When you are applying for medical licensure in the US for either a locum tenens or permanent license, remember that the majority of medical boards require a recent (within the last six months) photograph. The medical boards do not accept digital photos printed on regular paper. The photos MUST be passport quality of a physician’s head and shoulders. Some boards require this photo be black and white; others require color. It’s true, digital pictures are more convenient, quicker to obtain, easier to reproduce as needed and are cheaper to have shot. However, don’t submit your digital picture printed on regular copy paper, or the medical board will very likely ask for another photo that is of passport quality. Your application (and your locums assignment!) could be delayed.