit for sixteen (16) American Osteopathic Association (AOA) Category One hours of Continuing Medical Education (CME).

(1)  Osteopathic physicians who are obtaining or maintaining board certification through the American Board of Medical Specialties (ABMS) may complete sixteen (16) Category One American Medical Association (AMA)credit hours for purposes of satisfying their CME credits for renewal.

(2)  One (1) hour every year of the required sixteen (16) hours shall be devoted to the subject of prescribing Controlled Dangerous Substances (CDS) as defined in Title 21, Code of Federal Regulations, Part 1308 or Title 63 of the Oklahoma Statutes.

(A)  The one (1) hour of CME shall be dedicated to pain management, opioid use, or addiction, The course shall be obtained at a seminar approved by the State Board of Osteopathic Examiners.

(B)  Certification of attendance shall be submitted to CE Broker by the organization sponsoring the program.

(C)  Those osteopathic physicians who are licensed in Oklahoma who do not possess the State Bureau of Narcotics and Drug Enforcement Administration authority to handle CDS are exempt from this requirement.

(3)  A licensee who, for any period during the CME cycle year, was considered a Resident or Fellow is exempt from CME requirements. CME requirements will be required beginning the first July 1 following graduation from Residency or Fellowship.

(4)  All relevant CME data and completion certificates shall be submitted through CE Broker. If applicable, the course provider may report the relevant CME data on behalf of the licensee.

(c)  Fee required. All osteopathic physicians licensed to practice by the Board shall pay an annual renewal fee before July 1. In addition to the annual renewal fee, the Board may charge a convenience fee. A late fee shall be charged for any license not renewed before July 1 or any check not postmarked by June 30. The Boards fees are provided in the Fee Schedule in 510:10-7-1.

(d)  Professional Standards Questionnaire. Annual license renewal requires the physician to truthfully answer questions posed by the Board regarding relevant personal and professional history of the applicant since their last renewal. If any question is answered "yes", then the applicant shall provide supporting documentation and a personal statement to the Board regarding the question answered.

(e)  Fitness to Practice Attestation. Annual license renewal requires the physician to attest to their fitness to practice.

(f)  Cancellation of License. A licensee who does not successfully complete the annual renewal of their license shall be cancelled at the September regular meeting of the Board and will be issued an Order of Cancellation. A licensee who wishes to reinstate their license following cancellation may request to do so within two (2) years. This request shall include the following and is subject to Board review:

(1)  Completion of the Professional Standards Questionnaire;

(2)  Signed Fitness to Practice Attestation;

(3)  Proof of sixteen (16) current cycle CME credit hours;

(4)  License Verifications from all states the licensee holds or had held a license.

[Source: Amended at 11 Ok Reg 3419, eff 6-27-94; Amended at 13 Ok Reg 2229, eff 6-27-96; Amended at 17 Ok Reg 3176, eff 7-27-00;

Amended at 33 Ok Reg 1771, eff 9-11-16; Amended at 39 Ok Reg 2050, eff 9-11-22; Amended at 42 Ok Reg, Number 20, effective 7-11-25]

In all communications regarding matters relating to the practice of osteopathic medicine, licensees shall clearly state their academic degree and license designation by the use of the term "D.O." or "Doctor of Osteopathy" or "Doctor of Osteopathic Medicine". By way of example, this rule requires use of the stated designation on a licensee's stationery, business cards, advertisements, prescription blanks, signs and public listings and displays.

^{[Source: Amended at 13 Ok Reg 2229, eff 6-27-96]}

All osteopathic physicians licensed in this state shall notify the Board within thirty (30) days of any change in either their practice address, home address, and email address. The Board shall also be notified of changes in practice and personal cell phone numbers. Each licensee whose first or last name has been changed shall report this to the Board.  The physician will need to request a name change online and upload certified documentation for proof of change to be reviewed by the Board.  The Board must approve all name changes before the name is changed in the physician's profile or on their license.

^{[Source: Added at 33 Ok Reg 1771, eff 9-11-16; Amended 9-11-22]}

The Osteopathic Medicine Act authorizes the Board to issue a Resident Training license for medical school graduates during their first year of postgraduate training, also known as PGY-1. In order to begin the first year of residency, all resident physicians must obtain a Resident Training license. The Board may issue a Resident Training license upon completion of an application, payment of any fees, and submission of documentation from the applicants Oklahoma training program recommending the physician and stating the applicant meets all the requirements for such license. Any person holding a Resident Training license is not guaranteed subsequent full licensure in Oklahoma as an osteopathic physician.

(1)  A Resident Training license shall be:

(A)  Issued by the State Board of Osteopathic Examiners to eligible physicians;

(B)  Issued for no longer than one (1) year unless extended by the Board;

(C)  Issued without continuing medical education (CME) requirements unless the physician holds a registration to prescribe controlled drugs in Oklahoma.

(2)  If the physician's resident training program specifically approves the resident to have prescribing authority, the resident training license shall permit the physician to apply for prescribing privileges from state or federal authorities.

(3)  The Resident Training license shall not permit:

(A)  The physician to apply for prescribing privileges for controlled drugs unless authorized by the resident's training program;

(B)  The physician to recommend medical marijuana;

(C)  The physician to supervise any mid-level practitioner;

(D)  The physician to practice medicine outside the scope allowed by the training program; or

(E)  The physician to practice independent of the training program.

(4)  Following completion of PGY-1 training the resident must apply for an advanced resident medical license to practice medicine in Oklahoma. The advanced resident license shall allow the practice of medicine for all necessary purposes to complete resident training. Termination of the resident from the training program, voluntarily or involuntarily, will result in the automatic suspension of the advanced resident license until the licensee appears before the Board at the next regularly scheduled meeting. In addition, the advanced resident license holder may practice medicine in nongraduate student training locations provided the individual submits to the Board a letter signed by the post-graduate Medical Director that provides all the following information:

(A)  The name and practice location of all places in which the resident will be permitted to practice medicine. Changes in location or duties of the resident must result in the submission of a new letter signed by the Medical Director of the post-graduate program.

(B)  The Medical Director has ensured that the resident has been properly trained to provide competent medical services required in the locations listed.

(C)  The practice of medicine by the resident in the listed locations will not interfere with the training of the resident and is consistent with the program training goals.

[Source: Added at 39 Ok Reg 2050, eff 9-11-22; Amended at 42 Ok Reg, Number 20, effective 7-11-25]

The Osteopathic Medicine Act authorizes the Board to issue a temporary license for certain classes of Resident physicians. The Board may issue a temporary license upon completion of an application, payment of any fees, and submission of documentation from the applicants primary training program recommending the physician and stating the applicant meets all the requirements for such license. Any person holding a temporary resident license is not guaranteed subsequent full licensure in Oklahoma as an osteopathic physician.

(1) A temporary resident license shall be:

(A) Issued by the State Board of Osteopathic Examiners to eligible physicians;

(B) Issued to an out-of-state resident to perform rotations in Oklahoma;

(C) Issued for no longer than six (6) months;

(D) Issued without continuing medical education (CME) requirements; and

(E) Renewable only once upon payment of the fee.

(2) The temporary resident license shall not permit:

(A) The physician to apply for prescribing privileges for controlled drugs;

(B) The physician to recommend medical marijuana;

(C) The physician to supervise any mid-level practitioner;

(D) The physician to practice outside the scope of the Oklahoma training program; or

(E) The physician to practice independent of the training program.

(a)  The Osteopathic Medicine Act authorizes the Board to issue a volunteer medical license for physicians who are retired from active practice and wish to donate their expertise for the medical care and treatment of indigent and needy persons of the State. The Board may issue a volunteer medical license:

(1)  Upon completion of a special volunteer medical license application, including documentation of the physician's osteopathic school graduation and practice history;

(2)  Upon receipt of documentation that the physician has been previously issued a full and unrestricted license to practice medicine in Oklahoma or in another state of the United States and that they have never been the subject of any medical disciplinary action in any jurisdiction;

(3)  Upon acknowledgement and documentation that the physician's practice under the volunteer medical license will be exclusively and totally devoted to providing medical care to needy and indigent persons in Oklahoma or to providing care under the Oklahoma Medical Reserve Corps; and

(4)  Upon acknowledgement and documentation that the physician will not receive or have the expectation to receive any payment or compensation, either direct or indirect, for any medical services rendered under the volunteer medical license.

(5)  A volunteer medical license shall be:

(A)  Issued by the State Board of Osteopathic Examiners to eligible physicians;

(B)  Issued without any fees;

(C)  Issued without continuing medical education (CME) requirements;

(D)  Issued for no longer than one (1) year;

(E)  Renewable annually upon completion of renewal application furnished by Board.

(6)  The volunteer medical license shall not permit:

(A)  The physician to apply for prescribing privileges for controlled drugs;

(B)  The physician to recommend medical marijuana;

(C)  The physician to supervise any mid-level practitioner;

(D)  The physician to receive compensation for medical care and treatment provided.

(b)  Holders of full and unrestricted licenses in Oklahoma for at least ten (10) years may choose at any time to apply for a Physician Emeritus license by notifying the office of the Board. The Physician Emeritus license is for fully retired physicians. The Physician Emeritus license shall be issued with no Continuing Medical Education (CME) requirements. A fee may be charged for this license.

(1)  Physicians holding an Emeritus license may continue to use the title or append to their name the letters, D.O., Doctor, Specialist, Physician or any other title, letters or designation which represents that such person is a physician. Service on boards, committees or other such groups which require that a member be a physician shall be allowed.

(2)  Physicians holding an Emeritus license shall not practice medicine in any form or prescribe, dispense, or administer drugs.

(3)  When a physician has retired from practice and subsequently chooses to return to active practice from Physician Emeritus status, the physician may, be required, at the Boards discretion, to,:

(A)  Pay required reinstatement fees;

(B)  Complete required forms;

(C)  Make a personal appearance before the Board;

(D)  Submit to a physical examination, psychological and/or psychiatric examination; and

(E)  Provide evidence of successful completion of continuing medical education.

[Source: Added at 39 Ok Reg 2050, eff 9-11-22; Amended at 42 Ok Reg, Number 20, effective 7-11-25]

This section was created to comply with the Servicemember Civil Relief Act (SCRA), 50 U.S.C. § 4025a. The purpose of which is to enhance portability of professional licenses of servicemembers and their spouses when they must relocate due to military orders. All active-duty servicemembers and their spouses who have moved to a location outside the jurisdiction of the licensing authority that issued the covered license or certificate may apply for a Military License. This license shall be issued for a period of one (1) year and is renewable, without fee, upon request of the servicemember or spouse for the duration of the military orders provided.

(1)  Each applicant for Military License shall meet the following requirements:

(A)  Have actively used the license or certificate during the two (2) years immediately preceding the move;

(B)  Remain in good standing with:

(i)  The licensing authority that issued the covered license or certificate; and

(ii)  Every other licensing authority that issued a certificate valid for a similar scope of practice and in the discipline applied in the new jurisdiction.

(C)  Submittal to the authority of the Oklahoma State Board of Osteopathic Examiners for the purposes of standards of practice, discipline, and fulfillment of any continuing education requirements.

(2)  Each applicant for Military License shall provide the following requirements:

(A)  Submittal of the Military License application;

(B)  Payment of the fee as provided in the fee schedule;

(C)  A copy of the relevant military orders;

(D)  A copy of the applicants military identification;

(E)  License verifications for the states in which the servicemember or spouse is licensed; and

(F)  Attestation of Fitness to Practice.

[Source: Added at 42 Ok Reg, Number 20, effective 7-11-25)