Special Permits are issued to international physicians who are not currently eligible for a Physician’s and Surgeon’s License in California. You must be sponsored by a medical school, hospital, or an approved fellowship training program in California. These permits authorize you to practice medicine only within the sponsoring medical school and any of its affiliated institutions. Depending upon the type of Special Program, there may be supervision requirements, limits on permitted activities, or eligibility limits based on U.S. citizenship.