We place qualified IMGs into supervised training roles under a Graduate Assistant Physician (GAP) limited license. A GAP license provides valuable U.S. clinical experience that can lead to paid employment similar to a Physician Assistant (PA) role or increase your chances of obtaining a residency position. It does not directly convert into an ACN or full Florida license under current Board posture.
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.
We assist with forms, background checks, site attestations, and supervisor documentation. The site provides protocols and ensures supervision availability per program rules.
Once authorized, you work under supervision gaining valuable U.S. clinical experience. This can lead to paid employment comparable to Physician Assistant (PA) roles or enhance your residency application through demonstrated U.S. clinical work, networking, and strong letters of recommendation.
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.
GAP provides valuable U.S. clinical experience that can lead to paid employment or enhance residency applications. Exact outcomes depend on individual performance, networking, and career goals.
Florida’s 2025 “Live Healthy” legislation created a new pathway to a full, unrestricted Florida medical license for eligible foreign-trained physicians. This route is separate from GAP/House and typically requires:
This pathway leads directly to a full Florida license, not ACN. Once fully licensed, most physicians can simply practice on the full license statewide; ACN certificates are generally used when a physician already licensed in another U.S. jurisdiction is coming to Florida to work in a designated area of critical need. For details, see our Foreign Residency + ≥4 yrs Practice page .
This is an indirect path: GAP and House Physician are supervised, limited licenses that help you qualify for full licensure; ACN is a separate certificate available after you already hold a full U.S. license.
Not directly. Under the current Board posture, GAP (and House Physician) licenses are limited, supervised licenses and do not directly convert into ACN. To be eligible for ACN, you must first hold a current, unrestricted medical license in at least one U.S. state or territory. GAP can, however, help you build the experience and references needed for residency or the SB 7016 foreign-trained full-license pathway, which in turn may make you eligible for optional ACN as a fully licensed physician.
GAP can lead to two main career pathways:
1. PA-Level Employment: Many employers offer compensation comparable to Physician Assistant roles
for similar supervised clinical duties.
2. Residency Enhancement: GAP provides valuable U.S. clinical experience, networking opportunities,
and strong letters of recommendation that can significantly improve your residency application.
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 and scope.
GAP provides U.S. clinical experience that residency programs value highly. You'll gain familiarity with U.S. healthcare systems, build professional networks with U.S. physicians who can provide strong letters of recommendation, and demonstrate your ability to work effectively in a U.S. clinical setting under supervision.
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.
Generally no. GAP roles are trainee/supervised positions. Prescribing authority, billing, credentialing, and titles are restricted and must reflect the trainee status, the supervising physician’s authority, and payer rules.
Apply for GAP placement to gain supervised clinical training that can lead to PA-level paid employment or enhance your residency application — while keeping future full-license and ACN options open.
