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Resources and Forms 

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Change Request FormsProgram Increase FormsOther Forms


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.

Program Director’s Annual Report

2014 - Program Directors Report.