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A Postgraduate Training Authorization Letter (PTAL) allows you to seek and commence ACGME accredited training in California. Disclosure of your United States Social Security Number (SSN) or your Individual Taxpayer Identification Number (ITIN) is mandatory prior to the issuance of a PTAL.
The Medical Board of California (MBC) is doing away with the Postgraduate Training Authorization Letter (also referred to as the California Letter) and making some very interesting and very important changes to the states licensing requirements and protocols, beginning with no more PTAL.
For California, one must receive a Postgraduate Training Authorization Letter (PTAL) from the Medical Board of California (MBC) confirming completion of pre‐ residency requirements and ECFMG completion. You must apply for this and receive approval before applying to the fellowship program.
Routes into fellowship proposal proposal by an existing fellow of the RCP. You can propose a candidate to become a fellow using our fellowship portal. self-proposal submit an application to become a fellow with the support of a sponsor.
The Medical Board of California (MBC) is doing away with the Postgraduate Training Authorization Letter (also referred to as the California Letter) and making some very interesting and very important changes to the states licensing requirements and protocols, beginning with no more PTAL.
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For California, one must receive a Postgraduate Training Authorization Letter (PTAL) from the Medical Board of California (MBC) confirming completion of pre‐ residency requirements and ECFMG completion. You must apply for this and receive approval before applying to the fellowship program.
Thus the designation FRCP is an honor beyond MRCP. The designations are different for surgical doctors because only the Fellow designation exists. Surgical doctors become Fellows of the Royal College of Surgeons (FRCS) by passing a difficult exam (as medical doctors must to become Members of the RCP).
To become a Fellow, start by filling out your personalized Fellowship Declaration form. An invitation to Fellowship with a link to the Declaration form is sent out automatically, once you have satisfied all certification requirements (i.e. completion of training and success at the specialty examination).
For California, one must receive a Postgraduate Training Authorization Letter (PTAL) from the Medical Board of California (MBC) confirming completion of pre‐ residency requirements and ECFMG completion. You must apply for this and receive approval before applying to the fellowship program.
To meet the examination requirement for a PTAL, you must have taken and passed all components of USMLE Steps 1 and 2 per Section 1328 of Title 16 California Code of Regulations. Certification by the Educational Council for Foreign Medical Graduates (ECFMG) is required.

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