Medical College of Wisconsin Affiliated Hospitals, Inc.

Institutional Policy




This policy outlines licensure, temporary educational permit and DEA number requirements for housestaff.

    All MCWAH housestaff are required to acquire and maintain proper medical licensure as outlined below:

  1. Housestaff must pass the Step 2 CK and CS of the United States Medical Licensing Examination (USMLE) or the Level 2 CE and Level 2 PE of the COMLEX-USA of the National Board of Osteopathic Medical Examiners (NBOME) prior to the end of their first year of GME training. Failure to pass these examinations will result in non-promotion to the second year of training or non-renewal of the training agreement. 
  2. All unlicensed housestaff must obtain a Wisconsin Temporary Educational Permit (TEP) at the start of their second year of graduate medical education (GME) training.
  3. All candidates accepted into a MCWAH training program must pass Step 3 of the USMLE or of the COMLEX-USA within 6 months of successfully completing one year of GME training.
  4. All housestaff must possess an unrestricted Wisconsin license by the last month of their second year of GME training. Failure to possess an unrestricted license may result in: non-promotion to the third year of training, unpaid leave of absence or the non-renewal of the training agreement.
  5. All International Medical Graduate (IMG) candidates accepted into a MCWAH fellowship program must have passed the USMLE Step 3 prior to the start of training in a MCWAH program.
  6. All candidates accepted into a MCWAH fellowship program who are eligible for a Wisconsin medical license are expected to have a Wisconsin medical license prior to the start of their fellowship training.
  7. Visiting housestaff who rotate in a MCWAH program for longer than one month (i.e. greater than 31 days) must obtain a Wisconsin medical license and professional liability insurance prior to the start of the rotation.
  8. All residents and fellows must renew their TEP or Wisconsin license prior to expiration.
  9. Licensed housestaff, with the exception of housestaff who are in specialties which do not order and administer controlled substances or who never write prescriptions, must also obtain a DEA number within three months of receiving their Wisconsin license. All prescriptions for scheduled drugs must have the DEA number of a physician licensed in Wisconsin. Most pharmacies in the community require a DEA number on all prescriptions. Non-licensed housestaff must have their prescriptions co-signed by a licensed physician with a DEA number.
  10. Wisconsin law requires licensed physicians to complete 30 hours of continuing medical education for biannual re-registration.  Participation in a program of graduate medical education for three continuous months satisfies this requirement. Verification of such participation will be provided if needed. (Wis. Admin. Code § Med 13.04)
  11. Exceptions to this policy can only be made by the Executive Director & Designated Institutional Official (DIO) of MCWAH upon recommendation of the program director.

This revised policy was approved by the MCWAH Graduate Medical Education Committee on July 21, 2014. 

This policy was approved by the MCWAH Graduate Medical Education Council on July 18, 2011 and October 20, 2008. The initial Licensure Requirement Policy was approved on July 15, 2002 and revisions approved on April 21, 2003, October 15, 2007.

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Milwaukee, WI 53226
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Page Updated 01/22/2015