Grant Application

Grant Application

ABPLM Medical Director Certification for current medical directors serving the Good Samaritan Society
Successful grant recipients will be medical directors who are committed to professional excellence demonstrated by their pursuit of medical director certification in long-term care through the American Medical Directors Certification Program (AMDCP). The grant is intended to cover the costs of the certification process, not to exceed $4,000 per recipient.

Recipients will be asked to commit to a minimum of two years of service as a medical director for the Good Samaritan Society in exchange for financial support toward the certification program.
Intent of this grant is to:
1. Improve the skill, knowledge base and job satisfaction of our medical directors.

2. Increase the number of certified medical directors serving our centers.
Eligibility requirements
1. MD or DO graduate

2. Successful completion of American Board of Medical Specialties (ABMS) Certification in Primary Specialty

3. Minimum of one year experience as a medical director for the Good Samaritan Society

4. Minimum of two years clinical experience working in long-term care
Application process
1. Complete and submit this online application.

2. Ask your administrator to write a letter of support for your application. This letter should be emailed to Mary Sandbulte, administrative assistant II, at msandbul@good-sam.com.
Application for financial support of CMD training
Full Name *

Prefix First Name Last Name Suffix
Good Samaritan Society center served *
Administrator's name *
Years of service for the Good Samaritan Society *
Specialty *
Additional certifications *

Home Address : *

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Email *

Confirmation Email
Phone number *

Area Code Phone Number
Brief description of why you are interested in pursuing this certification *
After completing the application process, you will receive notification from the Grant Committee in regards to funding.

You will register for your classes directly with AMDA. Click the link below to view the current schedule.

Visit the Core Curriculum on Medical Direction in Post-Acute and Long-Term Care.
Should be Empty:

Intent of this grant is to:

Eligibility requirements

Application process

Application for financial support of CMD training