University at Buffalo - The State University of New York
Skip to Content

UB Royal College of Physicians Educator Program

Online Application

Please complete the following online application for the 2016-2017 UB Royal College of Physicians Educator Program.

The deadline for receipt of applications and supporting documents is Oct. 7, 2016.

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

Rate your interest in the following topics:

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 

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 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