Where does the authority to license a physician reside?

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The authority to license a physician resides in the state in which he or she intends to practice because medical licensing is primarily regulated at the state level in the United States. Each state has its own medical board or regulatory authority that establishes specific requirements for licensure, which often include completing a medical degree, passing examinations, and completing residency training. This state-level control allows for localized standards that can adapt to the needs and values of the state's population.

Local medical boards are responsible for managing the licensing process, ensuring that all practitioners meet the necessary qualifications, and implementing disciplinary actions when needed. While the federal government plays a role in regulating certain aspects related to healthcare, such as public health and Medicare/Medicaid policies, it does not have authority over individual medical licenses. Additionally, hospital staff does not have the authority to license physicians; they may credential or privilege physicians to practice in their specific facilities, but this is distinct from the formal licensing process that is governed by state laws.

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