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PT and the Greater Good

Interstate Practice

Published August 5, 2014 4:44 PM by Dean Metz

One of the things that surprised me when I first moved to the United Kingdom was that my registration (equivalent to licensing) was valid not only in England, but also in Wales, Scotland, and Northern Ireland. If I suddenly got an offer in Edinburgh or Cardiff, I could simply accept it and go. No additional paperwork.

I've held multiple licenses in New York, Florida, and even California at one point in the US. That required multiple fees, keeping track of continuing education requirements for each state, and numerous applications and renewals. Frankly, it was a royal pain and rather expensive.

The American Medical Association (AMA) is now putting forth the idea of interstate practice. This would reduce the burden on physicians who could practice in more than one state. For instance, a doctor who lives in Westchester County in New York could easily work in either Connecticut or New Jersey. If one lives on a state line, say the four corners of Colorado, Arizona, New Mexico and Utah, the employment opportunities would really open up! It may not mean much if one lives in the center of a large state like Texas or in an isolated state like Alaska, at least not until your spouse gets relocated to another state.

The nursing profession is also considering a similar plan. As technology advances, doors would open in the world of tele-health and remote practicing as well!

Would you benefit from an interstate licensure? Do you know of any plans for this in our profession? Are there any drawbacks you can think of?

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About this Blog


    Dean Metz
    Occupation: Staff Development Specialist
    Setting: New York, NY – Newcastle Upon Tyne, Great Britain
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