Central Group on Educational Aff

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

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 Toshi Uchida, CGEA Membership Coordinator at 312.695.0523 or Toshi Uchida <tuchida@nmff.org>.

PLEASE NOTE: There have been reports of problems with this form using Microsoft Internet Explorer. No problems have been found using Firefox. Chrome, Safari, or Opera on either the PC or Mac Platform. It is strongly suggested that you do not use Internet Explorer when filling out this form.

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):

Medical Education Scholarship Research and Education (formerly RIME (MESRE):

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

CGEA and GEA listserv Subscription

Put a X in the YES box to be subscribed to the CGEA listserv (a managed listserv no spam and less than 3 messages/month) or a X in the NO box if you do not wish to be subscriber to the CGEA listserv. Please note that notices about meetings and other important items are only communicated via this listserv. YES NO

2. Put a X in the YES box to be subscribed to the GEA listserv (a managed listserv with no spam and less than 2 messages/month) or a X in the NO box if you do not wish to be subscriber to the GEA listserv. YES `

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.