Navigating the licensing process can be complex and even more so in instances of cross-state medical licensing. Two prevailingly pursued options for Physician Licensing in the US are seeking through the Interstate Medical Licensure Compact or applying for state licensing on a state-by-state basis. Being knowledgeable about these is very imperative in making the right choice that is best aligned to one’s working experience, especially with the increase in telemedicine demands.

Option 1: The Superhighway – The Interstate Medical Licensure Compact (IMLC)

Imagine a group of states got together and said, “Let’s make this easier for doctors!” That’s basically what the IMLC is. It’s an agreement between a bunch of states (over 30 of them!) to simplify things if you want to practice in multiple states.

What it is: It’s like a fast pass for licensing in participating states. Instead of filling out a whole new application for each state, you do one main application through the IMLC.
Why it’s cool: It saves you a ton of time and paperwork. Seriously, think about how much time you’d spend filling out forms for 5 or 10 different states! The IMLC cuts through all that.
Is it for everyone? Not quite. To be considered, you must fulfill certain criteria. More on that in just a moment.
How it works: You pick one state where you have your main practice as your “principal state.” You apply through the IMLC, and they help you get licensed in other participating states you choose.

Option 2: The Scenic Route – Traditional State-by-State Licensing

This is the way it’s always been done. You apply directly to each state medical board where you want a license.

What it is Applying individually to every state?

• Why it might be your choice: If you only plan to practice in one state, or if you don’t meet the requirements for the IMLC, this is the way to go.
• How it works: You fill out a separate, full application for each state. Each state board reviews your application independently.
• The downside: It takes longer. Way longer. And it means a lot more paperwork and back-and-forth with different state boards.
• IMLC vs. Traditional: The Key Differences

Think of these like the pros and cons list when you’re deciding on something important:

Applying:

• IMLC: One application helps you get licenses in many states.
• Traditional: A separate application for each state.How fast it is:
• IMLC: Generally much quicker.
• Traditional: Can take weeks or even months per state.
• Who can use it:
• IMLC: You need to meet specific eligibility rules.
• Traditional: Anyone can apply to any state (though getting approved is another story!).
• How it’s managed:
• IMLC: Coordinated through your “principal state.”
• Traditional: You deal directly with each individual state board.

Can You Use the IMLC? Here’s What You Need:

To hop on that IMLC superhighway, you need to tick a few boxes:

• You must already have a full, unrestricted medical license in one of the states that’s part of the IMLC.
• You need to have graduated from a legitimate medical school.
• You need to have finished an accredited residency program.
• You must have passed your licensing exams (like the USMLE or COMLEX-USA).
• Crucially, you need a clean record – no history of disciplinary actions or criminal issues.
• You need to be in good standing with your main state’s medical board.
• Most of your actual practice needs to be in that “Principal State” you choose for the IMLC.
• Is IMLC Great for Telemedicine? (Spoiler Alert: Yes!)

If you are doing telemedicine, the IMLC is like a dream come true.

• Reach More Patients: You can easily get licensed in several states, meaning you can provide care to patients in all those states without jumping through hoops for each one.
• Get Licensed Fast: Telemedicine often requires you to be ready to go quickly. The IMLC’s faster process helps you do just that.
• Flexibility: It’s perfect for doctors who see patients remotely across state lines regularly.

Why Doctors Love the IMLC (The Benefits!)

Let’s sum up why the IMLC is so appealing:

• It’s Easy: Way less paperwork and hassle. Expand your practice to other IMLC states without the headache.
• It’s Fast: Get licensed quicker, especially important for things like starting telemedicine services.
• It’s Great for Telemedicine: Connect with patients in multiple states smoothly.
• It Can Save You Money (and Time!): While there are IMLC fees, the time saved and the reduction in individual state application fees can make it more cost-effective in the long run.

Where Can You Use the IMLC?

Over 30 states are currently participating in the IMLC. Since this can shift, it’s advisable to consult the official IMLC website for the most up-to-date list.

What About the Cost?

There are fees for the IMLC application, but when you compare it to the cost of applying to each state individually, plus all the time and effort you save, the IMLC can often be the more affordable option overall.

Making Your Decision

So, which path is right for you?

Select the IMLC. if You are want to practice in several states (telemedicine included), meet the qualifications, and seek a quicker, simpler process. Opt for Traditional Licensing if You will only work in one state, or if you are ineligible for the IMLC or Physician Licensing. Knowing these options helps you decide what’s best for your career and patient care. The goal is to find the easiest way to reach your objectives!