The Advisory Commission on Additional Licensing Models has released draft preliminary recommendations for public comment. The recommendations are intended for state medical boards, state legislators, policymakers, and interested stakeholders to help inform those jurisdictions interested in developing or modifying additional licensing pathways for physicians who have completed training internationally. The Advisory Commission compiled the draft preliminary recommendations in response to a growing number of U.S. state and territorial legislatures interested in modifying traditional post-graduate training requirements for medical licensure of physicians who have completed training internationally by eliminating the traditional requirement for completion of ACGME-accredited graduate medical education in the U.S. All interested parties should submit comments about the draft recommendations by Dec. 6, 2024.