ASSOCIATE MEMBERS

Requirements

Please submit photocopies of the first six (6) documents and original copies of the next four (4) documents.

1. Medical School Diploma

2. PRC Board Certificate

3. Valid PRC License

4. Certificate of Residency Training

5. Specialty Board Certificate

6. Certificate of Completion of a Course on Basic or Advanced Laparoscopic Surgery or a Certificate of Training  in Laparoscopic Surgery

7. Preceptorship Certificate signed by a certified preceptor of PALES attesting to at least 10 assisted cases and 10 cases performed with accompanying Histopath Report.

8. Accomplished Application Form

9. Application Letter
   
   Letter addressed to:
   Raymund Andrew G. Ong, MD
   Director, Committee on Membership and Credentials
    

10. Chapter Endorsement

11. Submit five (5) names of PALES fellows with corresponding email addresses.
    (Names of FELLOWS must be coming from the chapter or from the Fellows practicing in the same area. If there is limited numbers of fellows from the area, submit names of fellows from neighboring provinces. Endorsement given by your preceptors will not be accepted.)

12. Five (5) unedited video of Lap Chole Performed within the last two years
    Follow the PALES standard 4-port technique in achieving the Critical View of Safety (CVS)

13. Two pcs. (2x2) colored ID pictures.

14. Application fee - Php1,500.00

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Note:

The Committee on Membership and Credentials will make a random check on your institution.
 

For further questions, you may call or text 0917 600 2073. ​

Download Application Form (PDF) below:

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