Associate Member

REQUIREMENTS

Please submit photocopies of the first five documents and original copies of the last four documents.

  1. Medical School Diploma
  2. PRC Board Certificate
  3. Valid PRC License
  4. Certificate of Residency Training
  5. Specialty Board Certificate
  6. Certificate of Completion of a Course on Basic or Advanced Laparoscopic Surgery or a Certificate of Training in Laparoscopic Surgery
  7. Preceptorship Certificate signed by a certified preceptor of PALES attesting to at least 10 assisted cases and 10 cases performed with accompanying Histopath Report
  8. Five (5) un-edited video of Laparoscopic Cholecystectomy
  9. Application Letter
  10. Submit five (5) names of PALES fellows with corresponding email addresses.  (Names of FELLOWS must be coming from the chapter or from the Fellows practicing in the same area. If there is limited numbers of fellows from the area, submit names of fellows in neighboring provinces. Endorsement given by your preceptors will not be accepted.)
  11. Chapter Endorsement
  12. Two (2) pcs. (2x2) colored ID pictures 

Note: The Committee on Membership and Credentials will make a random check on your institution.

 

Please encolse also Php 2,500.00 as application fee

Induction fee Php 1,000.00

Deadline for Submission: April 28, 2017