Fall 2023 Applied Quality Improvement for Program Directors, Faculty, and Fellows

SEMCME Registration Form

• * First Name:
• * Last Name:
• * Email Address:
• * Confirm Email Address:
• * Cell Phone:

• * SEMCME Member Institutions: --Choose-- Ascension Providence Hospitals Novi & Southfield Ascension Providence Rochester Hospital Ascension St. John Hospital Corewell Hospital Dearborn Corewell Hospital Farmington Hills Corewell Hospital Royal Oak Detroit Medical Center Garden City Hospital Henry Ford Health System McLaren Bay McLaren Flint McLaren Greater Lansing McLaren Health McLaren Macomb McLaren Northern McLaren Oakland McLaren St. Luke's Oakland University WBSOM SEMCME Trinity Health (St. Mary Mercy) Livonia Trinity Health Ann Arbor Trinity Health Oakland Wayne State University SOM
• * Select Specialty --Choose-- Administration Allergy and Immunology Anesthesiology Cardiology Cardiovascular Health Cardiovascular Surgery Community Health Critical Care Dermatology Emergency Medicine Endocrinology Family Medicine GME Gastroenterology Genetics & Genomics Hematology Infectious Disease Internal Medicine Internal Medicine/Pediatrics Nephrology Neurology Neurosurgery OB/GYN Oncology Ophthalmology Orthopaedic Surgery Orthopedics Otolaryngology PM&R Pathology Pediatrics Perinatology Plastic Surgery Podiatry Preventative Medicine Psychiatry Psychology Radiation Oncology Radiology Research Rheumatology Sports Medicine Surgery Transitional Year Urology Vascular Surgery OTHER
• *

  Degree

  • MD
  • DO
  • BS
  • DDS
  • DPM
  • MBBD
  • MD, PhD
  • MPH
  • MSW
  • NP
  • PA
  • PhD
  • PharmD
  • RN
  • OTHER
• * Role/Title --Choose-- Faculty Fellow Fellowship Coordinator/Manager GME Office Admin Medical Student (OUWBSOM) Medical Student (WSUSOM) Program Director Program Director (Assistant/Associate) Residency Coordinator/Manager Resident SEMCME Staff OTHER
• * PGY Level --Choose-- N/A PGY 1 PGY 2 PGY 3 PGY 4 PGY 5 PGY 6 PGY 7 PGY 8