Get the free External Clerkship Attestation Form .pdf - Winthrop University Hospital - winthrop

Graduates of International Medical Schools Attestation as to Site and Duration of Clinical Clerkship In order for graduates to be eligible for post-graduate training in New York State, their medical

How to fill out external clerkship attestation form

How to fill out an external clerkship attestation form:

1. Obtain the form: Contact the relevant authority or institution to request the external clerkship attestation form. They may provide it digitally or in paper format.
2. Read the instructions: Carefully review the instructions provided with the form. Make sure to understand the requirements and any specific documentation needed.
3. Personal information: Begin by providing your personal information such as your name, contact details, and identification number.
4. Educational background: Include details of your educational background, such as the name of your school/university, the program or course you are enrolled in, and the expected or completed graduation date.
5. Clerkship information: Fill in the details of the external clerkship you completed or plan to undertake. This may include the name of the organization or institution hosting the clerkship, the start and end dates, and the main tasks or responsibilities involved.
6. Supervisor details: Provide the contact information of your external clerkship supervisor, including their name, professional title, email address, and phone number.
7. Attainment verification: Depending on the form's requirements, you may need to provide additional documentation to verify your completion of the clerkship. This can include certificates, transcripts, or letters of recommendation.
8. Agreement and submission: Read the declaration statement carefully. By signing or submitting the form, you are attesting that the information provided is accurate and true to the best of your knowledge. If required, also include the date and signature.
9. Review and double-check: After completing the form, review it to ensure all the necessary sections are filled out correctly. Double-check for any errors or missing information.
10. Submitting the form: Follow the instructions provided to submit the form. This may involve sending it via email, mailing it, or submitting it through an online portal.

Who needs external clerkship attestation form?

1. Students pursuing external clerkships: Students who are planning to or have completed an external clerkship may need to fill out an external clerkship attestation form. This form is often required by their educational institution, regulatory bodies, or potential employers to verify their participation and achievements during the clerkship.
2. Organizations hosting clerkships: Institutions or organizations that provide external clerkship opportunities may request students to fill out an external clerkship attestation form. This helps them keep a record of the students' experiences and assess their performance during the clerkship program.
3. Educational authorities and regulatory bodies: Educational authorities and regulatory bodies responsible for monitoring and accrediting clerkship programs may require students to submit an external clerkship attestation form. This allows them to evaluate the quality and compliance of the clerkship program and ensure that students gain the necessary practical skills and knowledge.

For pdfFiller’s FAQs

What is external clerkship attestation form?

The external clerkship attestation form is a document that verifies the completion of a clerkship outside of the educational institution.

Who is required to file external clerkship attestation form?

Students who have completed an external clerkship are required to file the external clerkship attestation form.

How to fill out external clerkship attestation form?

To fill out the external clerkship attestation form, students need to provide details such as the duration and location of the clerkship, supervisor information, and any additional requirements set by the educational institution.

What is the purpose of external clerkship attestation form?

The purpose of the external clerkship attestation form is to validate and document a student's completion of a clerkship outside of the educational institution.

What information must be reported on external clerkship attestation form?

The external clerkship attestation form typically requires information such as the student's name, educational institution, duration and location of the clerkship, supervisor details, and any additional requirements set by the educational institution.

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