> I don't think this is widely available if available at all It was, a long time ago. Then states started requiring an internship (first year of residency) for

> I don't think this is widely available if available at all It was, a long time ago. Then states started requiring an internship (first year of residency) for a full license - which is still generally the case in the US for graduates of US medical schools (foreign school grads regardless of citizenship usually have to complete at least three years of residency before getting a permanent license). Getting privileges at a hospital will nearly always require finishing a residency. That's a matter of the hospital's medical staff bylaws, so changing them is not really in the purview of the state except to prohibit discrimination based on a protected class - and "hasn't finished residency" isn't a protected class. It definitely would further ghetto-ize rural general practitioners. They wouldn't even be eligible to get a job outside of those rural clinics.