Section 2113 Appointment

General Information

The Medical Board must have all items before it will issue a Certificate of Registration. If the Medical Board believes a faculty member is immediately licensable, it may deny the Section 2113 request.

The purpose of the Section 2113 Certificate of Registration is to allow a faculty member, who holds a 100% appointment at a California medical school the right to practice medicine within the scope of the faculty appointment. The Certificate does not allow the faculty member to open a private office outside of the UCLA faculty position.

The Certificate will be issued for one year at a time; it may be renewed annually for a total of 5 years. The Medical Board has the discretionary authority to require that the faculty member obtain an ECFMG Certificate prior to issuing a renewal of a 2113 Certificate.

Part 1: To be completed by the Department

  • Internal Forms
  • Ensure the 2113 Applicant has completed the form and provided the required supporting documents.
  • Submit both the Internal Forms, 2113 Application, and required documents via email to the DGSOM Assistant Director for Visa and Licensing Office.
  • Joan Grace Cerera will return the signed Dean’s Office Support Letter and 2111 Application to the department for submission to the Medical Board of California.
     
    Note: It is the responsibility of the Department Coordinator to submit the application and documents to the Medical Board of California and copying Joan Grace Cerera in all correspondence

Part 2: To be completed by the Applicant

  • Medical Board of California Forms
  • Return the form with the required items to the department that will be recommending you for the 2113. DO NOT send them directly to the Medical Board or the Dean’s Office.