Establishing preceptorship and hardship pathways to medical practice for international medical graduates.

HB 1306 creates two pathways for international medical graduates (IMGs) to obtain full medical licenses in Washington without completing standard U.S. postgraduate training. The primary pathway requires 48 months of supervised clinical practice under a licensed physician, followed by assessments and documentation to demonstrate competence. A hardship pathway also allows waivers for specific situations like refugee status or persecution, though it excludes failures in standard exams. The bill directly affects IMGs seeking to practice in Washington, modifying existing licensing rules to accommodate their credentials. It does not change requirements for U.S.-trained physicians but provides alternative routes for qualified IMGs.