The Texas Medical Board issues Physician-in-Training permits (PIT Permits) pursuant to Texas Medical Practice Act section 155.105 and Texas Medical Board rules found in the Texas Administrative Code under 22 TAC Section 9 Chapter 163. The PIT permit is required for graduates of a United States or Foreign Medical School who wish to pursue a residency or post-graduate fellowship in Texas who do not possess a Texas Medical License due to ineligibility or a pending application. Although the application for a Physician-in-Training permit is not as cumbersome, tedious or labor intensive as a full physician registration, medical doctors often find themselves needing to go before the Texas Medical Board’s Licensure Committee to explain their good professional character or clinical competence due to:

• Academic difficulties in medical school including poor performance or discipline as evidenced by the applicant’s academic transcript from the third or fourth year of medical school;
• Problems in a post-graduate residency program including failing grades, poor performance, or discipline by the medical faculty;
• Physician discipline from a medical staff, denial by a credentialing committee or other discipline by another state licensing board;
• Criminal convictions involving dishonesty, moral turpitude, controlled substances or alcohol;
• Mental illness which rises to the level of requiring the Applicant to demonstrate their ability to practice medicine with reasonable skill and safety;
• Falsification of information on the Physician-in Training application;
• Malpractice claims, lawsuits and judgments
• Perceived statutory ineligibility.

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