Get Verification Of Acgme Approved Graduate Medical Training Form

Completing the Verification Of ACGME Approved Graduate Medical Training Form is a crucial step for graduates of unaccredited medical schools. This guide will provide you with clear, step-by-step instructions to accurately complete the form online.

Follow the steps to successfully fill out the form.

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. Begin by filling out Section 1: Applicant Information. Enter your last name, first name, and middle name in the respective fields.
3. If your training commenced before July 1, 1987, ensure to indicate that one year of approved training at either the first or second year level must be verified. If your training began on or after July 1, 1987, you are required to complete three years of verified training, including one year at the first (PGY 1) level, one at the second (PGY 2) level, and one at the third (PGY 3) level.
4. Complete the details for your first year (PGY 1) training. Ensure that this training is ACGME approved and does not require previous training.
5. Next, provide information about your second (PGY 2) and third (PGY 3) years of training, ensuring all entries are ACGME approved and filled out correctly.
6. If you completed training at multiple hospitals, be sure to duplicate this form and submit it to each respective hospital.
7. Section 2 must be completed by the program director where the graduate training occurred. Ensure that all details coincide with the data on the graduate medical training license if training was completed in Pennsylvania.
8. The program director should fill out the hospital name where the training was completed, as well as the sponsoring institution, and provide details for each PGY level, including dates and specialties.
9. The program director must sign the form, confirm the graduate's completion of training, and indicate whether there have been any disciplinary actions. If the hospital lacks a seal, notarization of the form is required.
10. Finally, ensure all information is complete, save your changes, download, print, or share the form as needed, following the submission guidelines provided.

Take action now to complete your Verification Of ACGME Approved Graduate Medical Training Form online.