Resources and Forms
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Change Request Forms
Please fill out these forms if your program has a change in Core Faculty or Program Director
Program Directors & Associate Program Directors Change Request Form
The Program Director & Associate Program Directors Change Form is used to request any changes in the position of Program Director and Associate Program Directors. Click here to download the Program Directors & Associate Program Directors Change Form.
Core Faculty Change Request Form
The Core Faculty Change Request Form is used to record any changes in Core Faculty in an approved emergency medicine, emergency medical services, family medicine/emergency medicine, internal medicine/emergency medicine, and toxicology residency or fellowship programs. Click here to download the Core Faculty Change Request Form.
Program Increase Form
Please use this form if your program is requesting a Program Increase. Please note that the Program Increase form is found on the AOA Website.
Core Faculty Information Form
Any program that needs to provide information regarding Core Faculty in the case of inspections, increases, or other requested information from the GME Committee, can use the Core Faculty Information Form. Click here to download the Core Faculty Information Form.
Program Directors & Associate Program Directors Information Form
Any program that needs to provide information regarding Program Directors and Associate Program Directors in the case of inspections, increases, or other requested information from the GME Committee, can use the Program Directors and Associate Program Directors Information Form. Click here to download the Program Directors & Associate Program Directors Information Form.
Other Forms
Advanced Standing
Advanced Standing is the processes by which program directors may request credit for individual residents who have completed training in other specialty residency programs and have that potential credit applied to the resident’s emergency medicine training program. This credit is granted on an individual, case-by-case basis. Click here to download the Advanced Standing Form.
Transfer Credit Form
Transfer Credit is the processes by which program directors document credit for individual residents who have received training in another AOA or ACGME accredited emergency medicine residency program. By requesting transfer credit, residents will obtain credit toward their emergency medicine training program. This credit is documented to ensure full credit for all training obtained in Emergency Medicine. This must be reported to the ACOEP and reviewed by the Committee on Graduate Medical Education. Click Here to Download the Transfer form 2016