Notification of Program Completion Form - Emergency Medicine Associateship Training Programs

  • Notification of Program Completion Form - Emergency Medicine Associateship Training Programs

  • Complete the following form to declare that you have completed the requirements of your training program as outlined in ACEM Regulation D.

    Note: Please download all WBAs and meeting documentation from your Assessment Summary that you wish to keep, as once this form is submitted you will no longer have access.

  • Select the training program that you are enrolled in.*
  • FEMTP Assessments*
  • FEMTP Assessments*
  • FEMTP Training Time. I confirm that I have completed:*

  • FEMTP Graduate Survey

  • IEMTP Entry Pathway 1 Assessments*
  • IEMTP Entry Pathway 1 Training Time. I confirm that I have completed:*
  • IEMTP Entry Pathway 1 Online MCQ Examinations. I confirm that I have passed the:*

  • IEMTP Graduate Survey

  • IEMTP Entry Pathway 2 Assessments*
  • IEMTP Entry Pathway 2 Training Time. I confirm that I have completed:*

  • IEMTP Graduate Survey

  • AEMTP Entry Pathway 1 Assessments*
  • AEMTP Entry Pathway 1 Training Time. I confirm that I have completed:*
  • AEMTP Entry Pathway 1 Online MCQ Examinations. I confirm that I have passed the:*

  • AEMTP Graduate Survey

  • AEMTP Entry Pathway 2 Assessments*
  • AEMTP Entry Pathway 2 Training Time. I confirm that I have completed:*
  • AEMTP Entry Pathway 2 Online MCQ Examinations. I confirm that I have passed the:*

  • AEMTP Graduate Survey

  • AEMTP Entry Pathway 3 Assessments*
  • AEMTP Entry Pathway 3 Training Time. I confirm that I have completed:*

  • AEMTP Graduate Survey

  • Should be Empty: