Emergency Medicine Physician Assistant Fellowship Application

Medical Education: EMPA Fellowship Application

The deadline for applications for the 2022-2023 academic year was January 1, 2022, and is now closed. Virtual interviews will occur in February and March of 2022, with the program starting in late summer 2022.

Requirements for application

Degree from accredited PA program (by start of fellowship)
NCCPA certification (by start of fellowship)
Official transcripts from PA School
Three letters of recommendation:
- If currently in school: One from Program Director
- If currently employed: One from colleague
- Ideally one from an emergency physician, physician assistant or nurse practitioner
Personal Statement
Curriculum Vitae

Application

To begin the application process, please fill out the form below. After completing the form, email the other required documents listed above to [email protected]

Basic information

Your name

Phone

Address

Address 2

City/Town

State/Province

ZIP/Postal Code

Country

Credentials

Education

School name

Graduation date

Enter your graduation date, past or anticipated.

GPA

Extracurriculars

Describe any community/extracurricular work or activities you have done (organizations that you belong to, service work, community projects, etc.)

Academic honors

Describe any special recognition you have received for excellence in school work (honors, prizes, etc.)

Comments

Terms of application

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