ERAS 2015 - MyERAS Application Worksheet
Print FormERAS 2015 - MyERAS Application WorksheetThis worksheet may be printed and used to begin completing your MyERAS Application off-line.Questions represent both the Profile portion of MyERAS as well as your online application. All required fields are highlightedin red. Please note, however, that some of these fields are required only in certain circumstances.ProfileFirst NameSuffixMiddle NamePrevious Last NameLast NamePreferred NameMyERAS contact E-mailConfirm MyERAS contact E-mailUpdate AAMC EmailAAMC Account E-mailIf you've just updated your AAMC email address, you'll need to wait a couple ofminutes and refresh the screen to see the new address.Last 4 Digits of SSNPresent Mailing AddressCountryStreet AddressCityState/ProvincePreferred PhoneAlternate PhoneMobileZip/Postal CodePagerFaxCitizenshipAre you a U.S. citizen?YesNoIf you are not a U.S. citizen, please select citizenship status from the following list:Current Visa/Employment Authorization (Select all that may apply):B-1 – Temporary Visitor for BusinessB-2 – Temporary Visitor for PleasureF-1 – Academic Student (Employment Authorization Document - Optional Practical Training)F-2 – Spouse or Child of F-1H-1 – Temporary WorkerH-1B – Special occupation, DoD worker, etceteraH-2B – Temporary worker - skilled and unskilledH-4 – Spouse or Child of H-1, H-2, H-3J-1 – Visa for exchange visitorJ-2 – Spouse or Child of J-1 Employment Authorization Document (EAD)O-1 – Person of Extraordinary Ability in science, arts, education, business or athleticsTN – NAFTA Trade for Canadians and MexicansE-2 – Treaty Investor, Spouse and Child (EAD)Diplomatic ServiceEmployment Authorization Document (EAD)OtherUse Ctrl to select multiple values.L2 May- Dependentof Intra-CompanyTransferee (EAD) 2014 AAMC.not be reproducedwithout permission.1 of 17
If you are a Foreign National, outside the U.S., or currently in the U.S. in valid visa status, please respond:Will you need "visa sponsorship" through ECFMG (J-1) or the teaching hospital (H-1B) in order to participate in U.S. residencytraining?YesNoIf no, Expected Visa/Employment Authorization (the visa status you expect to secure withEmployment Authorization to participate in a program, select all that may apply):B-1 – Temporary Visitor for BusinessB-2 – Temporary Visitor for PleasureF-1 – Academic Student (Employment Authorization Document - Optional Practical Training)F-2 – Spouse or Child of F-1H-1 – Temporary WorkerH-1B – Special occupation, DoD worker, etceteraH-2B – Temporary worker - skilled and unskilledH-4 – Spouse or Child of H-1, H-2, H-3J-1 – Visa for exchange visitorJ-2 – Spouse or Child of J-1 Employment Authorization Document (EAD)O-1 – Person of Extraordinary Ability in science, arts, education, business or athleticsTN – NAFTA Trade for Canadians and MexicansE-2 – Treaty Investor, Spouse and Child (EAD)Diplomatic ServiceEmployment Authorization Document (EAD)Use Ctrl to select multiple values.If Yes, please select the visa(s) you would like to apply for. Select all that apply. The system will list your Expected Visa/Employment Authorization based on the selections you make here:H-1BJ-1USMLE ID(Required for USMLE transcript transmission)NBOME ID(Required for COMLEX transcript transmission)AOA Member NumberNMS Match Information (D.O. Residency Applicants Only)I plan to participate in the NMS MatchYesNoYesNoAOA Match Number (NMS number)Participating as Couple in NMSPartner's NameSpecialties Partner is applying toNRMP Match InformationI plan to participate in the NRMP MatchNRMP ID .Participating as Couple in NRMPPartner's NameSpecialties Partner is applying to 2014 AAMC. May not be reproduced without permission.2 of 17
Urology Match Information(Required for Urology Match Participants Only)AUA Member NumberI am ACLS (Advanced Cardiac Life Support) certified in the US.Expiration DateMM / DD / YYYYI am PALS (Pediatric Advanced Life Support) certified in the US. Expiration DateMM / DD / YYYYAlpha Omega Alpha Status (Leave Blank, if Not Applicable)Sigma Sigma Phi Status (Leave Blank, if Not Applicable)I understand and agree to the AAMC Privacy Statement and the AAMC Policies Regarding the Collection, Use andDissemination of Resident, Intern, Fellow, and Residency, Internship, and Fellowship Application Data, and to the transfer ofmy personal data to those residency programs in the United States and Canada that I select through my application, and toother third parties as stated in the Privacy Policies.ApplicationGeneral TabBirth PlaceBirth Date (MM/DD/YYYY)Permanent Mailing AddressGenderCopy from ProfileCountryStreet AddressCityState/ProvinceZip/Postal CodePhone #Are you committed to fulfill a US military active duty service obligation/deferment?YesNoYearsBranchDo you have any other service obligations? (i.e. Military Reserves or Public Health/State programs)YesNoDescription(255 Char Limit) 2014 AAMC. May not be reproduced without permission.3 of 17
Education Tab(Include only Higher Education)This section allows entries for each Undergraduate and Graduate School you have attended.Entry 1NoneInstitutionLocationEducation TypeField of StudyDegree expected or earnedDegreeDegree MonthDegree YearDates of AttendanceFromMonthYearToMonthYearLeave month/year blank if experience is ongoingEntry 2NoneInstitutionLocationEducation TypeField of StudyDegree expected or earnedDegreeDegree MonthDegree YearDates of AttendanceFromMonthYearToMonthYear 2014 AAMC. May not be reproduced without permission.Leave month/year blank if experience is ongoing4 of 17
Medical Education TabThis section allows entries for each Medical School you have attended.Entry 1CountryInstitutionDegree expected or earnedDegreeDegree MonthDegree YearDates of AttendanceFromMonthYearToMonthYearLeave month/year blank if experience is ongoingEntry 2CountryInstitutionDegree expected or earnedDegreeDegree MonthDegree YearDates of AttendanceFromMonthYearToMonthYearLeave month/year blank if experience is ongoingTraining TabCurrent/Prior TrainingPlease include each D.O. Internship, D.O. Residency, D.O. Fellowship, M.D. Residency, and/or M.D. Fellowship in which youhave trained, regardless of the length of time spent in training.Entry 1NoneType of rovinceCityProgram Director 2014 AAMC. May not be reproduced without permission.5 of 17
SupervisorChief ResidentDates of Residency/Osteopathic n for Leaving(510 Characters)Entry 2NoneType of rovinceCityProgram DirectorSupervisorChief ResidentDates of Residency/Osteopathic n for Leaving(510 Characters)Experience Tab(Include clinical and teaching experience as work experiences; include all unpaid extra-curricular activities and committees youhave served on as volunteer experiences).This section allows entries for each work, volunteer, or research experience.Entry 1NoneExperience TypeOrganization 2014 AAMC. May not be reproduced without permission.6 of 17
PositionSupervisorCountryState/ProvinceCityAverage Hours/WeekDescription(1020 Char)Reason for Leaving(510 Char)Dates of ExperienceFromMonthYearToMonthYearLeave month/year blank if experience is ongoingEntry 2NoneExperience vinceCityAverage Hours/Week 2014 AAMC. May not be reproduced without permission.7 of 17
Description(1020 Char)Reason for Leaving(510 Char)Dates of ExperienceFromMonthYearToMonthYearLeave month/year blank if experience is ongoingPublications TabThis section allows entries for each of your publications.Select from:Peer Reviewed Journal Articles/AbstractsPeer Reviewed Journal Articles/Abstracts (Other than Published)- Statuses: Submitted, Provisional Accepted, Accepted or In-PressPeer Reviewed Book ChapterScientific MonographOther ArticlesPoster PresentationOral PresentationPeer Reviewed Online PublicationNon Peer Reviewed Online PublicationPeer Reviewed Journal Articles/AbstractsTitleAuthor(s)Format:For one author: LastName FirstInitialMiddleInitialFor multiple authors: LastName FirstInitialMiddleInitial, LastName FirstInitialMiddleInitialPublication NamePMID(Publication Med-Line Unique Identifier)VolumeIssue No. 2014 AAMC. May not be reproduced without permission.8 of 17
PagesMonth(eg. 200-212)YearPeer Reviewed Journal Articles/Abstracts (Other than Published)TitleAuthor(s)Format:For one author: LastName FirstInitialMiddleInitialFor multiple authors: LastName FirstInitialMiddleInitial, LastName FirstInitialMiddleInitialPublication NameMonthPublication StatusYearPeer Reviewed Book ChapterChapter TitleName of BookAuthor(s)Format:For one author: LastName FirstInitialMiddleInitialFor multiple authors: LastName FirstInitialMiddleInitial, LastName rScientific MonographTitlePublication NameVolumeIssue No.(eg. 200-212)Author(s)Format:For one author: LastName FirstInitialMiddleInitialFor multiple authors: LastName FirstInitialMiddleInitial, LastName FirstInitialMiddleInitialYear 2014 AAMC. May not be reproduced without permission.9 of 17
Other ArticlesTitleAuthor(s)Format:For one author: LastName FirstInitialMiddleInitialFor multiple authors: LastName FirstInitialMiddleInitial, LastName FirstInitialMiddleInitialPublication NameMonthDayYearPoster PresentationTitleAuthor(s)/Presenter(s)Format:For one author: LastName FirstInitialMiddleInitialFor multiple authors: LastName FirstInitialMiddleInitial, LastName /ProvinceCityYearOral PresentationTitleAuthor(s)/Presenter(s)Format:For one author: LastName FirstInitialMiddleInitialFor multiple authors: LastName FirstInitialMiddleInitial, LastName /ProvinceCityMonthYearPeer Reviewed Online PublicationTitleAuthor(s)Format:For one author: LastName FirstInitialMiddleInitialFor multiple authors: LastName FirstInitialMiddleInitial, LastName FirstInitialMiddleInitial 2014 AAMC. May not be reproduced without permission.10 of 17
URLMonthDayYearNon Peer Reviewed Online PublicationTitleAuthor(s)Format:For one author: LastName FirstInitialMiddleInitialFor multiple authors: LastName FirstInitialMiddleInitial, LastName FirstInitialMiddleInitialURLMonthDayYearLicensure Information TabHas your medical license ever been suspended/revoked/voluntarily terminated?YesNoMonthDayYearReason(510 Char)Have you ever been named in a malpractice case?YesNoReason(510 Char)Is there anything in your past history that would limit your ability to be licensed or would limit you ability to receive hospitalprivileges?YesNoReason(510 Char) 2014 AAMC. May not be reproduced without permission.11 of 17
Have you ever been convicted of a misdemeanor in the United States?YesNoIf yes, explain(510 Char)Have you ever been convicted of a felony in the United States?YesNoIf yes, explain(510 Char)Are you Board Certified?YesNoBoard NameDEA Registration NumberExpiration MonthExpiration YearNote: DEA is for US Medical License holders onlyMedical Licenses TabState Medical LicensesThis section allows entries for each of your state medical licenses.NoneEntry 1StateLicense Type:License NumberExpiration Month 2014 AAMC. May not be reproduced without permission.Expiration Year12 of 17
Entry 2StateLicense Type:License NumberExpiration MonthExpiration YearSelf IdentifyIf you reside in the European Union, do not answer this question. Please select "Prefer not to say" at the bottom of this pageand click Save.This page allows you to indicate how you self-identify. You must select a major category prior to being able to select a subcategory. Sub-categories will be disabled until a major category is selected. When selecting "Other" as a sub-category, the textfield is limited to 120 characters but is not a required field. If you prefer not to self-identify, please select "Prefer not to say" andclick Save.How do you self-identify? Please select all that apply.Hispanic, Latino, or of Spanish canoPeruvianPuerto RicanOther HispanicAmerican Indian or Alaskan NativeTribal oIndianIndonesian 2014 AAMC. May not be reproduced without permission.13 of 17
ther AsianBlack or African AmericanAfrican AmericanAfro-CaribbeanAfricanOther BlackNative Hawaiian or Pacific IslanderGuamanianNative HawaiianSamoanOther Pacific IslanderWhiteOtherPrefer not to say 2014 AAMC. May not be reproduced without permission.14 of 17
Language FluencyWhat languages do you speak? Select all that apply. For each language that you select, including English, you will be asked torate your proficiency in that language using the guidelines provided below.Native/functionally native:I converse easily and accurately in all types of situations. Native speakers, including the highly educated, may think that I am anative speaker, too.Advanced:I speak very accurately, and I understand other speakers very accurately. Native speakers have no problem understanding me,but they probably perceive that I am not a native speaker.Good:I speak well enough to participate in most conversations. Native speakers notice some errors in my speech or myunderstanding, but my errors rarely cause misunderstanding. I have some difficulty communicating necessary health concepts.Fair:I speak and understand well enough to have extended conversations about current events, work, family, or personal life. Nativespeakers notice many errors in my speech or my understanding. I have difficulty communicating about healthcare concepts.Basic:I speak the language imperfectly and only to a limited degree and in limited situations. I have difficulty in or understandingextended conversations. I am unable to understand or communicate most healthcare concepts.AlbanianFrench CreoleMon-Khmer, CambodianTamilAmerican Sign kishBantuHindiPennsylvania SerbianDanishKru, Ibo, nianSpanish/Spanish enchMarathiTagalog 2014 AAMC. May not be reproduced without permission.15 of 17
Miscellaneous TabThe following two questions are to be answered by IMG residency applicants only.Will you or your medical school provide a MSPE to the ERAS Documents office at ECFMG?MSPE:YesNoMedical Schoo Transcript:YesNoWill you or your medical school provide a transcript to the ERAS Documents office at ECFMG?YesNoAre you able to carry out the responsibilities of a resident, intern, or fellow in the specialties and at the specific trainingprograms to which you are applying, including the functional requirements, cognitive requirements, interpersonal andcommunication requirements, and attendance requirements with or without reasonable accommodations?YesNoNo ResponseLimiting Aspects(510 Char)Was your medical education/training extended or interrupted?YesNoReason(510 Char)Hobbies & Interests(510 Char)Medical School Awards(510 Char) 2014 AAMC. May not be reproduced without permission.16 of 17
Other Awards/Accomplishments(510 Char)Membership in Honorary/Professional Societies(255 Char Limit)When you are ready to certify and submit your online MyERAS Application, ERAS will require you to acknowledge thefollowing statement:I certify that the information contained within the MyERAS application is complete and accurate to the best of my knowledge. Iunderstand that any false or missing information may disqualify me from consideration for a position; may result in aninvestigation by the AAMC; may also result in expulsion from ERAS; or if employed, may constitute cause for termination fromthe program. I also understand and agree to the AAMC Web Site Terms and Conditions, AAMC Privacy Statement, and theAAMC Policies Regarding the Collection, Use and Dissemination of Resident, Intern, Fellow, and Residency, Internship, andFellowship Application Data and to the AAMC's collection and other processing of my personal data according to these PrivacyPolicies. In addition, I consent to the transfer of my personal data to AAMC in the United States, to those residency programs inthe United States and Canada that I select through my application, and to other third parties as stated in the Privacy Policies. 2014 AAMC. May not be reproduced without permission.17 of 17
ERAS 2015 - MyERAS Application Worksheet. . USMLE ID NBOME ID (Required for USMLE transcript transmission) NMS Match Information. AOA Match Number (NMS number) (D.O. Residency Applicants Only) If no, Expected Visa/Employment Authorization (the visa status you expect to secure with
Register for MyERAS using your ERAS token obtained through your Designated Dean’s Office (DDO). Complete and submit your MyERAS application and personal statement(s) using MyERAS. Authorize USMLE and/or COMLEX-USA transcript s then assign along with your LoRs, photo and any additional documents.
MyERAS Terms and Conditions Activity Tracking Scheduler 16. Future Applicants in DWS 17. Personal Statements in MyERAS 18. Scheduler (PDWS and MyERAS) 19 . ERAS Help Desk ERAS User Guides FAQs. 23 DWS Training Seminars Webinar Training Dates Wednesday, May 11 @ 1pm Friday, May 13 @ 1pm
for using MyERAS to apply to residency programs. Reading this guide may help you avoid errors that could affect your application. Welcome to ERAS, a service of the Association of American Medical Colleges (AAMC). ERAS is easy to use, but it is important that you read and understand how the service works.
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Below is a list of changes and enhancements we have made to MyERAS for the 2020 season. Work Authorization . The citizenship and visa section in the MyERAS application has been replaced with a work authorization section. This is due to a regular application review by ERAS and aims to help programs better understand their legal obligations.
Register for MyERAS using your ERAS token obtained through your Designated Dean’s Office (DDO). Complete and submit your MyERAS application and assign personal statement(s) usingMyERAS. Authorize USMLE and/or COMLEX-USA . transcript. s then assign along with your LoRs, photo and any additional documents.
Register for MyERAS using your ERAS token obtained through your Designated Dean’s Office (DDO). Complete and submit your MyERAS application and assign personal statement(s) usingMyERAS. Authorize USMLE and/or COMLEX-USA transcript s then assign along with your LoRs, photo and any additional documents.
2 AUDITING ARTIFICIAL INTELLIGENCE CONTENTS 4 Potential Impact of Artificial Intelligence on Organizations 4 Why Should Auditors Care About AI? 4 / Challenges for the Auditor 6 / Mapping COBIT to Strategy: A Visual Representation of How to Apply COBIT 2019 in the Auditing of AI 8 / Challenges and Solutions for the AI Auditor 9 Conclusion 10 Resources and References for Auditing AI 12 .
