An SMG is an individual who has passed parts 1 and 2 of the USMLE and:

• Has an M.D. degree from a medical school that is accredited by an accrediting organization the Board recognizes in its regulations; or
• Has a D.O. degree from a school of osteopathy in the U.S., its territories or possessions, Puerto Rico, or Canada that has standards for graduation equivalent to those the American Osteopathic Association established; or
• Is an individual who has a doctor of medicine from another medical school and has completed the requirements for and obtained certification from the Education Commission for Foreign Medical Graduates (ECFMG)

An individual who does not meet the above requirements cannot be hired as an SMG, nor can a licensed physician delegate duties to them.

1. A medical school accredited by the Liaison Committee on Medical Education (LCME) or its successor at the time of graduation;
2. A school of osteopathy that has standards for graduation equivalent to those established by the American Osteopathic Association; or
3. A medical school recognized by the Educational Commission for Foreign Medical Graduates.

A Maryland-licensed physician who is:

1. Personally treating the patient;
2. Physically on the premises at the same medical office as the SMG; and
3. Immediately available to provide assistance and guidance to the SMG for the duration of the completion of the delegated duty

No, SMGs do not require a license.

No. However, a delegating physician must delegate duties to an SMG that are consistent with national standards in the medical community and the approved policies and procedures of the medical office.

No, a physician supervising an SMG does not need to be in the presence of an SMG.

An individual can practice as an SMG for up to 2 years.

If an individual who meets the requirements is interested in practicing as an SMG, they should contact their prospective employer. The Board is not involved in this process.

No, the Board does not arrange employment for SMGs and is not involved in the employment process for SMGs.

The SMG and their employer must ensure that all requirements set forth in regulations and Health Occupation, § 14-306, Annotated Code of Maryland are met. An SMG acting beyond the scope of the statute may be considered to be engaged in the unlicensed practice of medicine and be subject to all applicable penalties and fines in accordance with Health Occupations Article, §§14-601,14-602, 14-606 Annotated Code of Maryland, and COMAR 10.32.02.