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The Association for Surgical Education

The Association for Surgical Education

Impacting Surgical Education Globally

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Academy of Clerkship Directors Application Form

Verification Process Details:

To obtain certification, an applicant must be an active ASE member (all dues paid) and have participated in additional activities to accumulate 12 credits.

Application Fee is $200.

Documentation must be submitted electronically. Application fee must be paid at time of submission with credit card. The application fee is not refundable.

If there are any questions please contact info@surgicaleducation.com.

Once the above documentation has been reviewed by the Oversight Committee (OC), the applicant will be notified of their application status. Final acceptance and level of Certification are at the discretion of the OC.

  • 2 credits/year with maximum of 8 credits
  • 0.5-2 credits/year, with max. of 4 credits at discretion of the OC
  • Describe the roles and number of years in each role.
  • 1 credit each for the following.
  • 3 credits for the following.
  • Credit for additional activities (to be determined at the discretion of the OC)
  • List the Committee(s).
  • PROOF OF EARNED CREDITS

    As ONE PDF, please upload your supporting documents

    Without supporting documents, your application will be disqualified.

    The information that you will need to upload is as follows:

    1. Two letters of recommendation from your education institution
    2. Curriculum Vitae
    3. Educators Portfolio
    4. A photo of yourself
    5. Additional documents to support educational activities

    Accepted file types: pdf, Max. file size: 512 MB.
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Advanced Training in Laparoscopic Suturing

The Official Journal of the Association for Surgical Education

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