Fellowship Application

EM Fellowship Application

  • Applicant Information

  • Residency Information

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  • Medical School Information

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  • Graduate School Information (if applicable)

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  • Undergraduate Education

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  • Fellowship Application Requirements

    Physician Requirements

    • Completion of ACGME or AOA FP or IM Residency with a letter from the program director documenting training and completed course work.
    • ACLS Certification
    • PALS Certification
    • ATLS Certification or scheduled to be completed within 3 months of initiation of fellowship
    • ABFP or ABIM boarded or eligibility
    • Two letters of recommendation (one from program director)
    • Current Curriculum Vitae
    • A one-page personal letter of intent

    Nurse Practitioner and Physician Assistant Requirements

    • Completion of CCNE or ACEN accredited nurse practitioner program or an ARC-PA accredited physician assistant program
    • Board Certified as a family nurse practitioner or physician assistant
    • ACLS Certification
    • PALS Certification
    • ATLS Certification or scheduled to be completed by end of the program
    • Two letters of recommendation
    • Current Curriculum Vitae
    • A one-page personal letter of intent

     

    All applications will be reviewed fairly and without any bias by the selection committee and the most suitable candidates will be chosen based on best fit between the candidate and the fellowship.

    No candidate will be declined a position based on race, sex, national origin, religious or personal beliefs or any other form of discrimination.

  • CV
    Accepted file types: pdf, jpg, png, gif, Max. file size: 25 MB.
  • Letter of Intent
    Accepted file types: pdf, jpg, png, gif, Max. file size: 25 MB.
  • Letter of Recommendation
    Accepted file types: pdf, jpg, png, gif, Max. file size: 25 MB.
  • Letter of Recommendation
    Accepted file types: pdf, jpg, png, gif, Max. file size: 25 MB.

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