While meeting requirements for active practice may be inconvenient in certain scenarios, we  are talking about an active skillset that requires active maintenance. While knowledge and ability of practice skills and strategies can be maintained in a number of ways, clinical licensure is not symbolic and should not be afforded to those who aren’t in good standing with best practice- which requires clinical engagement. Therefore, the board of medicine is not obligated to make licensure easy- in fact it is mandated to protect patients through monitoring clinician ability.  While I don’t necessarily oppose identification of solutions to outlier needs, fast tracking this decision neglects due deliberation for alternate methods to prove clinical competence.