Online Registration Form for Membership in CGEA.


 

Central Group on Educational Affairs

A Regional Group of the

Association of American Medical Colleges

Online Membership Registration Form
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Online Registration Form for Membership in CGEA.

To join the CGEA, please complete the following online form. The information will be submitted to our membership coordinator. Your name will then be registered with the AAMC as a member of the CGEA and, if applicable, your email address will be added to our listserv for announcements about upcoming meetings and deadlines within the CGEA.
Given that the CGEA is composed of individuals committed to enhancing the continuum of medical education, our sections (Undergraduate Medical Education, Graduate Medical Education, Continuing Medical Education, and Research in Medical Education) and special interest groups (SIGs) are always looking for eager participants. If you have an interest in one or more of these, please indicate it on the form so we can forward your interest to the appropriate SIG Leaders.
If you have any questions about your membership, please feel free to contact Gary L. Beck, CGEA Membership Coordinator at (402) 559-7351 or Gary L. Beck <gbeck@unmc.edu>.

After submitting form return to CGEA Web Site

(Fill out form and click on Submit at the bottom.)

First Name:

Middle Initial:

Last Name:

Preferred Name:     Degree(s):

Title (Director, Dean, etc.):

Institution:

Department/Division/Unit:

Address (first line):

Address (second line):

City:   State/Province:

Zip Code/Postal Code:

E-mail address:

Office phone (area code first):    Extension (if applicable):

Fax (area code first):

Sections: Select as many as you like by typing an "X" in the appropriate boxes.

Continuing Medical Education (CME):

Graduate Medical Education (GME):

Research in Medical Education (RIME):

Undergraduate Medical Education (UGME):

Special Interest Groups (SIG): select as many as you like by typing an "X" in the appropriate boxes.

Academic Development:

Basic Science Education:

Clerkship Administrator:

Continuous Quality Improvement:

Culture and Health:

Curriculum:

Education Leadership:

Faculty Development:

Libraries in Medical Education:

Medical Humanities:

Population Medicine:

Service Learning:

Standardized Patients:

Technology in Medical Education

When you click on Submit, you will be taken to a second form (Research Resources for Collaboration/Expertise/Interest) which will ask you to identify your expertise in a number of medical education areas.  The output of this form is posted on the CGEA Web Site under Resources.  Please take the time to fill out this form.