Supervised Training (GAP)

Supervised Training in Florida (GAP License)

We place qualified IMGs into supervised training roles (GAP). Important: Under the current Board posture, GAP does not convert to ACN unless you later obtain a full U.S. license (e.g., out-of-state full license or other qualifying pathway).

How It Works Apply for GAP

What it is

Time-limited, supervised training authorization for IMGs in Florida clinics/hospitals

What it is not

Not independent practice; does not lead to ACN without a full U.S. license elsewhere

Compensation

May be paid by the employer; often comparable to PA-level roles, depending on site policy and scope

How Supervised Training (GAP) Works

Site & Supervisor Match

We match you to a participating Florida clinic/hospital and a fully licensed supervising physician with an agreed training plan and chart review/cosign workflow.

GAP Application & Onboarding

We assist with forms, background checks, site attestations, and supervisor documentation. The site provides protocols and ensures supervision availability per program rules.

Paid Supervised Role

Once authorized, you work under supervision. Compensation is set by the employer and is frequently structured similarly to PA-level roles for comparable duties and productivity.

Note: Supervision specifics (e.g., chart review, availability, visit types) are site-defined within regulatory bounds. You are not an independent physician and may not represent yourself as such.

Important Policy Note

Under the current Board posture, GAP does not lead to ACN unless you later obtain a full, unrestricted U.S. license via another route.
Interested in ACN or full licensure? See: Foreign Residency + ≥4 yrs Practice or ACGME ≥1 Year Path.

Compensation & Scope

Paid roles are allowed. Employers may set wages comparable to PA-level positions for similar duties and productivity.
Billing and title must reflect supervised/trainee status. You cannot bill or advertise as an independent physician.
Expect limitations on prescribing/ordering authority and credentialing; DEA registration typically not available to trainees.

Exact compensation, duties, and billing are determined by the employer and payers, and must comply with applicable rules.

Who We Can Place into GAP

Candidate Profile

ECFMG-certified IMG or medically trained international graduate
Sufficient recent clinical experience to function safely under supervision
No disqualifying disciplinary or criminal history

Host Site Requirements

Florida-licensed supervising physician with agreed supervision plan
Written protocols: chart review/cosign, escalation, scope limits
Operational support for onboarding, EHR access, scheduling, and QA

Clinics: Host a Trainee

FAQs — Supervised Training (GAP)

Can GAP still turn into ACN?

Not by itself. Under the current Board posture, GAP does not convert to ACN. ACN now requires a full, unrestricted U.S. license. If you later obtain a full license, ACN may become available depending on policy at that time.

Is GAP paid?

Yes, employers may offer compensation. Many sites pay at ranges comparable to PA-level roles for similar duties/productivity. Final pay is set by the employer and must match role/scope.

Do I need a supervising physician on site at all times?

Supervision requirements are defined by the program/site within regulatory bounds (e.g., chart review, availability, escalation). Some sites require immediate availability; others permit structured availability with documented protocols. Your specific plan will spell this out.

Can I prescribe or bill like a physician?

Generally no. GAP roles are trainee/supervised positions. Prescribing authority, billing, credentialing, and titles are restricted and must reflect the trainee status and payer rules.