Hawaii Revised Statutes Division 2. Business § 453-4.5

(1) Passed the Federation Licensing Examination (FLEX) or the United States Medical Licensing Examination (USMLE), or a combination of these examinations as approved by the board, with scores deemed satisfactory to the board, passed the qualifying examination of the Educational Commission for Foreign Medical Graduates, and has at least three years of medical training or experience in a hospital approved by the Council on Medical Education and Hospitals of the American Medical Association for internship or residency;  or

(2) Passed the Federation Licensing Examination (FLEX) or the United States Medical Licensing Examination (USMLE), or a combination of these examinations as approved by the board, with scores deemed satisfactory to the board, possesses an Educational Commission for Foreign Medical Graduates certificate, and has successfully completed two years of post-graduate medical training in a program approved by the Accreditation Council for Graduate Medical Education or American Osteopathic Association or a Canadian program that has been accredited for resident training by the Royal College of Physicians and Surgeons of Canada or College of Family Physicians of Canada;  provided that if the post-graduate medical training involves a subspecialty clinical fellowship program, the board may accept post-graduate medical training in a hospital that has an Accreditation Council for Graduate Medical Education or American Osteopathic Association or accredited Canadian post graduate medical training program in the parent specialty.