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

   1. Ten (10) Assisted and 10 Performed Lap Chole Cases

   2. Two (2) Assisted and 3 Performed Lap Appendectomy Cases

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.)

    1. Five (5) unedited video Performed within the last two years

    2. Three (3) Lap Chole

    3. Two (2) Lap Appendectomy
       Follow the PALES standard 4-port technique in achieving the Critical View of Safety (CVS)

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

13. 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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