The following items must be submitted on each flash drive (see page 1 of the report). Supplemental materials must refer to the type of residency for which the institution is seeking continuing approval. Please refer to the referenced requirements in CPME 320, Standards and Requirements for Approval of for further information specific to each required Podiatric Medicine and Surgery Residencies, document. Sponsorship and Affiliation Agreements: Provide the following information for the sponsoring institution, including the sponsor and co-sponsor (if applicable), and each affiliated training site (e.g., hospital, surgery center, private practice office). For each institution identified provide copies of accreditation documents (e.g. Joint Commission and AAAHC) and copies of executed affiliation agreements between the sponsoring institution and the affiliates. Date Affiliation Name Coordinator Signed/ City, Accredited Percentage Effective State By of Training Date Staff? Name
The following items must be submitted on each flash drive (see page 1 of the report). Supplemental materials must refer to the type of residency for which the institution is seeking continuing approval. Please refer to the referenced requirements in CPME 320, Standards and Requirements for Approval of Podiatric Medicine and Surgery Residencies, for further information specific to each required document. Sponsorship and Affiliation Agreements: Provide the following information for the sponsoring institution, including the sponsor and co-sponsor (if applicable), and each affiliated training site (e.g., hospital, surgery center, private practice office). For each institution identified provide copies of accreditation documents (e.g. Joint Commission and AAAHC) and copies of executed affiliation agreements between the sponsoring institution and the affiliates. Name City, State Accredited By Percentage of Training Date Affiliation Signed/ Effective Date Coordinator Staff? Name