(a) In accordance with §155.105 of the Act, the Executive Director or board may issue a Physician-in-Training (PIT) permit.(b) A PIT permit may be issued only after receipt of certification from an approved graduate medical training program that:(1) the program is an approved program;(2) the applicant has been accepted into the program; and(3) the applicant is graduating from medical school prior to the start of the training program.(c) Applicants for a PIT permit must submit:(1) a board-required application form;(2) the required fee of $200.00;(3) additional fees and surcharges as applicable; and(4) documentation of the following:(A) all US or Canadian approved graduate medical training programs attended;(B) documentation of alternate name or name change, if applicable;(C) arrest records, if applicable;(D) malpractice records, if applicable;(E) treatment records for alcohol or substance use disorder or any physical or mental illness impacting the ability to practice, if applicable; and(F) other documentation deemed necessary to process an application.(d) PIT permit applications should be submitted at least 60 days prior to the start of the training program and no more than 120 days before training begins.(e) A PIT permit is valid for participation for the length of the accredited or board approved graduate medical training program.(f) PIT permits expire upon any of the following, whichever occurs first:(1) the end date of the approved graduate medical training program;(2) the permit holder's termination or release from the approved graduate medical training program; or(3) on the date a full, limited, or temporary physician license is issued.(g) PIT permit holders are limited to the practice of medicine within the training program for which it was approved.(h) A PIT permit holder is restricted to the supervised practice of medicine that is part of and approved by the training program and does not allow for the practice of medicine outside of the approved program.(i) A transfer to a new approved graduate medical training program requires the applicant to submit a new PIT permit application, required documentation, and the following fees, as applicable:(1) $141.00, if transferring to a program not within same institution; and(2) $200.00, if transfer application is made after current PIT permit is expired.(j) The board may allow substitute documents where exhaustive efforts on the applicant's part to secure the required documents are presented.