CONTINUING EDUCATION IN INTERNAL MEDICINE

All CE must be in the area of internal medicine.  Up to 70% of the hours must be in the subspecialty for which you are applying.

All CE  must be completed within five years of application.  CE must be RACE certified or its equivalent. 

Photocopies of certificate of attendance or other proof of attendance for these events are required.  Please attach to this form.

40 hours of approved CE minimum.  Applicants are encouraged to submit > 40 hours of CE.

 

Applicant’s name: ___________________________________________ Subspecialty: _____________________Examination Year: _____________

Date

Location/Convention

Speaker

Title

Hours

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Total Hours Combined: