APPLICATION FORM
PHILIPPINE COLLEGE OF PHYSICIANS FELLOWSHIP

INSTRUCTIONS on How to Apply for the Fellowship status at PCP:
1. Please read the Implementing Rules and Regulation (IRR) for the Committee on Credentialing & Membership
REQUIREMENTS:
1. Current PCP Certificate of Good Standing issued by your respective local chapter.
2. Letter of application addressed to the President of the PCP.
3. Recent passport size colored picture (hi-resolution jpg, at least 300 dpi).
4. Proof of payment of required processing fee / annual dues.
    • For those paying through the bank please use “BILLS PAYMENT FORM” and use your PRC ID number as reference number (Union Bank Pasig Branch. In favor of: Philippine College of Physicians).
and the PCP-CPD Board Resolution http://pcp.org.ph/index.php/membership/implementing-rules-and-regulations-irr-for-the-committee-on-membership-and-credentials http://pcp.org.ph/index.php/latest-news-announcements/679-prc-cpd-board-resolution 2. Documents/requirements must be submitted ON-LINE on or before 5:00 pm. (Philippine Standard Time) of February 28, 2017.
3. Incomplete documents will NOT be processed.
4. Acknowledgement of receipt of application will be done.
5. Approval by Credentials & Membership Chair shall be given via email, upon validation of all documents submitted.
5. Endorsement letters from two (2) PCP Fellows in good standing. 5.1 Please refer to Chapter IV Sec.2.1 of the PCP Committee on Credentials and Membership IRR for the endorsing PCP Fellow criteria. http://pcp.org.ph/index.php/membership/implementing-rules-and-regulations-irr-for-the-committee-on-membership-and-credentials 5.2 For foreign-based PCP Diplomates: Endorsement by a medical colleague (in his locality/medical institution/academic institution) of his having good moral character and ethical standing in the medical profession. 6. Photocopy of Diplomate Board Certification.
7. Certification of ANY of the following accomplishments:
    • Subspecialty Fellowship Training/Masteral/Academic Training
    • Active Internal Medicine Practice and/or Teaching (from the Hospital Medical Director / Department Chair / PCP Chapter President).
    • Completed research during the prescribed period (copy of abstract).
8. If there are any, list of active participation in PCP-related and other civic activities for the last two years in the following format: the specific activity / nature of participation / exact date of activity e.g. Medical Mission in Yolanda Disaster Area in Tacloban/ Medical Service/ November 12, 2013.
NOTE: This field is currently optional but will be required starting Year 2019.
    • The list must be signed by the applicant after stating that they attest to its veracity.