Membership Application Workbook

Download this workbook for complete instructions, templates and examples.

Part 1: Instructions and Criteria for Excellence

Part 2: User Templates:

Part 3: Examples of Completed Templates (select names below to view/download PDF files)

Executive Summary

Role 1: Teaching
Role 2: Mentoring and Advising
Role 3: Curriculum Development, Instructional Design and Technology

Madhavi Dandu, MD, MPH

Erick Hung, MD

Role 4: Educational Leadership:
  • Role 5: Learner Assessment

Karen Hauer, MD



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