Section III: Attestation The information provided on this form is based on review of available training records and evaluations. Signature: Click here to enter text. Printed Name: Click here to enter text. GME Title: Click here to enter text. Professional Credentials: Click here to enter text. Phone Number: Click here to enter text. Email: Click here to enter text. Date Form Completed: Click here to enter text. In an effort to improve and streamline the credentialing process, the Accreditation Council for Graduate Medical Education (ACGME), American Hospital Association (AHA), National Association Medical Staff Services (NAMSS), and Organization of Program Directors Associations (OPDA) have collaborated to create a standardized of Graduate Medical Education Training (VGMET)” form designed to be completed once at the completion of training (or at the first “Verification opportunity thereafter when the program is asked to complete a verification/credentialing form).This VGMET is then time-stamped and inserted in the trainee’s file. This time-stamped form, along with a cover letter from the current program director or institutional official, serves as the program’s verification of training. The form will not include detailed lists of current procedural or technical competencies. NOTE: THE VGMET FORM IS NOT INTENDED TO MEET REQUIREMENTS FOR LICENSURE. PLEASE USE THIS SUPPLIED FROM THE FEDERATION CREDENTIALS VERIFICATION SERVICE (FCVS) FOR LICENSURE PURPOSES. THIS CAN BE USED WHETHER THE PHYSICIAN IS USING FCVS OR IS SEEKING LICENSURE INDEPENDENTLY.
Section III: Attestation The information provided on this form is based on review of available training records and evaluations. Signature: Click here to enter text. Printed Name: Click here to enter text. GME Title: Click here to enter text. Professional Credentials: Click here to enter text. Phone Number: Click here to enter text. Email: Click here to enter text. Date Form Completed: Click here to enter text. In an effort to improve and streamline the credentialing process, the Accreditation Council for Graduate Medical Education (ACGME), American Hospital Association (AHA), National Association Medical Staff Services (NAMSS), and Organization of Program Directors Associations (OPDA) have collaborated to create a standardized “Verification of Graduate Medical Education Training (VGMET)” form designed to be completed once at the completion of training (or at the first opportunity thereafter when the program is asked to complete a verification/credentialing form).This VGMET is then time-stamped and inserted in the trainee’s file. This time-stamped form, along with a cover letter from the current program director or institutional official, serves as the program’s verification of training. The form will not include detailed lists of current procedural or technical competencies. NOTE: THE VGMET FORM IS NOT INTENDED TO MEET REQUIREMENTS FOR LICENSURE. PLEASE USE THIS SUPPLIED FROM THE FEDERATION CREDENTIALS VERIFICATION SERVICE (FCVS) FOR LICENSURE PURPOSES. THIS CAN BE USED WHETHER THE PHYSICIAN IS USING FCVS OR IS SEEKING LICENSURE INDEPENDENTLY.
2017_AHA-ACGME-OPDA_Verification_of_GMET%20Form.docx