License GuideSOC 29-1211

Physician
License.

A licensed anesthetist administers medications that block pain and induce unconsciousness before, during, and after surgical procedures. They monitor the patient's vital signs, manage airways, and adjust drug dosages throughout surgery. The role requires constant vigilance. Anesthetists coordinate with surgeons and surgical teams, maintain detailed records of all medications given, and respond quickly to complications. They assess patients before operations to identify risks and plan anesthetic approaches tailored to each case.

At a Glance

Everything a Physician needs to know.

The Work
What you actually do

Licensed physicians are regulated at the state level. Every state sets its own education, exam, and experience requirements.

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A licensed anesthetist administers medications that block pain and induce unconsciousness before, during, and after surgical procedures. They monitor the patient's vital signs, manage airways, and adjust drug dosages throughout surgery. The role requires constant vigilance. Anesthetists coordinate with surgeons and surgical teams, maintain detailed records of all medications given, and respond quickly to complications. They assess patients before operations to identify risks and plan anesthetic approaches tailored to each case.

The Exam
Two-part proctored test

The national board exam for physicians is the uniform test most states accept. Many states add a jurisprudence exam on state statute.

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You'll take a licensing exam that combines two parts: a national section covering medical knowledge and a state-specific section on local regulations. Most states partner with testing companies like PSI, Pearson VUE, or Prometric to administer the exam. The national portion tests your clinical competency across medical disciplines. The state portion focuses on laws and regulations specific to where you're applying for licensure. You'll complete both components, typically at a testing center. Pass rates vary by state and exam type, so check your state medical board's requirements for the exact passing score you need.

Renewal
Keeping it active

Continuing education is required between renewals in every state. Most boards require a mix of general CE and topic-specific units like ethics, patient safety, or opioid prescribing.

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Your state medical board sets specific continuing education requirements for license renewal. Most states mandate a set number of hours per cycle, often including required topics like ethics or state-specific regulations. Check your board's renewal guidelines for exact numbers and approved courses.

Is This For You
Who fits this career

Strong candidates for the physician role combine the technical knowledge tested on the exam with judgment and communication skills you build through supervised experience.

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You'll need both the medical knowledge to pass licensing exams and the interpersonal skills that come later. Physicians work under pressure with incomplete information, so you must make sound decisions quickly. You'll spend significant time explaining diagnoses and treatment plans to patients who may be frightened or confused. You collaborate constantly with nurses, specialists, and staff. The role demands precision in clinical thinking alongside genuine patience with people. Success means staying current with medicine while listening carefully to what patients actually need.

Unlicensed Risk
Practicing without a license

Practicing as a physician without an active license is illegal in every state. Typical penalties include civil fines, forfeited income, and in some states criminal charges on repeat offenses.

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Practicing medicine without an active license violates state law across the U.S. Penalties vary by jurisdiction but commonly include civil fines and forfeiture of any income earned while unlicensed. States may impose criminal sentences for repeat violations. The specific consequences depend on state regulations and the circumstances of the offense.

Career Outlook
+4% projected

Employment change 2024 to 2034.

The Path

How to Get a Physician License.

You'll follow a consistent path across all 51 states, though requirements shift by location. Start with accredited education, then pass a national or state exam. Next comes supervised experience under a licensed professional. You'll need a background check before licensure. After you're licensed, you must complete continuing education hours before each renewal. The specific number of education hours, degree requirements, and experience minimums differ depending on your state.

1
Meet minimum education
Most states require graduation from an accredited physician program. Degree level and accreditation body vary by profession.
2
Complete supervised clinical hours
Boards set required supervised practice hours under a licensed supervisor. Hours are logged, verified, and submitted with your application.
3
Pass the national board exam
The national certification exam for physicians is the uniform knowledge test most states accept. Some states add a jurisprudence exam on local statute.
4
Submit fingerprints and background check
Most boards collect electronic fingerprints through IdentoGO, Fieldprint, or a similar vendor and run a state and federal background check.
5
Apply for the license
Submit the state application with transcripts, exam scores, experience verification, and fees. Processing runs a few days to several months depending on state and board.
6
Pay fees and activate
Once approved, you pay the initial license fee, post any required bond or insurance, and the state issues your license number.
7
Track renewals and continuing education
Most licenses renew every one to three years with a set amount of continuing education. Missing CE or renewal deadlines risks license inactivation.
Timeline

How long it takes.

Background check and exam scheduling
2 to 6 weeks
License issuance after passing
Few days to several weeks
State processing times vary widely.
Cost Breakdown

What it costs out of pocket.

Required education
Degree program at an accredited institution. Varies massively by degree level.
$30,000 to $250,000
Application and license fee
Paid to the state board at submission. Varies widely by state.
$50 to $500
Fingerprint and background check
Flat vendor fee set by the state.
$40 to $120
Exam fee
Paid to the testing vendor when you schedule.
$50 to $400
Professional liability insurance
Annual policy. Required or strongly recommended in most states.
$300 to $2,500
DEA registration
Federal fee, three-year term. Required only for prescribers.
$0 to $900
Resources

Where to train, certify, and connect.

Optional next steps once your Physician license is active.

Specialty
Certification in Anesthesiology- Hospice and Palliative Medicine
American Board of Anesthesiology
Specialty
Critical Care Echocardiography
National Board of Echocardiography
Specialty
Anesthesiology Critical Care Medicine
American Board of Emergency Medicine
Specialty
Certification in Anesthesiology: Critical Care Medicine
American Board of Anesthesiology
Specialty
Certification in Anesthesiology: Pain Medicine
American Board of Anesthesiology
Core
Certification in Anesthesiology
American Osteopathic Board of Anesthesiology
Specialty
Certification in Pediatric Critical Care
American Board of Pediatrics
Specialty
Certification in Critical Care Medicine
American Osteopathic Board of Anesthesiology
Specialty
Neurocritical Care Certification
United Council for Neurologic Subspecialties
Core
Certification in Anesthesiology - Part 1
American Board of Anesthesiology
Specialty
Certification in Pain Management
American Osteopathic Board of Anesthesiology
Core
Board Certification in Anesthesiology
American Board of Physician Specialties
State vs State

Compare any two states.

Pre-license hours and fees vary widely. Pick two states to see the gap.

Left
Right
Varies
Pre-license hours
Varies
Varies
Exam fee
Varies
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License fee
Varies
Department of Industrial Relations
Issuing board
Texas Medical Board
Frequently Asked

Questions people ask.

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