Texas Medical Board
Physician In Training (PIT) Permit

Welcome to the TMB Physician in Training (PIT) Permit Application

• Your TMB personal ID#,
• Your ACGME, AOA, or TMB Program ID# as provided by your program's Director of Medical Education, and
• If your residency program will be paying your application fee, you will also need their third party identification number.

  Applying for a permit online is convenient and easy, requiring only a few simple steps:

  • Select your license type:
  • Initial PIT Permit - select only if this is your first application for a PIT permit in Texas (unless you are a rotator).
  • Rotator PIT Permit - select only if you are a visiting resident from a program in another state. Your permit will be issued only for the length of your rotation; however, you can reapply online for a different rotation later, if needed.
  • Institution Change PIT Permit - select only if you have, or have ever had, a PIT permit, but are now transferring to a new institution for a new residency program. You do not need this permit if you are changing departments within the same institution. Your program just needs to inform TMB of the change.
  • Enter all requested information.
  • Review the information you entered and modify, if necessary.
  • Pay the non-refundable permit fee using one of the following:
    • MasterCard,
    • Visa,
    • Discover,
    • American Express,
    • Electronic Check, or
    • Third Party Pay.
  • View and print the receipt.

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  Read the Guidelines to continue.