ࡱ> INH bjbj}} 4*      8V,D.5.7.7.7.7.7.7.$03Z[. [.  p.===:  5.=5.==*|K,*]O+!..0.a+3n3$K,K,&3 q,=[.[.=.3 : INSTITUTIONAL LETTERHEAD Date Education Department American Osteopathic Association via email:  HYPERLINK "mailto:postdoc@osteopathic.org" postdoc@osteopathic.org On behalf of Physician Name, I would like to provide information on his/her residency training at Training Institution Name for AOA recognition of his/her ACGME training. Dr. Last Name is currently a resident in our ACGME-accredited Specialty program beginning state date and expected to complete the program on end date. The ACGME program number is 1234567890. Below are his/her dates of training by PGY year: PGYStart DateEnd Date1234Add/remove rows as necessary. Include if applicable: In accordance with the AOAs guidelines, Dr. Last Name presented an osteopathic lecture during his/her residency as his/her osteopathic educational activity. The lecture, titled Presentation Title, was presented to audience on date. At your request, here are the details of his/her PGY 1 rotations. Add additional sentence regarding any longitudinal ambulatory/outpatient experience if applicable. PGY1 Rotations 7/1/17 7/31/17 Internal Medicine 8/1/17 8/31/17 Emergency Medicine 9/1/17 9/30/17 Internal Medicine 10/1/17 10/31/17 General Surgery 11/1/17 11/30/17 Internal Medicine 12/1/17 - 12/31/17 Cardiology 1/1/18 - 1/31/18 Womens Health (half Ambulatory Gynecology) 2/1/18 2/28/18 Internal Medicine 3/1/18 3/31/18 ICU 4/1/18 4/30/18 Hematology/Oncology 5/1/18 5/31/18 Gastroenterology 6/1/18 6/30/18 Neurology Please feel free to contact me at 123-456-7890 or email if you need any further information. 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