A person must have a residency permit to participate in a residency program unless licensed by the board. Upon issuance of a license by the board, the board will terminate a residency permit. A person must have a license to practice medicine to practice outside of a residency program, except as set forth in section 147.09. An applicant for a residency permit must pay a $20 nonrefundable fee upon initial application and upon a change in residency program a lesser nonrefundable fee set by the board in such amount that is necessary to cover administrative costs incurred by the board. The applicant must also have been accepted into either:
(1) a graduate medical education program accredited by a national accrediting organization approved by the board; or
(2) other nonaccredited graduate training approved by the board as meeting standards comparable to those of a national accrediting organization.
The approvals required by clauses (1) and (2) must have been granted by the board before the applicant enrolls in the training.
Upon a change in residency programs, a person holding a residency permit must notify the board in writing no later than 30 days after termination of participation in the residency program being terminated. A separate residency permit is required for each residency program until licensure is obtained.