Upon completion of the training program, the individual was deemed to have demonstrated sufficient competence in the specialty/subspecialty to practice without direct supervision. Yes No N/A □ ☐ ☐ (If NO, please provide an explanation in the “Additional Comments” section below or enclose a separate document.) Did the program endorse this trainee as meeting the qualifications necessary for admission to the specialty’s board certification examination? Yes No N/A ☐ ☐ ☐ If NO, indicate the reason(s): This trainee was a preliminary resident. Trainee was not eligible for certification. Trainee involuntarily or voluntarily left this program before completion. * No certification is available for this subspecialty. Other. * *Please provide an explanation in the Comments” section below or enclose a separate document. “Additional
Upon completion of the training program, the individual was deemed to have demonstrated sufficient competence in the specialty/subspecialty to practice without direct supervision. □ Yes ☐ No ☐ N/A (If NO, please provide an explanation in the “Additional Comments” section below or enclose a separate document.) Did the program endorse this trainee as meeting the qualifications necessary for admission to the specialty’s board certification examination? ☐ Yes ☐ No ☐ N/A If NO, indicate the reason(s): This trainee was a preliminary resident. Trainee was not eligible for certification. Trainee involuntarily or voluntarily left this program before completion. * No certification is available for this subspecialty. Other. * *Please provide an explanation in the “Additional Comments” section below or enclose a separate document.
NAMSS-AHA-ACGME-OPDA%20Verification%20of%20GMET%20Form.docx