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    BOP Form 1 Checklist For Applicants 2013 Version

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    hermie
    This document is a checklist for applicants taking the Certifying Examination in Anatomic and Clinical Pathology from the Philippine Board of Pathology. It lists 14 requirements that must be submitted including an application form, photos, copies of certificates, autopsy and pathology reports, a research paper, copies of licenses and diplomas, and an examination fee. The checklist is to be filled out by the applicant to confirm whether each item has been submitted for review.

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    © All Rights Reserved
    Download as DOC, PDF, TXT or read online from Scribd

    BOP Form 1 Checklist For Applicants 2013 Version

    Uploaded by

    hermie
    14 views2 pages
    This document is a checklist for applicants taking the Certifying Examination in Anatomic and Clinical Pathology from the Philippine Board of Pathology. It lists 14 requirements that must be submitted including an application form, photos, copies of certificates, autopsy and pathology reports, a research paper, copies of licenses and diplomas, and an examination fee. The checklist is to be filled out by the applicant to confirm whether each item has been submitted for review.

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    BOP

    Original Title

    BOP Form 1 Checklist for Applicants 2013 Version

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    This document is a checklist for applicants taking the Certifying Examination in Anatomic and Clinical Pathology from the Philippine Board of Pathology. It lists 14 requirements that must be submitted including an application form, photos, copies of certificates, autopsy and pathology reports, a research paper, copies of licenses and diplomas, and an examination fee. The checklist is to be filled out by the applicant to confirm whether each item has been submitted for review.

    Copyright:

    © All Rights Reserved
    Download as DOC, PDF, TXT or read online from Scribd
    Download as doc, pdf, or txt
    14 views2 pages

    BOP Form 1 Checklist For Applicants 2013 Version

    Uploaded by

    hermie
    This document is a checklist for applicants taking the Certifying Examination in Anatomic and Clinical Pathology from the Philippine Board of Pathology. It lists 14 requirements that must be submitted including an application form, photos, copies of certificates, autopsy and pathology reports, a research paper, copies of licenses and diplomas, and an examination fee. The checklist is to be filled out by the applicant to confirm whether each item has been submitted for review.

    Copyright:

    © All Rights Reserved
    Download as DOC, PDF, TXT or read online from Scribd
    Download as doc, pdf, or txt
    of 2

    BOP Form 1

    PHILIPPINE BOARD OF PATHOLOGY


    Checklist for Applicants for the Certifying Examination in Anatomic & Clinical Pathology

    NAME: _________________________________________
    Examination Being Applied For:

    Anatomic Pathology

    DATE:___________________
    Clinical Pathology

    Both

    REQUIREMENTS
    1. Accomplished Application for Certification form (BOP Form 2).
    2. Two (2) pieces 2x2 photos (taken within the last 6 months).
    3. Photocopy of birth certificate or naturalization form.
    4. Accomplished Application Form for Board Eligibility (BOP Form 3).
    5. Photocopy of the Certificate of Residency Training awarded by the training
    institution and signed by both the medical director and the department chair.
    Certification must state that the applicant has fulfilled all requirements and
    will graduate on December 31.
    6. Letter of endorsement/certificate of good moral character signed by both the
    department chair and training officer. If in a combined program, separate
    certificates should be issued for anatomic and clinical pathology.
    7. Photocopies of ten (10) autopsy reports:
    - Must include at least five (5) complete autopsies.
    - Only autopsies with the applicant as the main prosector will be accepted.
    - All copies must be duly certified as true copies by the Record Section of
    the training institution.
    8. Photocopies of fifty (50) Surgical Pathology Reports with the applicant as a
    co-signatory:
    - All cases must be different.
    - At least twenty (20) of the cases must be from radical procedures.
    - All copies must be duly certified as true copies by the Record Section of
    the training institution.
    9. Research or scientific paper pertinent to the specialty being applied for
    either published or presented in a research forum, with the applicant as the
    principal author. A certificate verifying publication or presentation duly
    signed by the Chair, Training Officer and Medical Education Department
    must also be submitted.
    10. Photocopy of Philippine Board of Medicine license. (Bring original)
    11. Photocopy of Medical School Diploma. (Bring original)
    12. Photocopy of the Certificate of Accreditation for Residency Training
    issued to the training hospital by the PSP.
    13. Duly accomplished form of Agreement to compliance with the rules and
    regulations of the Board (BOP Form 4).
    14. Examination fee Php 3,500.00 for each examination.

    SUBMITTED?
    Yes
    No
    Yes
    No
    Yes
    No
    Yes
    No
    Yes
    No

    Yes
    No
    Yes
    No

    Yes
    No

    Yes
    No

    Yes
    No
    Yes
    No
    Yes
    No
    Yes
    No
    Yes
    No

    Comments/ Recommendations: ____________________________________________________________________


    ______________________________________________________________________________________________

    BOP Form 1
    ______________________________________________________________________________________________
    CHECKED BY/DATE: _________________________________________________________________________
    /ceslim 11-01-2013

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