{"formats":[{"name":"JSON","format":"json","url":"\/downloads\/2025\/code-json\/54.1-2961.json"},{"name":"Plain Text","format":"text","url":"\/downloads\/2025\/code-text\/54.1-2961.txt"},{"name":"XML","format":"xml","url":"\/downloads\/2025\/code-xml\/54.1-2961.xml"},{"name":"HTML","format":"html","url":"\/downloads\/2025\/code-html\/54.1-2961.html"}],"law_id":74530,"edition_id":1,"section_id":74530,"structure_id":16186,"section_number":"54.1-2961","catch_line":"(Effective July 1, 2024) Interns and residents in hospitals","history":"Code 1950, \u00a7 54-276.7; 1952, c. 690; 1958, c. 294; 1964, c. 284; 1975, c. 508; 1978, c. 408; 1986, c. 307; 1987, c. 44; 1988, c. 765; 1998, c. 614; 2002, cc. 87, 478; 2003, c. 482; 2023, cc. 756, 778.","full_text":"A\n\nInterns and residents holding temporary licenses may be employed in a legally established and licensed hospital, medical school or other organization operating an approved graduate medical education program when their practice is confined to persons who are bona fide patients within the hospital or other organization or who receive treatment and advice in an outpatient department of the hospital or an institution affiliated with the graduate medical education program.B\n\nSuch intern or resident shall be responsible and accountable at all times to a licensed member of the staff. The training of interns and residents shall be consistent with the requirements of the agencies cited in subsection D and the policies and procedures of the hospital, medical school or other organization operating a graduate medical education program. No intern or resident holding a temporary license may be employed by any hospital or other organization operating an approved graduate medical education program unless he has completed successfully the preliminary academic education required for admission to examinations given by the Board in his particular field of practice.C\n\nNo intern or resident holding a temporary license shall serve in any hospital or other organization operating an approved graduate medical education program in this Commonwealth for longer than the time prescribed by the graduate medical education program. The Board may prescribe regulations not in conflict with existing law and require such reports from hospitals or other organizations in the Commonwealth as may be necessary to carry out the provisions of this section.D\n\nSuch employment shall be a part of an internship or residency training program approved by the Accreditation Council for Graduate Medical Education or American Osteopathic Association or American Podiatric Medical Association or Council on Chiropractic Education. No unlicensed intern or resident may be employed as an intern or resident by any hospital or other organization operating an approved graduate medical education program. The Board may determine the extent and scope of the duties and professional services which may be rendered by interns and residents.E\n\nThe Board of Medicine shall adopt guidelines concerning the ethical practice of physicians practicing in emergency rooms, surgeons, and interns and residents practicing in hospitals, particularly hospital emergency rooms, or other organizations operating graduate medical education programs. These guidelines shall not be construed to be or to establish standards of care or to be regulations and shall be exempt from the requirements of the Administrative Process Act (&#xA7; 2.2-4000 et seq.). The Medical College of Virginia of Virginia Commonwealth University, the University of Virginia School of Medicine, the Eastern Virginia Health Sciences Center at Old Dominion University, the Medical Society of Virginia, and the Virginia Hospital and Health Care Association shall cooperate with the Board in the development of these guidelines.\n\t\t\tThe guidelines shall include, but need not be limited to (i) the obtaining of informed consent from all patients or from the next of kin or legally authorized representative, to the extent practical under the circumstances in which medical care is being rendered, when the patient is incapable of making an informed decision, after such patients or other persons have been informed as to which physicians, residents, or interns will perform the surgery or other invasive procedure; (ii) except in emergencies and other unavoidable situations, the need, consistent with the informed consent, for an attending physician to be present during the surgery or other invasive procedure; (iii) policies to avoid situations, unless the circumstances fall within an exception in the Board&#8217;s guidelines or the policies of the relevant hospital, medical school or other organization operating the graduate medical education program, in which a surgeon, intern or resident represents that he will perform a surgery or other invasive procedure that he then fails to perform; and (iv) policies addressing informed consent and the ethics of appropriate care of patients in emergency rooms. Such policies shall take into consideration the nonbinding ban developed by the American Medical Association in 2000 on using newly dead patients as training subjects without the consent of the next of kin or other legal representative to extent practical under the circumstances in which medical care is being rendered.F\n\nThe Board shall publish and distribute the guidelines required by subsection E to its licensees.","order_by":null,"text":{"0":{"id":267838,"text":"Interns and residents holding temporary licenses may be employed in a legally established and licensed hospital, medical school or other organization operating an approved graduate medical education program when their practice is confined to persons who are bona fide patients within the hospital or other organization or who receive treatment and advice in an outpatient department of the hospital or an institution affiliated with the graduate medical education program.","type":"section","prefixes":["A"],"prefix":"A","entire_prefix":"A","prefix_anchor":"A","level":1,"next_prefix":"B"},"1":{"id":267839,"text":"Such intern or resident shall be responsible and accountable at all times to a licensed member of the staff. The training of interns and residents shall be consistent with the requirements of the agencies cited in subsection D and the policies and procedures of the hospital, medical school or other organization operating a graduate medical education program. No intern or resident holding a temporary license may be employed by any hospital or other organization operating an approved graduate medical education program unless he has completed successfully the preliminary academic education required for admission to examinations given by the Board in his particular field of practice.","type":"section","prefixes":["B"],"prefix":"B","entire_prefix":"B","prefix_anchor":"B","level":1,"prior_prefix":"A","next_prefix":"C"},"2":{"id":267840,"text":"No intern or resident holding a temporary license shall serve in any hospital or other organization operating an approved graduate medical education program in this Commonwealth for longer than the time prescribed by the graduate medical education program. The Board may prescribe regulations not in conflict with existing law and require such reports from hospitals or other organizations in the Commonwealth as may be necessary to carry out the provisions of this section.","type":"section","prefixes":["C"],"prefix":"C","entire_prefix":"C","prefix_anchor":"C","level":1,"prior_prefix":"B","next_prefix":"D"},"3":{"id":267841,"text":"Such employment shall be a part of an internship or residency training program approved by the Accreditation Council for Graduate Medical Education or American Osteopathic Association or American Podiatric Medical Association or Council on Chiropractic Education. No unlicensed intern or resident may be employed as an intern or resident by any hospital or other organization operating an approved graduate medical education program. The Board may determine the extent and scope of the duties and professional services which may be rendered by interns and residents.","type":"section","prefixes":["D"],"prefix":"D","entire_prefix":"D","prefix_anchor":"D","level":1,"prior_prefix":"C","next_prefix":"E"},"4":{"id":267842,"text":"The Board of Medicine shall adopt guidelines concerning the ethical practice of physicians practicing in emergency rooms, surgeons, and interns and residents practicing in hospitals, particularly hospital emergency rooms, or other organizations operating graduate medical education programs. These guidelines shall not be construed to be or to establish standards of care or to be regulations and shall be exempt from the requirements of the Administrative Process Act (&#xA7; 2.2-4000 et seq.). The Medical College of Virginia of Virginia Commonwealth University, the University of Virginia School of Medicine, the Eastern Virginia Health Sciences Center at Old Dominion University, the Medical Society of Virginia, and the Virginia Hospital and Health Care Association shall cooperate with the Board in the development of these guidelines.\n\t\t\tThe guidelines shall include, but need not be limited to (i) the obtaining of informed consent from all patients or from the next of kin or legally authorized representative, to the extent practical under the circumstances in which medical care is being rendered, when the patient is incapable of making an informed decision, after such patients or other persons have been informed as to which physicians, residents, or interns will perform the surgery or other invasive procedure; (ii) except in emergencies and other unavoidable situations, the need, consistent with the informed consent, for an attending physician to be present during the surgery or other invasive procedure; (iii) policies to avoid situations, unless the circumstances fall within an exception in the Board&#8217;s guidelines or the policies of the relevant hospital, medical school or other organization operating the graduate medical education program, in which a surgeon, intern or resident represents that he will perform a surgery or other invasive procedure that he then fails to perform; and (iv) policies addressing informed consent and the ethics of appropriate care of patients in emergency rooms. Such policies shall take into consideration the nonbinding ban developed by the American Medical Association in 2000 on using newly dead patients as training subjects without the consent of the next of kin or other legal representative to extent practical under the circumstances in which medical care is being rendered.","type":"section","prefixes":["E"],"prefix":"E","entire_prefix":"E","prefix_anchor":"E","level":1,"prior_prefix":"D","next_prefix":"F"},"5":{"id":267843,"text":"The Board shall publish and distribute the guidelines required by subsection E to its licensees.","type":"section","prefixes":["F"],"prefix":"F","entire_prefix":"F","prefix_anchor":"F","level":1,"prior_prefix":"E"}},"ancestry":[{"id":16186,"edition_id":1,"name":"Approval of Educational Programs","identifier":"5","label":"article","depth":4,"order_by":1,"parent_id":12759,"metadata":{},"date_created":"2026-06-26 04:08:31","date_modified":"2026-06-26 04:08:31","permalink":{"id":242441,"object_type":"structure","relational_id":16186,"identifier":"5","token":"54.1\/III\/29\/5","url":"\/54.1\/III\/29\/5\/","edition_id":1,"permalink":0,"preferred":1}},{"id":12759,"edition_id":1,"name":"Medicine and Other Healing Arts","identifier":"29","label":"chapter","depth":3,"order_by":1,"parent_id":12758,"metadata":{},"date_created":"2026-06-26 03:43:51","date_modified":"2026-06-26 03:43:51","permalink":{"id":241933,"object_type":"structure","relational_id":12759,"identifier":"29","token":"54.1\/III\/29","url":"\/54.1\/III\/29\/","edition_id":1,"permalink":0,"preferred":1}},{"id":12758,"edition_id":1,"name":"Professions and Occupations Regulated by Boards Within the Department of Health Professions","identifier":"III","label":"subtitle","depth":2,"order_by":1,"parent_id":12754,"metadata":{},"date_created":"2026-06-26 03:43:51","date_modified":"2026-06-26 03:43:51","permalink":{"id":241105,"object_type":"structure","relational_id":12758,"identifier":"III","token":"54.1\/III","url":"\/54.1\/III\/","edition_id":1,"permalink":0,"preferred":1}},{"id":12754,"edition_id":1,"name":"Professions and Occupations","identifier":"54.1","label":"title","depth":1,"order_by":1,"parent_id":null,"metadata":{},"date_created":"2026-06-26 03:43:51","date_modified":"2026-06-26 03:43:51","permalink":{"id":239313,"object_type":"structure","relational_id":12754,"identifier":"54.1","token":"54.1","url":"\/54.1\/","edition_id":1,"permalink":0,"preferred":1}}],"structure_contents":[{"id":81856,"structure_id":16186,"section_number":"54.1-2958","catch_line":"Procedure for determining acceptability of foreign courses of study and educational institutions","url":"\/54.1-2958\/","token":"54.1\/III\/29\/5\/54.1-2958","metadata":false},{"id":75935,"structure_id":16186,"section_number":"54.1-2959","catch_line":"Supervised training programs; students enrolled in schools of medicine or chiropractic schools allowed to engage in certain activities; prohibition of unauthorized pelvic exams","url":"\/54.1-2959\/","token":"54.1\/III\/29\/5\/54.1-2959","metadata":false},{"id":64582,"structure_id":16186,"section_number":"54.1-2960","catch_line":"Medical students in hospitals","url":"\/54.1-2960\/","token":"54.1\/III\/29\/5\/54.1-2960","metadata":false},{"id":74530,"structure_id":16186,"section_number":"54.1-2961","catch_line":"(Effective July 1, 2024) Interns and residents in hospitals","url":"\/54.1-2961\/","token":"54.1\/III\/29\/5\/54.1-2961","metadata":false}],"previous_section":{"id":64582,"structure_id":16186,"section_number":"54.1-2960","catch_line":"Medical students in hospitals","url":"\/54.1-2960\/","token":"54.1\/III\/29\/5\/54.1-2960","metadata":false},"metadata":false,"official_url":"https:\/\/law.lis.virginia.gov\/vacode\/54.1-2961\/","history_text":"<p>The record of this law\u2019s original creation isn\u2019t available online. It has been modified 12 times. Those modifications are cataloged by \u201cThe Acts of Assembly,\u201d a state publication, by year and chapter. Those modifications that can be read on the General Assembly\u2019s website will be linked accordingly. Those modifications are as follows: in 1952, chapter 690; in 1958, chapter 294; in 1964, chapter 284; in 1975, chapter 508; in 1978, chapter 408; in 1986, chapter 307; in 1987, chapter 44; in 1988, chapter 765; in 1998, chapter <a href=\"https:\/\/legacylis.virginia.gov\/cgi-bin\/legp604.exe?981+ful+CHAP0614\">614<\/a>; in 2002, chapters <a href=\"https:\/\/legacylis.virginia.gov\/cgi-bin\/legp604.exe?021+ful+CHAP0087\">87<\/a> and <a href=\"https:\/\/legacylis.virginia.gov\/cgi-bin\/legp604.exe?021+ful+CHAP0478\">478<\/a>; in 2003, chapter <a href=\"https:\/\/legacylis.virginia.gov\/cgi-bin\/legp604.exe?031+ful+CHAP0482\">482<\/a>; in 2023, chapters <a href=\"https:\/\/legacylis.virginia.gov\/cgi-bin\/legp604.exe?231+ful+CHAP0756\">756<\/a> and <a href=\"https:\/\/legacylis.virginia.gov\/cgi-bin\/legp604.exe?231+ful+CHAP0778\">778<\/a>.<\/p>","references":false,"refers_to":[{"id":86911,"section_number":"2.2-4000","catch_line":"Short title; purpose","order_by":null,"url":"\/2.2-4000\/"}],"permalink":{"id":242455,"object_type":"law","relational_id":74530,"identifier":"54.1-2961","token":"54.1\/III\/29\/5\/54.1-2961","url":"\/54.1-2961\/","edition_id":1,"permalink":0,"preferred":1},"url":"\/54.1-2961\/","token":"54.1\/III\/29\/5\/54.1-2961","dublin_core":{"Title":"(Effective July 1, 2024) Interns and residents in hospitals","Type":"Text","Format":"text\/html","Identifier":"\u00a7 54.1-2961","Relation":"Code of Virginia"},"html":"\n\t\t\t\t\t\t<section id=\"A\"><p><span class=\"prefix-number\">A.<\/span> Interns and residents holding temporary licenses may be employed in a legally established and licensed hospital, medical school or other organization operating an approved graduate medical education program when their practice is confined to persons who are bona fide patients within the hospital or other organization or who receive treatment and advice in an outpatient department of the hospital or an institution affiliated with the graduate medical education program. <a id=\"paragraph-267838\" class=\"section-permalink\" href=\"https:\/\/vacode.org\/54.1-2961\/#A\"><i class=\"fa fa-link\"><\/i><\/a><\/p><\/section>\n\t\t\t\t\t\t<section id=\"B\"><p><span class=\"prefix-number\">B.<\/span> Such intern or resident shall be responsible and accountable at all times to a licensed member of the staff. The training of interns and residents shall be consistent with the requirements of the agencies cited in subsection D and the policies and procedures of the hospital, medical school or other organization operating a graduate medical education program. No intern or resident holding a temporary license may be employed by any hospital or other organization operating an approved graduate medical education program unless he has completed successfully the preliminary academic education required for admission to examinations given by the <span class=\"dictionary\">Board<\/span> in his particular field of practice. <a id=\"paragraph-267839\" class=\"section-permalink\" href=\"https:\/\/vacode.org\/54.1-2961\/#B\"><i class=\"fa fa-link\"><\/i><\/a><\/p><\/section>\n\t\t\t\t\t\t<section id=\"C\"><p><span class=\"prefix-number\">C.<\/span> No intern or resident holding a temporary license shall serve in any hospital or other organization operating an approved graduate medical education program in this Commonwealth for longer than the time prescribed by the graduate medical education program. The <span class=\"dictionary\">Board<\/span> may prescribe regulations not in conflict with existing <span class=\"dictionary\">law<\/span> and require such reports from hospitals or other organizations in the Commonwealth as may be necessary to carry out the provisions of this section. <a id=\"paragraph-267840\" class=\"section-permalink\" href=\"https:\/\/vacode.org\/54.1-2961\/#C\"><i class=\"fa fa-link\"><\/i><\/a><\/p><\/section>\n\t\t\t\t\t\t<section id=\"D\"><p><span class=\"prefix-number\">D.<\/span> Such employment shall be a part of an internship or residency training program approved by the Accreditation Council for Graduate Medical Education or American Osteopathic Association or American Podiatric Medical Association or Council on Chiropractic Education. No unlicensed intern or resident may be employed as an intern or resident by any hospital or other organization operating an approved graduate medical education program. The <span class=\"dictionary\">Board<\/span> may determine the extent and scope of the duties and professional services which may be rendered by interns and residents. <a id=\"paragraph-267841\" class=\"section-permalink\" href=\"https:\/\/vacode.org\/54.1-2961\/#D\"><i class=\"fa fa-link\"><\/i><\/a><\/p><\/section>\n\t\t\t\t\t\t<section id=\"E\"><p><span class=\"prefix-number\">E.<\/span> The <span class=\"dictionary\">Board<\/span> of Medicine shall adopt guidelines concerning the ethical practice of physicians practicing in emergency rooms, surgeons, and interns and residents practicing in hospitals, particularly hospital emergency rooms, or other organizations operating graduate medical education programs. These guidelines shall not be construed to be or to establish standards of care or to be regulations and shall be exempt from the requirements of the Administrative Process Act (&#xA7; <a class=\"law\" title=\"Short title; purpose\" href=\"\/2.2-4000\/\">2.2-4000<\/a> et seq.). The Medical College of Virginia of Virginia Commonwealth University, the University of Virginia School of Medicine, the Eastern Virginia Health Sciences Center at Old Dominion University, the Medical Society of Virginia, and the Virginia Hospital and Health Care Association shall cooperate with the <span class=\"dictionary\">Board<\/span> in the development of these guidelines.\n\t\t\tThe guidelines shall include, but need not be limited to (i) the obtaining of informed consent from all patients or from the next of kin or legally authorized representative, to the extent practical under the circumstances in which medical care is being rendered, when the patient is incapable of making an informed decision, after such patients or other persons have been informed as to which physicians, residents, or interns will perform the surgery or other invasive procedure; (ii) except in emergencies and other unavoidable situations, the need, consistent with the informed consent, for an attending physician to be present during the surgery or other invasive procedure; (iii) policies to avoid situations, unless the circumstances fall within an exception in the <span class=\"dictionary\">Board<\/span>&#8217;s guidelines or the policies of the relevant hospital, medical school or other organization operating the graduate medical education program, in which a surgeon, intern or resident represents that he will perform a surgery or other invasive procedure that he then fails to perform; and (iv) policies addressing informed consent and the ethics of appropriate care of patients in emergency rooms. Such policies shall take into consideration the nonbinding ban developed by the American Medical Association in 2000 on using newly dead patients as training subjects without the consent of the next of kin or other legal representative to extent practical under the circumstances in which medical care is being rendered. <a id=\"paragraph-267842\" class=\"section-permalink\" href=\"https:\/\/vacode.org\/54.1-2961\/#E\"><i class=\"fa fa-link\"><\/i><\/a><\/p><\/section>\n\t\t\t\t\t\t<section id=\"F\"><p><span class=\"prefix-number\">F.<\/span> The <span class=\"dictionary\">Board<\/span> shall publish and distribute the guidelines required by subsection E to its licensees. <a id=\"paragraph-267843\" class=\"section-permalink\" href=\"https:\/\/vacode.org\/54.1-2961\/#F\"><i class=\"fa fa-link\"><\/i><\/a><\/p><\/section>","plain_text":"                                 CODE OF VIRGINIA\n\n(EFFECTIVE JULY 1, 2024) INTERNS AND RESIDENTS IN HOSPITALS (\u00a7 54.1-2961)\n\nA. Interns and residents holding temporary licenses may be employed in a legally\nestablished and licensed hospital, medical school or other organization\noperating an approved graduate medical education program when their practice is\nconfined to persons who are bona fide patients within the hospital or other\norganization or who receive treatment and advice in an outpatient department of\nthe hospital or an institution affiliated with the graduate medical education\nprogram.\n\nB. Such intern or resident shall be responsible and accountable at all times to\na licensed member of the staff. The training of interns and residents shall be\nconsistent with the requirements of the agencies cited in subsection D and the\npolicies and procedures of the hospital, medical school or other organization\noperating a graduate medical education program. No intern or resident holding a\ntemporary license may be employed by any hospital or other organization\noperating an approved graduate medical education program unless he has completed\nsuccessfully the preliminary academic education required for admission to\nexaminations given by the Board in his particular field of practice.\n\nC. No intern or resident holding a temporary license shall serve in any hospital\nor other organization operating an approved graduate medical education program\nin this Commonwealth for longer than the time prescribed by the graduate medical\neducation program. The Board may prescribe regulations not in conflict with\nexisting law and require such reports from hospitals or other organizations in\nthe Commonwealth as may be necessary to carry out the provisions of this\nsection.\n\nD. Such employment shall be a part of an internship or residency training\nprogram approved by the Accreditation Council for Graduate Medical Education or\nAmerican Osteopathic Association or American Podiatric Medical Association or\nCouncil on Chiropractic Education. No unlicensed intern or resident may be\nemployed as an intern or resident by any hospital or other organization\noperating an approved graduate medical education program. The Board may\ndetermine the extent and scope of the duties and professional services which may\nbe rendered by interns and residents.\n\nE. The Board of Medicine shall adopt guidelines concerning the ethical practice\nof physicians practicing in emergency rooms, surgeons, and interns and residents\npracticing in hospitals, particularly hospital emergency rooms, or other\norganizations operating graduate medical education programs. These guidelines\nshall not be construed to be or to establish standards of care or to be\nregulations and shall be exempt from the requirements of the Administrative\nProcess Act (&#xA7; 2.2-4000 et seq.). The Medical College of Virginia of\nVirginia Commonwealth University, the University of Virginia School of Medicine,\nthe Eastern Virginia Health Sciences Center at Old Dominion University, the\nMedical Society of Virginia, and the Virginia Hospital and Health Care\nAssociation shall cooperate with the Board in the development of these\nguidelines.\n\t\t\tThe guidelines shall include, but need not be limited to (i) the obtaining of\ninformed consent from all patients or from the next of kin or legally authorized\nrepresentative, to the extent practical under the circumstances in which medical\ncare is being rendered, when the patient is incapable of making an informed\ndecision, after such patients or other persons have been informed as to which\nphysicians, residents, or interns will perform the surgery or other invasive\nprocedure; (ii) except in emergencies and other unavoidable situations, the\nneed, consistent with the informed consent, for an attending physician to be\npresent during the surgery or other invasive procedure; (iii) policies to avoid\nsituations, unless the circumstances fall within an exception in the\nBoard&#8217;s guidelines or the policies of the relevant hospital, medical\nschool or other organization operating the graduate medical education program,\nin which a surgeon, intern or resident represents that he will perform a surgery\nor other invasive procedure that he then fails to perform; and (iv) policies\naddressing informed consent and the ethics of appropriate care of patients in\nemergency rooms. Such policies shall take into consideration the nonbinding ban\ndeveloped by the American Medical Association in 2000 on using newly dead\npatients as training subjects without the consent of the next of kin or other\nlegal representative to extent practical under the circumstances in which\nmedical care is being rendered.\n\nF. The Board shall publish and distribute the guidelines required by subsection\nE to its licensees.\n\nHISTORY: Code 1950, \u00a7 54-276.7; 1952, c. 690; 1958, c. 294; 1964, c. 284; 1975,\nc. 508; 1978, c. 408; 1986, c. 307; 1987, c. 44; 1988, c. 765; 1998, c. 614;\n2002, cc. 87, 478; 2003, c. 482; 2023, cc. 756, 778.","edition":{"id":1,"name":"2025","slug":"2025","date_created":"2026-06-21 22:39:22","date_modified":"2026-06-21 22:39:22","current":1,"order_by":1,"last_import":null}}