Complete this form to submit your learning from teaching credit request. Be prepared to have your verification form from your GME Residency office. [provide additional information and instructions] 1 Start 2 Complete First Name Last Name E-mail Address Phone number What course do you want this credit to apply to? Osteopathic Principles and Practices Physical Examination in PM&R Central Nervous System Injuries Musculoskeletal Medicine, Prosthetics and Orthotics, and Assistive Technology and Equipment Pediatric Rehabilitation Occupational Medicine, Sports Medicine, Research, Quality Improvement, and Physician Wellness How many credits? Submit your verification form from your GME office. Files must be less than 2 MB.Allowed file types: gif jpg jpeg png pdf docx. Leave this field blank
