University at Buffalo - The State University of New York
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Online Application - Continuing Medical Education - University at Buffalo
University at Buffalo - The State University of New York
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UB Royal College of Physicians Educator Program

Online Application

Please complete the following online application for the UB Royal College of Physicians Educator Program.

Application Deadline

You must apply by October 13, 2017

Application Checklist

  • Online Application
  • NIH Biosketch
  • Personal Statement
  • Tuition Agreement

About You

(Required)
(Required)
(Required)
(Required)
(Required)

Your CME ID number will usually be the last four digits of your social security number. If you do not have a CME ID number, please register for one and then return to this page to apply to UB RCP. If you have forgotten your ID number, you can request a reminder from our office.

Your Contact Information

(Required)

Include your building and room number.

(Required)
(Required)

Your Teaching Experience and Interests

(Required)
Are you responsible for teaching in large group settings?
Are you responsible for teaching in large group settings?
(Required)
 
 
Are you responsible for teaching in small group settings?
Are you responsible for teaching in small group settings?
(Required)
 
 
Have you had previous formal teacher training?
Have you had previous formal teacher training?
(Required)
 
 
 
Are you willing to participate as an educator at workshops developed for UB medical school faculty in the future?
Are you willing to participate as an educator at workshops developed for UB medical school faculty in the future?
(Required)
 
 

Rate your interest in the following topics:

General teaching skills
General teaching skills
 
 
 
 
 
Teaching in the clinical setting
Teaching in the clinical setting
 
 
 
 
 
Working with challenging residents
Working with challenging residents
 
 
 
 
 
Assessment skills
Assessment skills
 
 
 
 
 

Supporting Documents

In addition to completing the above information, you must submit the following documents to be considered for admission:

1. NIH Biosketch

(Required)

2. Personal Statement

You will need to prepare a separate document that answers these two questions:

  • Please describe your medical education interests. What do you hope to accomplish by enrolling in the Royal College of Physician Educator Program? (300 words or less)
  • How would you characterize your strengths and weaknesses as a teacher? (300 words or less)
(Required)

3. Tuition Agreement

Download and print the following tuition agreement form:

Sign the agreement and obtain a signature from your department chair.

Send your completed tuition agreement form to:

Alicia Blodgett

Alicia Blodgett

Director

Office of Continuing Medical Education

111 Cary Hall, University at Buffalo, Buffalo, N.Y. 14214

Phone: (716) 829-3714; Fax: (716) 829-2378

Email: amblodge@buffalo.edu