Fellowship Training

• Department of Adult Cardiology
• Department of Adult Nephrology
• Department of Pulmonary Medicine & Pulmonary Critical Care
• Department of Orthopedic Spine
• Department of Adult Hip & Knee Reconstruction
• Department of Interventional Radiology
• Department of Endocrinology, Diabetes and Metabolism
• Department of Pediatric Pulmonology

LIST OF REQUIREMENTS FOR FELLOWSHIP TRAINING APPLICATION

FOR AUTHENTICATION PURPOSES PLEASE BRING ORIGINAL CERTIFICATES
ALL DOCUMENTS MUST BE IN SHORT SIZE BOND PAPER

1. Chong Hua Hospital Fellowship Training Application Form (to be filled-up at CME office only)
2. Application letter addressed to Medical Director through the Assistant Medical Director for Continuing Medical Education
   
   format :
   
   Cesar G. Quiza, M.D.
   Medical Director
   Thru :
   Mayleen Jeniffer L. Laico, M.D.
   Assistant Medical Director
   Continuing Medical Education
   
   
3. Application Form / Resume
4. Picture 2x2 (2 pieces) should be less than 6 months, with white background
5. Letters of recommendation addressed to the Assistant Medical Director for Continuing Medical Education from the following:
   1. Department Chairman where you completed Residency Training
   2. Program Director for Residency Training
   3. Program Director for Post Graduate Internship
6. The LETTER OF RECOMMENDATION should be in the OFFICIAL LETTERHEAD of the recommending individual and should be submitted in SEALED ENVELOPE.

6. Requirements from Medical School (Photocopy of the following documents)
   1. Transcript of Records from where you obtained medical school degree
   2. School Ranking should be issued by Dean or Registrar of Medical School
   3. Medical School Diploma
7. Certificates of Training
   1. Certificate of Post Graduate Internship
   2. Certificate of Residency Training
8. Licensure
   1. PRC Board Certificate
   2. PRC Identification Card
   3. PRC Board Rating
9. PSBIM certificate
10. PTR
11. S2
12. TIN
13. PHIC
14. E1 form - Social Security System (SSS) number
15. Birth Certificate
16. Long Size Brown Envelope

For accepted applicants only: (coordinate with the CME secretary)
17. Certificate of Post Graduate Internship
18. Laboratory results of the following (All from Chong Hua Hospital Laboratory):
    1. CBC
    2. Urinalysis
    3. Chest X-ray
    4. Hep B- TITER (HBsAg & anti-HBsAg), Hepatitis C Ab Titers
    5. Stool Exam
    6. Blood Typing

For more details, contact:
Ms. Claire Gimena / Ms. Chang Amancio
Continuing Medical Education Office
Tel. Nos.: 255-8000 local 77101