AMA Academic Physicians Section Membership Application

Academic Physicians Section

Membership Application
The AMA Academic Physicians Section (APS) is the home within the AMA for academic physicians, providing an opportunity to influence AMA policy, learn about topics of interest to academic physicians, and connect with peers across the country.

You must be an AMA member to join APS.

Personal information

Tell us about you and your Academic role
Name*

First NameLast Name
Credentials/ Degrees*
MD, PhD, etc.
Email*
example@example.com
Phone Number*
Please enter a valid phone number.
Title or appointment *
Academic institution name*
Institution address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Please continue
Are you currently an AMA Member?*

YesNoNot sure
How many years have you been an AMA Member?
Please select the number of years that you have been a member. Estimate is ok.
Are you an AMA Delegate?*

YesNo
Number of AMA-APS meetings attended
Please select the number of meetings that you have attended. Estimate is ok.
Why do you wish to join the AMA-APS?

150 words max0/150
How did you hear about the APS? If you were referred, please share the name of the APS member we can thank for the referral

150 words max0/150

What is your current involvement in Medical Education?

150 words max0/150
Which aspect(s) of Medical Education is your primary role / interest?

Undergraduate Medical Education (UME)Graduate Medical Education (GME)Continuing Medical Education (CME)

Membership options
APS membership is open to any AMA member who meets one of three criteria:
1. Appointed by the dean of a U.S. medical school to represent the institution; or
2. Holds a faculty appointment at a U.S. medical school; or
3. Does not hold a faculty appointment at a U.S. medical school but has an active role in undergraduate, graduate, or continuing medical education or serves in a clinical/research capacity with an academic medical center, community hospital, or other health care setting.
Please select the membership avenue that reflects your experience.*

Avenue 1: Dean AppointedAvenue 2: Self-nominated, hold a faculty appointmentAvenue 3: Self-nominated, do not hold a faculty appointment
Appointment option #1: Dean title and name.
Dean name*

First NameLast Name
Dean title*
Date of appointment*

MonthDayYear
Date
Appointment option #2: Copy of appointment letter OR URL to institution webpage showing your appointment
Copy of faculty appointment letter

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URL to institution webpage showing your appointment
Appointment option #3
In addition to their role in providing patient care, academic physicians are the nation’s custodians of medical education and advance medical science through research, teaching, and administration.

Academic physicians include faculty at academic medical centers and educators within community-based hospitals and clinics. They include those with responsibilities in UME, GME or CME and physicians engaged in research.

They have a key role in the professional identity formation of the next generation of physicians through mentorship and role modeling and promote equity, diversity, and belonging (EDB) throughout all work. As educators of health professionals in disciplines allied to medicine, and as practitioners themselves, academic physicians also have a stake in scope of practice concerns.
Upload CV or brief bio to show how your professional role fits the definition of an Academic Physician.
Brief bio or CV *

three pages or fewer
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Click the "Submit" button to transmit your application to AMA-APS section staff. You will receive an email confirmation detailing your submission.
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Academic Physicians Section

Personal information

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Membership options