Get American Academy Of Pediatrics Prep Editorial Board Fact Sheet 2019-2025

Filling out the American Academy Of Pediatrics PREP Editorial Board Fact Sheet is an essential step for individuals nominated for editorial appointments. This guide provides a clear and comprehensive overview to ensure all users can complete the form accurately and effectively.

Follow the steps to accurately complete the PREP Editorial Board Fact Sheet

1. Click 'Get Form' button to obtain the form and open it in the editor.
2. Begin by selecting your desired board affiliation. If you are applying for a PREP Subspecialty board, indicate your choice from the list, such as Adolescent Medicine Editorial Board or Infectious Diseases Editorial Board. If applying for the PREP Self-Assessment board, choose the appropriate Pediatric Specialist.
3. Provide your personal details in the designated fields, including your name, district, institution name, office address, city, state, office phone number, zip code, fax number, home address, home phone number, and email address.
4. Next, include your educational background by specifying your medical school and year of graduation, along with the year you were elected as a Fellow of the AAP.
5. Indicate your current membership status with AAP by selecting 'Yes' or 'No.' Then, provide your gender and ethnicity information as required.
6. Document your AAP ID number and the year of your American Board of Pediatrics subspecialty certification. Provide details regarding your experience with item-writing training sessions if applicable.
7. If you have served on an American Board of Pediatrics’ Committee or Sub-board in the last five years, provide the name and dates of your service. Indicate if you are currently involved in writing or editing questions for another pediatric subspecialty CME activity.
8. Fill in your present position and the average number of hours per week spent on various activities, including direct patient care, administration, medical teaching, research, and other medical activities; you may refer to the specified measures.
9. Express how your interests and expertise align with the objectives of the PREP Subspecialty Editorial Board. Specify your AAP Subspecialty Section Membership if relevant and provide insights into your activities with your state chapter.
10. Complete any community activities and list a referring colleague if desired. Review the attached AAP Policy on Disclosure of Financial Relationships and ensure you are ready to complete the requisite AAP Full Disclosure Statement.
11. In the certification statement section, review the legal language carefully, then indicate your acceptance of the statement by checking the box, providing your name, date, and AAP ID.
12. Finally, ensure all information is complete and accurate. Save your changes, and then download, print, or share the form as required. Make sure you submit all materials by the deadline.

Complete your American Academy Of Pediatrics PREP Editorial Board Fact Sheet online today and ensure your nomination is submitted on time.