<p>
	To be eligible for certification in Urgent Care Medicine through the Board of Certification in Urgent Care Medicine (BCUCM), the applicant must:</p>
<ol type="1">
<li>
		Submit a completed Urgent Care Medicine application with required processing fee, two (2) passport-size photographs taken within the last 90 days, and a notarized signature.</li>
</ol>
<ol start="2" type="1">
<li>
		Be in conformity with the Code of Ethics of the American Board of Physician Specialties, be known in his/her community as an ethical member of the profession, and be an active specialist in Urgent Care Medicine.</li>
</ol>
<ol start="3" type="1">
<li>
		Be a graduate of a recognized college of medicine confirmed by a copy of an allopathic/osteopathic degree or a letter of verification from the institution where the degree was earned. In the case of foreign medical schools, an English transcription of the document is also required. Graduates of foreign medical schools must also include a copy of the ECFMG Certificate. Canadian medical schools and medical training programs are considered equivalent to U.S. medical schools and medical training programs. </li>
</ol>
<p class="MsoNormal" style="margin: 0in 15pt 0pt 0.5in">
	<span style="font-family: 'arial','sans-serif'; color: #2d2d2c; font-size: 10pt"><span style="font-family: 'arial','sans-serif'; color: #2d2d2c; font-size: 10pt"><o:p>&nbsp;</o:p></span></span></p>
<ol start="4" style="margin-top: 0in" type="1">
	<li class="MsoNormal" style="margin: 0in 15pt 0pt 0in; color: #2d2d2c; mso-list: l7 level1 lfo7">
		<span style="font-family: 'arial','sans-serif'; color: #2d2d2c; font-size: 10pt"><span style="font-family: 'arial','sans-serif'; font-size: 10pt">Hold a valid and unrestricted license to practice medicine in the United States or its territories or in Canada and submit copies of all licenses. License(s) must include date of expiration. <o:p></o:p></span></span></li>
</ol>
<p class="MsoNormal" style="margin: 0in 15pt 0pt 0in">
	<span style="font-family: 'arial','sans-serif'; color: #2d2d2c; font-size: 10pt"><span style="font-family: 'arial','sans-serif'; color: #2d2d2c; font-size: 10pt"><o:p>&nbsp;</o:p></span></span></p>
<ol start="5" style="margin-top: 0in" type="1">
	<li class="MsoNormal" style="margin: 0in 15pt 0pt 0in; color: #2d2d2c; mso-list: l7 level1 lfo7">
		<span style="font-family: 'arial','sans-serif'; color: #2d2d2c; font-size: 10pt"><span style="font-family: 'arial','sans-serif'; font-size: 10pt">Submit current curriculum vitae which includes medical school experiences and degrees earned in chronological order. <o:p></o:p></span></span></li>
</ol>
<p class="MsoNormal" style="margin: 0in 15pt 0pt 0in">
	<span style="font-family: 'arial','sans-serif'; color: #2d2d2c; font-size: 10pt"><span style="font-family: 'arial','sans-serif'; font-size: 10pt"><o:p><font color="#000000">&nbsp;</font></o:p></span></span></p>
<ol start="6" style="margin-top: 0in" type="1">
	<li class="MsoNormal" style="margin: 0in 15pt 0pt 0in; mso-list: l7 level1 lfo7">
		<span style="font-family: 'arial','sans-serif'; color: #2d2d2c; font-size: 10pt"><span style="font-family: 'arial','sans-serif'; font-size: 10pt"><font color="#000000">All applicants must be qualified under one of the following (6a or 6b):<o:p></o:p></font></span></span></li>
</ol>
<p class="MsoListParagraph" style="margin: 0in 0in 0pt">
	<span style="font-family: 'arial','sans-serif'; color: #2d2d2c; font-size: 10pt"><span style="font-family: 'arial','sans-serif'; font-size: 10pt"><o:p><font color="#000000">&nbsp;</font></o:p></span></span></p>
<ol start="6" style="margin-top: 0in" type="1">
</ol>
<ol style="margin-top: 0in" type="a">
	<li class="MsoNormal" style="margin: 0in 15pt 0pt 0in; mso-list: l7 level2 lfo7">
		<span style="font-family: 'arial','sans-serif'; color: #2d2d2c; font-size: 10pt"><span style="font-family: 'arial','sans-serif'; font-size: 10pt"><font color="#000000">Have completed residency training in a program approved by the Accreditation Council of Graduate Medical Education (ACGME), the American Osteopathic Association (AOA), or the Royal College of Physicians and Surgeons of Canada (RCPSC) and deemed acceptable to the Board of Certification in Urgent Care Medicine. Such training must include substantial and identifiable training in Urgent Care Medicine as determined by the Board of Certification in Urgent Care Medicine and approved by the ABPS, <b>OR</b><o:p></o:p></font></span></span></li>
</ol>
<p class="MsoNormal" style="margin: 0in 15pt 0pt 1in">
	<span style="font-family: 'arial','sans-serif'; color: #2d2d2c; font-size: 10pt"><span style="font-family: 'arial','sans-serif'; font-size: 10pt"><o:p><font color="#000000">&nbsp;</font></o:p></span></span></p>
<ol start="6" style="margin-top: 0in" type="1">
</ol>
<ol start="2" style="margin-top: 0in" type="a">
	<li class="MsoNormal" style="margin: 0in 15pt 0pt 0in; mso-list: l7 level2 lfo7">
		<span style="font-family: 'arial','sans-serif'; color: #2d2d2c; font-size: 10pt"><u><span style="font-family: 'arial','sans-serif'; font-size: 10pt"><font color="#000000">Hold current Board Certification and have initially obtained this certification prior to December 31, 2001*.<o:p></o:p></font></span></u></span></li>
</ol>
<p class="MsoNormal" style="margin: 0in 15pt 0pt 0in">
	<span style="font-family: 'arial','sans-serif'; color: #2d2d2c; font-size: 10pt"><span style="font-family: 'arial','sans-serif'; font-size: 10pt"><o:p><font color="#000000">&nbsp;</font></o:p></span></span></p>
<ol start="7" style="margin-top: 0in" type="1">
	<li class="MsoNormal" style="margin: 0in 15pt 0pt 0in; mso-list: l7 level1 lfo7">
		<span style="font-family: 'arial','sans-serif'; color: #2d2d2c; font-size: 10pt"><span style="font-family: 'arial','sans-serif'; font-size: 10pt"><font color="#000000">In addition to fulfilling requirement 6 above, applicants must be qualified under one of the following (7a, 7b, 7c, or 7d):<o:p></o:p></font></span></span></li>
</ol>
<p class="MsoNormal" style="margin: 0in 15pt 0pt 1in">
	<span style="font-family: 'arial','sans-serif'; color: #2d2d2c; font-size: 10pt"><span style="font-family: 'arial','sans-serif'; font-size: 10pt"><o:p><font color="#000000">&nbsp;</font></o:p></span></span></p>
<ol start="7" style="margin-top: 0in" type="1">
</ol>
<ol style="margin-top: 0in" type="a">
	<li class="MsoNormal" style="margin: 0in 15pt 0pt 0in; mso-list: l7 level2 lfo7">
		<span style="font-family: 'arial','sans-serif'; color: #2d2d2c; font-size: 10pt"><span style="font-family: 'arial','sans-serif'; font-size: 10pt"><font color="#000000">Have practiced Urgent Care Medicine on a full-time basis for 2 consecutive years <b><u>AND</u></b> have accumulated a minimum of 2,800 hours in the practice of Urgent Care Medicine (as defined in the note below) <b style="mso-bidi-font-weight: normal"><u>AND</u> </b>one of the following:<o:p></o:p></font></span></span></li>
</ol>
<p class="MsoNormal" style="margin: 0in 0in 0pt 1.5in">
	<span style="font-family: 'arial','sans-serif'; color: #2d2d2c; font-size: 10pt"><span style="font-family: 'arial','sans-serif'; font-size: 10pt"><o:p><font color="#000000">&nbsp;</font></o:p></span></span></p>
<ol style="margin-top: 0in" type="a">
</ol>
<ol style="margin-top: 0in" type="a">
</ol>
<ul style="margin-top: 0in" type="disc">
	<li class="MsoNormal" style="margin: 0in 0in 0pt; mso-list: l8 level3 lfo8; tab-stops: list 1.5in">
		<span style="font-family: 'arial','sans-serif'; color: #2d2d2c; font-size: 10pt"><span style="font-family: 'arial','sans-serif'; font-size: 10pt"><font color="#000000">Have completed an ACGME or AOA-accredited residency in Emergency Medicine, Family Practice, combined Internal Medicine/Pediatrics, combined Family Practice/Emergency Medicine, combined Internal Medicine/Emergency Medicine, or combined Pediatrics/ Emergency Medicine <b style="mso-bidi-font-weight: normal"><u>OR</u></b><o:p></o:p></font></span></span></li>
</ul>
<p class="MsoNormal" style="margin: 0in 0in 0pt 1.5in">
	<span style="font-family: 'arial','sans-serif'; color: #2d2d2c; font-size: 10pt"><span style="font-family: 'arial','sans-serif'; font-size: 10pt"><o:p><font color="#000000">&nbsp;</font></o:p></span></span></p>
<ol style="margin-top: 0in" type="a">
</ol>
<ol style="margin-top: 0in" type="a">
</ol>
<ul style="margin-top: 0in" type="disc">
	<li class="MsoNormal" style="margin: 0in 0in 0pt; mso-list: l8 level3 lfo8; tab-stops: list 1.5in">
		<span style="font-family: 'arial','sans-serif'; color: #2d2d2c; font-size: 10pt"><font color="#000000"><span style="font-family: 'arial','sans-serif'; font-size: 10pt; mso-bidi-font-weight: bold">A</span><span style="font-family: 'arial','sans-serif'; font-size: 10pt">re&nbsp;<u>currently</u> board-certified by an AOABOS, ABMS or ABPS board in Emergency Medicine, Family Practice or Family Medicine*.&nbsp;<o:p></o:p></span></font></span></li>
</ul>
<p class="MsoNormal" style="margin: 0in 0in 0pt 1in">
	<span style="font-family: 'arial','sans-serif'; color: #2d2d2c; font-size: 10pt"><span style="font-family: 'arial','sans-serif'; font-size: 10pt"><font color="#000000"><span style="mso-spacerun: yes">&nbsp;</span><o:p></o:p></font></span></span></p>
<ol style="margin-top: 0in" type="a">
</ol>
<ol start="2" style="margin-top: 0in" type="a">
	<li class="MsoNormal" style="margin: 0in 0in 0pt; mso-list: l8 level2 lfo8; tab-stops: list 1.0in">
		<span style="font-family: 'arial','sans-serif'; color: #2d2d2c; font-size: 10pt"><span style="font-family: 'arial','sans-serif'; font-size: 10pt"><font color="#000000">Have been an instructor in Urgent Care Medicine on a full-time basis for 2 consecutive years<b><u> AND</u></b> have accumulated a minimum of 2,800 hours in the practice and/or instruction and teaching of Urgent Care Medicine in a distinct outpatient department or clinic that is part of an ACGME-approved institution for postgraduate medical education <b style="mso-bidi-font-weight: normal"><u>AND </u></b>one of the following:<o:p></o:p></font></span></span></li>
</ol>
<p class="MsoNormal" style="margin: 0in 0in 0pt 1in">
	<span style="font-family: 'arial','sans-serif'; color: #2d2d2c; font-size: 10pt"><span style="font-family: 'arial','sans-serif'; font-size: 10pt"><o:p><font color="#000000">&nbsp;</font></o:p></span></span></p>
<ol style="margin-top: 0in" type="a">
</ol>
<ul style="margin-top: 0in" type="disc">
</ul>
<ul style="margin-top: 0in" type="disc">
	<li class="MsoNormal" style="margin: 0in 0in 0pt; mso-list: l2 level3 lfo10; tab-stops: list 1.5in">
		<span style="font-family: 'arial','sans-serif'; color: #2d2d2c; font-size: 10pt"><span style="font-family: 'arial','sans-serif'; font-size: 10pt"><font color="#000000">Have completed an ACGME or AOA-accredited residency in Emergency Medicine. Family Practice, combined Internal Medicine/Pediatrics, combined Family Practice/Emergency Medicine, combined Internal Medicine/Emergency Medicine, or combined Pediatrics/ Emergency Medicine, <b><u>OR</u></b> <o:p></o:p></font></span></span></li>
</ul>
<p class="MsoNormal" style="margin: 0in 0in 0pt 1.5in">
	<span style="font-family: 'arial','sans-serif'; color: #2d2d2c; font-size: 10pt"><span style="font-family: 'arial','sans-serif'; font-size: 10pt"><o:p><font color="#000000">&nbsp;</font></o:p></span></span></p>
<ol style="margin-top: 0in" type="a">
</ol>
<ul style="margin-top: 0in" type="disc">
</ul>
<ul style="margin-top: 0in" type="disc">
	<li class="MsoNormal" style="margin: 0in 0in 0pt; mso-list: l2 level3 lfo10; tab-stops: list 1.5in">
		<span style="font-family: 'arial','sans-serif'; color: #2d2d2c; font-size: 10pt"><span style="font-family: 'arial','sans-serif'; font-size: 10pt"><font color="#000000">Are&nbsp;<u>currently</u> board-certified by an AOABOS, ABMS or ABPS board in Emergency Medicine, Family Practice or Family Medicine*. <o:p></o:p></font></span></span></li>
</ul>
<p class="MsoNormal" style="margin: 0in 0in 0pt 1in">
	<span style="font-family: 'arial','sans-serif'; color: #2d2d2c; font-size: 10pt"><span style="font-family: 'arial','sans-serif'; font-size: 10pt"><o:p><font color="#000000">&nbsp;</font></o:p></span></span></p>
<ol style="margin-top: 0in" type="a">
</ol>
<ol start="3" style="margin-top: 0in" type="a">
	<li class="MsoNormal" style="margin: 0in 0in 0pt; mso-list: l8 level2 lfo8; tab-stops: list 1.0in">
		<span style="font-family: 'arial','sans-serif'; color: #2d2d2c; font-size: 10pt"><font color="#000000"><span style="font-family: 'arial','sans-serif'; font-size: 10pt; mso-bidi-font-weight: bold">H</span><span style="font-family: 'arial','sans-serif'; font-size: 10pt">ave practiced Urgent Care Medicine on a full-time basis for five (5) consecutive years <b><u>AND</u></b> have accumulated a minimum of 7,000 hours in the practice of Urgent Care Medicine (as defined in the note below) <b style="mso-bidi-font-weight: normal"><u>AND </u></b>one of the following:<o:p></o:p></span></font></span></li>
</ol>
<p class="MsoNormal" style="margin: 0in 0in 0pt 1in">
	<span style="font-family: 'arial','sans-serif'; color: #2d2d2c; font-size: 10pt"><span style="font-family: 'arial','sans-serif'; font-size: 10pt"><o:p><font color="#000000">&nbsp;</font></o:p></span></span></p>
<ol style="margin-top: 0in" type="a">
</ol>
<ol start="3" style="margin-top: 0in" type="a">
</ol>
<ul style="margin-top: 0in" type="disc">
	<li class="MsoNormal" style="margin: 0in 0in 0pt; mso-list: l8 level3 lfo8; tab-stops: list 1.5in">
		<span style="font-family: 'arial','sans-serif'; color: #2d2d2c; font-size: 10pt"><span style="font-family: 'arial','sans-serif'; font-size: 10pt"><font color="#000000">Have completed an ACGME, AOA, RCSPC, or CFPC accredited residency other than those mentioned above (in 7a or 7b), which includes substantial and identifiable training in Urgent Care Medicine as determined by the BCUCM and approved by the ABPS, <b style="mso-bidi-font-weight: normal"><u>OR</u></b><o:p></o:p></font></span></span></li>
</ul>
<p class="MsoNormal" style="margin: 0in 0in 0pt 1.5in">
	<span style="font-family: 'arial','sans-serif'; color: #2d2d2c; font-size: 10pt"><span style="font-family: 'arial','sans-serif'; font-size: 10pt"><o:p><font color="#000000">&nbsp;</font></o:p></span></span></p>
<ol style="margin-top: 0in" type="a">
</ol>
<ol start="3" style="margin-top: 0in" type="a">
</ol>
<ul style="margin-top: 0in" type="disc">
	<li class="MsoNormal" style="margin: 0in 0in 0pt; mso-list: l8 level3 lfo8; tab-stops: list 1.5in">
		<span style="font-family: 'arial','sans-serif'; color: #2d2d2c; font-size: 10pt"><font color="#000000"><span style="font-family: 'arial','sans-serif'; font-size: 10pt; mso-bidi-font-weight: bold">A</span><span style="font-family: 'arial','sans-serif'; font-size: 10pt">re&nbsp;<u>currently</u> board-certified by an AOABOS, ABMS or ABPS board in Internal Medicine, Pediatrics, or Occupational Medicine*.<o:p></o:p></span></font></span></li>
</ul>
<p class="MsoNormal" style="margin: 0in 0in 0pt 1in">
	<span style="font-family: 'arial','sans-serif'; color: #2d2d2c; font-size: 10pt"><span style="font-family: 'arial','sans-serif'; font-size: 10pt"><font color="#000000">&nbsp;&nbsp; <o:p></o:p></font></span></span></p>
<ol style="margin-top: 0in" type="a">
</ol>
<ol start="4" style="margin-top: 0in" type="a">
	<li class="MsoNormal" style="margin: 0in 0in 0pt; mso-list: l8 level2 lfo8; tab-stops: list 1.0in">
		<span style="font-family: 'arial','sans-serif'; color: #2d2d2c; font-size: 10pt"><span style="font-family: 'arial','sans-serif'; font-size: 10pt"><font color="#000000">Fellowship Training Program: Completed a 12-month Urgent Care Medicine fellowship training program recognized by the BCUCM. (This Fellowship Training Program does not constitute a residency program, and <b><u>does not</u></b> fulfill the residency requirement specified in item 6.). These programs will have been approved by the Academic Committee of the Urgent Care Association of America.<span style="mso-spacerun: yes">&nbsp; </span>Currently, the BCUCM has approved the following fellowship training programs:<o:p></o:p></font></span></span></li>
</ol>
<p class="MsoNormal" style="margin: 0in 0in 0pt 1in">
	<span style="font-family: 'arial','sans-serif'; color: #2d2d2c; font-size: 10pt"><span style="font-family: 'arial','sans-serif'; font-size: 10pt"><o:p><font color="#000000">&nbsp;</font></o:p></span></span></p>
<p class="MsoNormal" style="text-indent: -0.25in; margin: 0in 0in 0pt 2in; mso-list: l0 level1 lfo9; tab-stops: list 2.0in">
	<span style="font-family: 'arial','sans-serif'; color: #2d2d2c; font-size: 10pt"><font color="#000000"><span style="font-family: symbol; font-size: 10pt; mso-fareast-font-family: symbol; mso-bidi-font-family: symbol"><span style="mso-list: ignore">&middot;<span style="font: 7pt 'times new roman'">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span></span></span><span style="font-family: 'arial','sans-serif'; font-size: 10pt">University Hospitals Case Medical Center, Cleveland, OH <o:p></o:p></span></font></span></p>
<p class="MsoNormal" style="text-indent: -0.25in; margin: 0in 0in 0pt 2in; mso-list: l0 level1 lfo9; tab-stops: list 2.0in">
	<span style="font-family: 'arial','sans-serif'; color: #2d2d2c; font-size: 10pt"><font color="#000000"><span style="font-family: symbol; font-size: 10pt; mso-fareast-font-family: symbol; mso-bidi-font-family: symbol"><span style="mso-list: ignore">&middot;<span style="font: 7pt 'times new roman'">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span></span></span><span style="font-family: 'arial','sans-serif'; font-size: 10pt">University of Illinois College of Medicine, Rockford, IL <o:p></o:p></span></font></span></p>
<p class="MsoNormal" style="text-indent: -0.25in; margin: 0in 0in 0pt 2in; mso-list: l0 level1 lfo9; tab-stops: list 2.0in">
	<span style="font-family: 'arial','sans-serif'; color: #2d2d2c; font-size: 10pt"><font color="#000000"><span style="font-family: symbol; font-size: 10pt; mso-fareast-font-family: symbol; mso-bidi-font-family: symbol"><span style="mso-list: ignore">&middot;<span style="font: 7pt 'times new roman'">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span></span></span><span style="font-family: 'arial','sans-serif'; font-size: 10pt">University of Nevada School of Medicine, Las Vegas<o:p></o:p></span></font></span></p>
<p class="MsoNormal" style="margin: 0in 0in 0pt">
	<span style="font-family: 'arial','sans-serif'; color: #2d2d2c; font-size: 10pt"><span style="font-family: 'arial','sans-serif'; font-size: 10pt"><o:p><font color="#000000">&nbsp;</font></o:p></span></span></p>
<p class="MsoNormal" style="text-indent: -0.25in; margin: 0in 0in 0pt 0.5in; mso-list: l7 level1 lfo7; tab-stops: 20.0pt .5in 1.0in 1.5in 2.0in 2.5in 3.0in 3.5in 4.0in">
	<span style="font-family: 'arial','sans-serif'; color: #2d2d2c; font-size: 10pt"><font color="#000000"><span style="font-family: 'arial','sans-serif'; font-size: 10pt; mso-fareast-font-family: arial"><span style="mso-list: ignore">8.<span style="font: 7pt 'times new roman'">&nbsp;&nbsp;&nbsp;&nbsp; </span></span></span><span style="font-family: 'arial','sans-serif'; font-size: 10pt">Provide three (3) Letters of Recommendation from Diplomates of an ABPS, ABMS, AOA, or RCPSC Board of Certification. Letters of recommendation must be dated within the twelve month period prior to submission of the application and must be on letterhead which includes the originator&rsquo;s telephone number and original signature. Copies are not acceptable. <o:p></o:p></span></font></span></p>
<p style="margin: 0in 0in 0pt 0.5in">
	<span style="font-family: 'arial','sans-serif'; color: #2d2d2c; font-size: 10pt"><span style="font-family: 'arial','sans-serif'; color: #2d2d2c; font-size: 10pt"><o:p>&nbsp;</o:p></span></span></p>
<p style="text-indent: -0.25in; margin: 0in 0in 0pt 0.5in; mso-list: l7 level1 lfo7">
	<span style="font-family: 'arial','sans-serif'; color: #2d2d2c; font-size: 10pt"><span style="font-family: 'arial','sans-serif'; color: #2d2d2c; font-size: 10pt; mso-fareast-font-family: arial"><span style="mso-list: ignore">9.<span style="font: 7pt 'times new roman'">&nbsp;&nbsp;&nbsp;&nbsp; </span></span></span><span style="font-family: 'arial','sans-serif'; color: #2d2d2c; font-size: 10pt">Submit a documented report of a minimum of ten (10) Urgent Care Medicine cases for which the physician had the lead management role. <span style="mso-spacerun: yes">&nbsp;</span>See Case Report Requirements below.<br style="mso-special-character: line-break" />
	<br style="mso-special-character: line-break" />
	<o:p></o:p></span></span></p>
<p class="MsoNormal" style="text-indent: -0.25in; margin: 0in 0in 0pt 0.5in; mso-list: l7 level1 lfo7; tab-stops: 20.0pt .5in 1.0in 1.5in 2.0in 2.5in 3.0in 3.5in 4.0in">
	<span style="font-family: 'arial','sans-serif'; color: #2d2d2c; font-size: 10pt"><span style="font-family: 'arial','sans-serif'; font-size: 10pt; mso-fareast-font-family: arial"><span style="mso-list: ignore"><font color="#000000">10.<span style="font: 7pt 'times new roman'">&nbsp; </span></font></span></span><span style="font-family: 'arial','sans-serif'; font-size: 10pt"><font color="#000000">U.S. physicians must perform a self-query of the National Practitioner Data Bank and submit a copy of the report to ABPS in the unopened envelope it is received in.<span style="mso-spacerun: yes">&nbsp;&nbsp; </span></font><span style="color: #2d2d2c">For information on performing a self-query of the Bank, go to the National Practitioner Data Bank at </span></span><a href="http://www.npdb-hipdb.hrsa.gov/" target="_blank"><span style="font-family: 'arial','sans-serif'; font-size: 10pt"><font color="#0000ff">http://npdb-hipdb.hrsa.gov</font></span></a><span style="font-family: 'arial','sans-serif'; color: #2d2d2c; font-size: 10pt"> for information. </span><span style="font-family: 'arial','sans-serif'; font-size: 10pt"><font color="#000000">All Canadian physicians must request and submit a testament statement from each province in which a license is held, verifying that there have been no disciplinary actions against the applicant.<o:p></o:p></font></span></span></p>
<p style="margin: 0in 0in 0pt 0.5in">
	<span style="font-family: 'arial','sans-serif'; color: #2d2d2c; font-size: 10pt"><span style="font-family: 'arial','sans-serif'; color: red; font-size: 10pt"><o:p>&nbsp;</o:p></span></span></p>
<p style="margin: 0in 0in 0pt 0.5in">
	<span style="font-family: 'arial','sans-serif'; color: #2d2d2c; font-size: 10pt"><span style="font-family: 'arial','sans-serif'; color: #2d2d2c; font-size: 10pt"><o:p>&nbsp;</o:p></span></span></p>
<p class="MsoNormal" style="text-indent: -0.25in; margin: 0in 0in 0pt 0.5in; mso-list: l7 level1 lfo7; tab-stops: 20.0pt .5in 1.0in 1.5in 2.0in 2.5in 3.0in 3.5in 4.0in">
	<span style="font-family: 'arial','sans-serif'; color: #2d2d2c; font-size: 10pt"><font color="#000000"><span style="font-family: 'arial','sans-serif'; font-size: 10pt; mso-fareast-font-family: arial"><span style="mso-list: ignore">11.<span style="font: 7pt 'times new roman'">&nbsp; </span></span></span><span style="font-family: 'arial','sans-serif'; font-size: 10pt">Sign and submit the ABPS <i style="mso-bidi-font-style: normal">Disclosure and Authorization to obtain Criminal Background Reports</i> form.<o:p></o:p></span></font></span></p>
<p class="MsoNormal" style="margin: 0in 0in 0pt; tab-stops: 20.0pt .5in 1.0in 1.5in 2.0in 2.5in 3.0in 3.5in 4.0in">
	<span style="font-family: 'arial','sans-serif'; color: #2d2d2c; font-size: 10pt"><span style="font-family: 'arial','sans-serif'; font-size: 10pt"><o:p><font color="#000000">&nbsp;</font></o:p></span></span></p>
<p class="MsoNormal" style="text-indent: -0.25in; margin: 0in 0in 0pt 0.5in; mso-list: l7 level1 lfo7; tab-stops: 20.0pt .5in 1.0in 1.5in 2.0in 2.5in 3.0in 3.5in 4.0in">
	<span style="font-family: 'arial','sans-serif'; color: #2d2d2c; font-size: 10pt"><font color="#000000"><span style="font-family: 'arial','sans-serif'; font-size: 10pt; mso-fareast-font-family: arial"><span style="mso-list: ignore">12.<span style="font: 7pt 'times new roman'">&nbsp; </span></span></span><span style="font-family: 'arial','sans-serif'; font-size: 10pt">Sign and submit the ABPS <i style="mso-bidi-font-style: normal">Examinations Complaints and Appeals Process</i> form.<o:p></o:p></span></font></span></p>
<p class="MsoNormal" style="margin: 0in 0in 0pt; tab-stops: 20.0pt .5in 1.0in 1.5in 2.0in 2.5in 3.0in 3.5in 4.0in">
	<span style="font-family: 'arial','sans-serif'; color: #2d2d2c; font-size: 10pt"><span style="font-family: 'arial','sans-serif'; font-size: 10pt"><o:p><font color="#000000">&nbsp;</font></o:p></span></span></p>
<p style="text-indent: -0.25in; margin: 0in 0in 0pt 0.5in; mso-list: l7 level1 lfo7">
	<span style="font-family: 'arial','sans-serif'; color: #2d2d2c; font-size: 10pt"><span style="font-family: 'arial','sans-serif'; color: #2d2d2c; font-size: 10pt; mso-fareast-font-family: arial"><span style="mso-list: ignore">13.<span style="font: 7pt 'times new roman'">&nbsp; </span></span></span><span style="font-family: 'arial','sans-serif'; color: #2d2d2c; font-size: 10pt">Payment of appropriate fee. To view the fee schedule, </span><a href="http://www.abpsus.org/initial-medical-board-certification-fees" target="_blank"><span style="font-family: 'arial','sans-serif'; font-size: 10pt"><font color="#0000ff">click here</font></span></a><span style="font-family: 'arial','sans-serif'; color: #2d2d2c; font-size: 10pt">.<o:p></o:p></span></span></p>
<p style="margin: 0in 0in 0pt">
	<span style="font-family: 'arial','sans-serif'; color: #2d2d2c; font-size: 10pt"><span style="font-family: 'arial','sans-serif'; color: #2d2d2c; font-size: 10pt"><o:p>&nbsp;</o:p></span></span></p>
<p style="margin: 0in 0in 0pt">
	<span style="font-family: 'arial','sans-serif'; color: #2d2d2c; font-size: 10pt"><span style="font-family: 'arial','sans-serif'; color: #2d2d2c; font-size: 10pt">The BCUCM recommends that the applicant keep a copy of all application documents submitted to the ABPS.<o:p></o:p></span></span></p>
<p class="MsoNormal" style="margin: 0in 0in 0pt">
	<span style="font-family: 'arial','sans-serif'; color: #2d2d2c; font-size: 10pt"><span style="font-family: 'arial','sans-serif'; font-size: 10pt"><o:p><font color="#000000">&nbsp;</font></o:p></span></span></p>
<p class="MsoNormal" style="margin: 0in 0in 0pt">
	<span style="font-family: 'arial','sans-serif'; color: #2d2d2c; font-size: 10pt"><span style="font-family: 'arial','sans-serif'; font-size: 10pt"><font color="#000000">&nbsp;<o:p></o:p></font></span></span></p>
<p class="MsoNormal" style="margin: 0in 0in 0pt">
	<span style="font-family: 'arial','sans-serif'; color: #2d2d2c; font-size: 10pt"><span style="font-family: 'arial','sans-serif'; font-size: 10pt"><font color="#000000">* <b style="mso-bidi-font-weight: normal">About Eligibility through Board Certification: </b>Board certification(s) must be current at the time of application and have&nbsp;been initially granted before December 31, 2001. As fellowship training opportunities in Urgent Care Medicine continue to expand&nbsp;and other post-graduate training options become available, BCUCM anticipates that these pathways for eligibility will close, as they have for&nbsp;other developing specialities.<o:p></o:p></font></span></span></p>
<p class="MsoNormal" style="margin: 0in 15pt 0pt 0in">
	<span style="font-family: 'arial','sans-serif'; color: #2d2d2c; font-size: 10pt"><b><span style="font-family: 'arial','sans-serif'; font-size: 10pt"><o:p><font color="#000000">&nbsp;</font></o:p></span></b></span></p>
<p style="margin: 0in 0in 0pt">
	<span style="font-family: 'arial','sans-serif'; color: #2d2d2c; font-size: 10pt"><strong><span style="font-family: 'arial','sans-serif'; color: #2d2d2c; font-size: 10pt">NOTE on Requirement 7a and 7c:</span></strong><span style="font-family: 'arial','sans-serif'; color: #2d2d2c; font-size: 10pt"> <o:p></o:p></span></span></p>
<p style="margin: 0in 0in 0pt">
	<span style="font-family: 'arial','sans-serif'; color: #2d2d2c; font-size: 10pt"><span style="font-family: 'arial','sans-serif'; color: #2d2d2c; font-size: 10pt">&ldquo;Practicing Urgent Care&rdquo; is defined as working in an Urgent Care Medicine (UCM) clinic or facility which includes medical staff and diagnostic testing (EKG, x-ray, and basic point-of-care lab-testing) which provides, for the majority of the patients seen at the facility, episodic, unscheduled evaluation and treatment for patients with a broad spectrum of acute, not immediately life-threatening injuries and illnesses. The capability to recognize and provide stabilizing care and efficient transfer for patients with more severe or life-threatening conditions is also essential. UCM facilities are open during hours of the day beyond typical medical office hours, and on weekends and most holidays. Facilities may be medical clinics that are free-standing or are separate clinics within hospitals or larger multi-specialty practices.<span style="mso-spacerun: yes">&nbsp; </span>A fast-track area within an emergency department may also be considered a UCM facility if the above capabilities are present. All facilities will be verified and must meet approval of the board according to these criteria. <o:p></o:p></span></span></p>
<p style="margin: 0in 0in 0pt">
	<span style="font-family: 'arial','sans-serif'; color: #2d2d2c; font-size: 10pt"><span style="font-family: 'arial','sans-serif'; color: #2d2d2c; font-size: 10pt"><o:p>&nbsp;</o:p></span></span></p>
<p style="margin: 0in 0in 0pt">
	<span style="font-family: 'arial','sans-serif'; color: #2d2d2c; font-size: 10pt"><span style="font-family: 'arial','sans-serif'; color: #2d2d2c; font-size: 10pt">For the purpose of defining &quot;full-time&quot; practice, the BCUCM requires verification of a minimum of 1,400 hours per 12-month period. Verification of less than 1,400 hours in a 12-month period will not be accepted. <o:p></o:p></span></span></p>
<p style="margin: 0in 0in 0pt">
	<span style="font-family: 'arial','sans-serif'; color: #2d2d2c; font-size: 10pt"><span style="font-family: 'arial','sans-serif'; color: #2d2d2c; font-size: 10pt"><o:p>&nbsp;</o:p></span></span></p>
<p style="margin: 0in 0in 0pt">
	<span style="font-family: 'arial','sans-serif'; color: #2d2d2c; font-size: 10pt"><span style="font-family: 'arial','sans-serif'; color: #2d2d2c; font-size: 10pt">Applicants must have been working full-time Urgent Care Medicine for the 12-month period prior to application and must be currently working full-time in Urgent Care Medicine in an urgent care facility acceptable to the board.<o:p></o:p></span></span></p>
<p style="margin: 0in 0in 0pt">
	<span style="font-family: 'arial','sans-serif'; color: #2d2d2c; font-size: 10pt"><strong><span style="font-family: 'arial','sans-serif'; color: #2d2d2c; font-size: 10pt"><o:p>&nbsp;</o:p></span></strong></span></p>
<p style="margin: 0in 0in 0pt">
	<span style="font-family: 'arial','sans-serif'; color: #2d2d2c; font-size: 10pt"><span style="font-family: 'arial','sans-serif'; color: #2d2d2c; font-size: 10pt">Independent verification of urgent care facilities and hours must be submitted <u>on letterhead stationery</u> (from someone with access to information regarding the physician&#39;s experience) <u>itemized by year and number of hours earned each year</u>. Hours may be presented over a 12-month consecutive period or a calendar year. Clinic/facility medical director or lead administrator must complete the verification. For a sample facility verification letter </span><a href="http://abpsus.org/userfiles/files/UCfacilityVerificationform(1).pdf" target="_blank"><span style="font-family: 'arial','sans-serif'; font-size: 10pt"><font color="#0000ff">click here</font></span></a><span style="font-family: 'arial','sans-serif'; color: #2d2d2c; font-size: 10pt">.<o:p></o:p></span></span></p>
<p style="margin: 0in 0in 0pt">
	<span style="font-family: 'arial','sans-serif'; color: #2d2d2c; font-size: 10pt"><span style="font-family: 'arial','sans-serif'; color: #2d2d2c; font-size: 10pt"><o:p>&nbsp;</o:p></span></span></p>
<p style="margin: 0in 0in 0pt">
	<span style="font-family: 'arial','sans-serif'; color: #2d2d2c; font-size: 10pt"><span style="font-family: 'arial','sans-serif'; color: #2d2d2c; font-size: 10pt"><br />
	</span><font size="3"><strong><span style="font-family: 'arial','sans-serif'; color: #2d2d2c">Case Report Requirements</span></strong><span style="font-family: 'arial','sans-serif'; color: #2d2d2c"><o:p></o:p></span></font></span></p>
<p style="margin: 0in 0in 0pt">
	<span style="font-family: 'arial','sans-serif'; color: #2d2d2c; font-size: 10pt"><span style="font-family: 'arial','sans-serif'; color: #2d2d2c; font-size: 10pt">The case reports must be no older than twelve (12) months from the date the candidate&rsquo;s application for certification is received by ABPS. Case reports shall only include information on the care and services provided by the applicant. At the point where a patient&#39;s care is transferred to another physician or facility, the applicant&#39;s case presentation is complete. <o:p></o:p></span></span></p>
<p style="margin: 0in 0in 0pt">
	<span style="font-family: 'arial','sans-serif'; color: #2d2d2c; font-size: 10pt"><span style="font-family: 'arial','sans-serif'; color: #2d2d2c; font-size: 10pt"><o:p>&nbsp;</o:p></span></span></p>
<p style="margin: 0in 0in 0pt">
	<span style="font-family: 'arial','sans-serif'; color: #2d2d2c; font-size: 10pt"><span style="font-family: 'arial','sans-serif'; color: #2d2d2c; font-size: 10pt">The Board in general looks for cases that show the application of accepted/standard medical practice in the management of the patient, resulting in an excellent outcome. The Board is not looking for controversial or unusual case management, even if the physician can justify his or her actions. One purpose of Board certification is to demonstrate knowledge/application of practices acceptable in Urgent Care Departments across the United States and Canada.<o:p></o:p></span></span></p>
<p style="margin: 0in 0in 0pt">
	<span style="font-family: 'arial','sans-serif'; color: #2d2d2c; font-size: 10pt"><span style="font-family: 'arial','sans-serif'; color: #2d2d2c; font-size: 10pt"><o:p>&nbsp;</o:p></span></span></p>
<p style="margin: 0in 0in 0pt">
	<span style="font-family: 'arial','sans-serif'; color: #2d2d2c; font-size: 10pt"><b style="mso-bidi-font-weight: normal"><span style="font-family: 'arial','sans-serif'; color: #2d2d2c; font-size: 10pt">Content Requirements:<o:p></o:p></span></b></span></p>
<p style="margin: 0in 0in 0pt">
	<span style="font-family: 'arial','sans-serif'; color: #2d2d2c; font-size: 10pt"><span style="font-family: 'arial','sans-serif'; color: #2d2d2c; font-size: 10pt">All applicants are required to choose five areas, from the following ten (Infectious disease; Pediatrics; Orthopedics; Pulmonary disease; Gastrointestinal disease; Cardiovascular disease; Ear/nose/throat disease; Wound care; Obstetrical/gynecological disorder; Evaluation, stabilization, and transfer of a critically-ill patient from the clinic to a higher level of care), on which to submit cases. The remaining five cases may document any other area of practice that the applicant chooses.<o:p></o:p></span></span></p>
<p style="margin: 0in 0in 0pt">
	<span style="font-family: 'arial','sans-serif'; color: #2d2d2c; font-size: 10pt"><span style="font-family: 'arial','sans-serif'; color: #2d2d2c; font-size: 10pt"><o:p>&nbsp;</o:p></span></span></p>
<p style="margin: 0in 0in 0pt">
	<span style="font-family: 'arial','sans-serif'; color: #2d2d2c; font-size: 10pt"><b style="mso-bidi-font-weight: normal"><span style="font-family: 'arial','sans-serif'; color: #2d2d2c; font-size: 10pt">Format Requirements:</span></b><span style="font-family: 'arial','sans-serif'; color: #2d2d2c; font-size: 10pt"><br />
	The applicant must submit two (2) <strong><span style="font-family: 'arial','sans-serif'">separately compiled copies</span></strong> of ten (10) case reports in the following format:<b style="mso-bidi-font-weight: normal"><o:p></o:p></b></span></span></p>
<p style="margin: 0in 0in 0pt">
	<span style="font-family: 'arial','sans-serif'; color: #2d2d2c; font-size: 10pt"><span style="font-family: 'arial','sans-serif'; color: #2d2d2c; font-size: 10pt"><o:p>&nbsp;</o:p></span></span></p>
<p class="MsoNormal" style="text-indent: -0.25in; margin: 0in 15pt 0pt 51pt; mso-list: l4 level1 lfo1; tab-stops: list .5in">
	<span style="font-family: 'arial','sans-serif'; color: #2d2d2c; font-size: 10pt"><span style="font-family: 'arial','sans-serif'; color: #2d2d2c; font-size: 10pt; mso-fareast-font-family: arial"><span style="mso-list: ignore">1.<span style="font: 7pt 'times new roman'">&nbsp;&nbsp;&nbsp;&nbsp; </span></span></span><span style="font-family: 'arial','sans-serif'; color: #2d2d2c; font-size: 10pt">Case reports must be typewritten. Photocopies of typewritten case reports are acceptable. <o:p></o:p></span></span></p>
<p class="MsoNormal" style="margin: 0in 15pt 0pt 51pt">
	<span style="font-family: 'arial','sans-serif'; color: #2d2d2c; font-size: 10pt"><span style="font-family: 'arial','sans-serif'; color: #2d2d2c; font-size: 10pt"><o:p>&nbsp;</o:p></span></span></p>
<p class="MsoNormal" style="text-indent: -0.25in; margin: 0in 15pt 0pt 51pt; mso-list: l9 level1 lfo2; tab-stops: list .5in">
	<span style="font-family: 'arial','sans-serif'; color: #2d2d2c; font-size: 10pt"><span style="font-family: 'arial','sans-serif'; color: #2d2d2c; font-size: 10pt; mso-fareast-font-family: arial"><span style="mso-list: ignore">2.<span style="font: 7pt 'times new roman'">&nbsp;&nbsp;&nbsp;&nbsp; </span></span></span><span style="font-family: 'arial','sans-serif'; color: #2d2d2c; font-size: 10pt">Case reports must be double spaced on 8.5&quot; x 11&quot; white paper. <o:p></o:p></span></span></p>
<p class="MsoNormal" style="margin: 0in 15pt 0pt 51pt">
	<span style="font-family: 'arial','sans-serif'; color: #2d2d2c; font-size: 10pt"><span style="font-family: 'arial','sans-serif'; color: #2d2d2c; font-size: 10pt"><o:p>&nbsp;</o:p></span></span></p>
<p class="MsoNormal" style="text-indent: -0.25in; margin: 0in 15pt 0pt 51pt; mso-list: l6 level1 lfo3; tab-stops: list .5in">
	<span style="font-family: 'arial','sans-serif'; color: #2d2d2c; font-size: 10pt"><span style="font-family: 'arial','sans-serif'; color: #2d2d2c; font-size: 10pt; mso-fareast-font-family: arial"><span style="mso-list: ignore">3.<span style="font: 7pt 'times new roman'">&nbsp;&nbsp;&nbsp;&nbsp; </span></span></span><span style="font-family: 'arial','sans-serif'; color: #2d2d2c; font-size: 10pt">Case reports must be compiled in a hard, report style binder, or a three-ring binder (no sheet protectors, staples, or paper clips). <o:p></o:p></span></span></p>
<p class="MsoNormal" style="text-indent: -0.25in; margin: 0in 15pt 0pt 51pt; mso-list: l1 level1 lfo4; tab-stops: list .5in">
	<span style="font-family: 'arial','sans-serif'; color: #2d2d2c; font-size: 10pt"><span style="font-family: 'arial','sans-serif'; color: #2d2d2c; font-size: 10pt; mso-fareast-font-family: arial"><span style="mso-list: ignore">4.<span style="font: 7pt 'times new roman'">&nbsp;&nbsp;&nbsp;&nbsp; </span></span></span><span style="font-family: 'arial','sans-serif'; color: #2d2d2c; font-size: 10pt">The applicant must sign each case report. <o:p></o:p></span></span></p>
<p class="MsoNormal" style="margin: 0in 15pt 0pt 51pt">
	<span style="font-family: 'arial','sans-serif'; color: #2d2d2c; font-size: 10pt"><span style="font-family: 'arial','sans-serif'; color: #2d2d2c; font-size: 10pt"><o:p>&nbsp;</o:p></span></span></p>
<p class="MsoNormal" style="text-indent: -0.25in; margin: 0in 15pt 0pt 51pt; mso-list: l1 level1 lfo4; tab-stops: list .5in">
	<span style="font-family: 'arial','sans-serif'; color: #2d2d2c; font-size: 10pt"><span style="font-family: 'arial','sans-serif'; color: #2d2d2c; font-size: 10pt; mso-fareast-font-family: arial"><span style="mso-list: ignore">5.<span style="font: 7pt 'times new roman'">&nbsp;&nbsp;&nbsp;&nbsp; </span></span></span><span style="font-family: 'arial','sans-serif'; color: #2d2d2c; font-size: 10pt">An index shall be placed at the front of reports indicating the type of case (diagnosis) and the page number on which the case can be found. <o:p></o:p></span></span></p>
<p class="MsoNormal" style="margin: 0in 15pt 0pt 51pt">
	<span style="font-family: 'arial','sans-serif'; color: #2d2d2c; font-size: 10pt"><span style="font-family: 'arial','sans-serif'; color: #2d2d2c; font-size: 10pt"><o:p>&nbsp;</o:p></span></span></p>
<p class="MsoNormal" style="text-indent: -0.25in; margin: 0in 15pt 0pt 51pt; mso-list: l5 level1 lfo5; tab-stops: list .5in">
	<span style="font-family: 'arial','sans-serif'; color: #2d2d2c; font-size: 10pt"><span style="font-family: 'arial','sans-serif'; color: #2d2d2c; font-size: 10pt; mso-fareast-font-family: arial"><span style="mso-list: ignore">6.<span style="font: 7pt 'times new roman'">&nbsp;&nbsp;&nbsp;&nbsp; </span></span></span><span style="font-family: 'arial','sans-serif'; color: #2d2d2c; font-size: 10pt">Confirmation of validity of the reports by hospital administrator, medical records director, or whoever performs such duties at the facility. This must be on official letterhead verifying that you were the physician treating the patient in each case on the date stated. If the applicant&#39;s cases reflect work at more than one institution, then separate letters must be submitted verifying the cases from each institution. This validation must be <strong><span style="font-family: 'arial','sans-serif'">notarized and signed</span></strong>. (Refer to sample index/verification form.) <o:p></o:p></span></span></p>
<p class="MsoNormal" style="margin: 0in 15pt 0pt 51pt">
	<span style="font-family: 'arial','sans-serif'; color: #2d2d2c; font-size: 10pt"><span style="font-family: 'arial','sans-serif'; color: #2d2d2c; font-size: 10pt"><o:p>&nbsp;</o:p></span></span></p>
<p class="MsoNormal" style="text-indent: -0.25in; margin: 0in 15pt 0pt 51pt; mso-list: l3 level1 lfo6; tab-stops: list .5in">
	<span style="font-family: 'arial','sans-serif'; color: #2d2d2c; font-size: 10pt"><span style="font-family: 'arial','sans-serif'; color: #2d2d2c; font-size: 10pt; mso-fareast-font-family: arial"><span style="mso-list: ignore">7.<span style="font: 7pt 'times new roman'">&nbsp;&nbsp;&nbsp;&nbsp; </span></span></span><span style="font-family: 'arial','sans-serif'; color: #2d2d2c; font-size: 10pt">Case reports should contain the following information: <o:p></o:p></span></span></p>
<p class="MsoNormal" style="text-indent: -0.25in; margin: 0in 30pt 0pt 102pt; mso-list: l3 level2 lfo6; tab-stops: list 1.0in">
	<span style="font-family: 'arial','sans-serif'; color: #2d2d2c; font-size: 10pt"><span style="font-family: 'arial','sans-serif'; color: #2d2d2c; font-size: 10pt; mso-fareast-font-family: arial"><span style="mso-list: ignore">a.<span style="font: 7pt 'times new roman'">&nbsp;&nbsp;&nbsp;&nbsp; </span></span></span><span style="font-family: 'arial','sans-serif'; color: #2d2d2c; font-size: 10pt">For patient no. list the same number as the case number (Refer to verification form.) <o:p></o:p></span></span></p>
<p class="MsoNormal" style="text-indent: -0.25in; margin: 0in 30pt 0pt 102pt; mso-list: l3 level2 lfo6; tab-stops: list 1.0in">
	<span style="font-family: 'arial','sans-serif'; color: #2d2d2c; font-size: 10pt"><span style="font-family: 'arial','sans-serif'; color: #2d2d2c; font-size: 10pt; mso-fareast-font-family: arial"><span style="mso-list: ignore">b.<span style="font: 7pt 'times new roman'">&nbsp;&nbsp;&nbsp; </span></span></span><span style="font-family: 'arial','sans-serif'; color: #2d2d2c; font-size: 10pt">Date of Urgent Care treatment <o:p></o:p></span></span></p>
<p class="MsoNormal" style="text-indent: -0.25in; margin: 0in 30pt 0pt 102pt; mso-list: l3 level2 lfo6; tab-stops: list 1.0in">
	<span style="font-family: 'arial','sans-serif'; color: #2d2d2c; font-size: 10pt"><span style="font-family: 'arial','sans-serif'; color: #2d2d2c; font-size: 10pt; mso-fareast-font-family: arial"><span style="mso-list: ignore">c.<span style="font: 7pt 'times new roman'">&nbsp;&nbsp;&nbsp;&nbsp; </span></span></span><span style="font-family: 'arial','sans-serif'; color: #2d2d2c; font-size: 10pt">Chief complaint <o:p></o:p></span></span></p>
<p class="MsoNormal" style="text-indent: -0.25in; margin: 0in 30pt 0pt 102pt; mso-list: l3 level2 lfo6; tab-stops: list 1.0in">
	<span style="font-family: 'arial','sans-serif'; color: #2d2d2c; font-size: 10pt"><span style="font-family: 'arial','sans-serif'; color: #2d2d2c; font-size: 10pt; mso-fareast-font-family: arial"><span style="mso-list: ignore">d.<span style="font: 7pt 'times new roman'">&nbsp;&nbsp;&nbsp; </span></span></span><span style="font-family: 'arial','sans-serif'; color: #2d2d2c; font-size: 10pt">History <o:p></o:p></span></span></p>
<p class="MsoNormal" style="text-indent: -0.25in; margin: 0in 30pt 0pt 102pt; mso-list: l3 level2 lfo6; tab-stops: list 1.0in">
	<span style="font-family: 'arial','sans-serif'; color: #2d2d2c; font-size: 10pt"><span style="font-family: 'arial','sans-serif'; color: #2d2d2c; font-size: 10pt; mso-fareast-font-family: arial"><span style="mso-list: ignore">e.<span style="font: 7pt 'times new roman'">&nbsp;&nbsp;&nbsp;&nbsp; </span></span></span><span style="font-family: 'arial','sans-serif'; color: #2d2d2c; font-size: 10pt">Physical examination and results of the Urgent Care work-up, including any tests <o:p></o:p></span></span></p>
<p class="MsoNormal" style="text-indent: -0.25in; margin: 0in 30pt 0pt 102pt; mso-list: l3 level2 lfo6; tab-stops: list 1.0in">
	<span style="font-family: 'arial','sans-serif'; color: #2d2d2c; font-size: 10pt"><span style="font-family: 'arial','sans-serif'; color: #2d2d2c; font-size: 10pt; mso-fareast-font-family: arial"><span style="mso-list: ignore">f.<span style="font: 7pt 'times new roman'">&nbsp;&nbsp;&nbsp;&nbsp; </span></span></span><span style="font-family: 'arial','sans-serif'; color: #2d2d2c; font-size: 10pt">Urgent Care course and final disposition including condition of patient at the time of completion of your care of the patient, as well as final diagnosis <o:p></o:p></span></span></p>
<p class="MsoNormal" style="text-indent: -0.25in; margin: 0in 30pt 0pt 102pt; mso-list: l3 level2 lfo6; tab-stops: list 1.0in">
	<span style="font-family: 'arial','sans-serif'; color: #2d2d2c; font-size: 10pt"><span style="font-family: 'arial','sans-serif'; color: #2d2d2c; font-size: 10pt; mso-fareast-font-family: arial"><span style="mso-list: ignore">g.<span style="font: 7pt 'times new roman'">&nbsp;&nbsp;&nbsp; </span></span></span><span style="font-family: 'arial','sans-serif'; color: #2d2d2c; font-size: 10pt">Each case must include <strong><span style="font-family: 'arial','sans-serif'">discussion</span></strong> of the case, demonstrating to the Credentials Committee what the thought process was in the evaluation of the patient, diagnostic and treatment approach, and indication that the candidate understood the <strong><span style="font-family: 'arial','sans-serif'">pathophysiology</span></strong> of the patient&#39;s problem, and some rationale to explain the patient&#39;s final disposition. This is the most important section of the case report and will be reviewed <strong><span style="font-family: 'arial','sans-serif'">closely</span></strong>. <o:p></o:p></span></span></p>
<p class="MsoNormal" style="margin: 0in 30pt 0pt 102pt">
	<span style="font-family: 'arial','sans-serif'; color: #2d2d2c; font-size: 10pt"><span style="font-family: 'arial','sans-serif'; color: #2d2d2c; font-size: 10pt"><o:p>&nbsp;</o:p></span></span></p>
<p style="margin: 0in 0in 0pt">
	<span style="font-family: 'arial','sans-serif'; color: #2d2d2c; font-size: 10pt"><span style="font-family: 'arial','sans-serif'; color: #2d2d2c; font-size: 10pt">The BCUCM Credentials Committee reserves the right to seek additional details for any case it deems necessary. Board certified practicing Urgent Care Physicians carefully scrutinize these cases. Every attempt at accuracy and clarity should be made. Please note that <strong><span style="font-family: 'arial','sans-serif'">case reports are not copies of dictated Urgent Care summaries from the chart</span></strong>, but are specifically prepared documents for the application packet. <o:p></o:p></span></span></p>
<p style="margin: 0in 0in 0pt">
	<span style="font-family: 'arial','sans-serif'; color: #2d2d2c; font-size: 10pt"><span style="font-family: 'arial','sans-serif'; color: #2d2d2c; font-size: 10pt"><o:p>&nbsp;</o:p></span></span></p>
<p style="margin: 0in 0in 0pt">
	<span style="font-family: 'arial','sans-serif'; color: #2d2d2c; font-size: 10pt"><strong><span style="font-family: 'arial','sans-serif'; color: #2d2d2c; font-size: 10pt">Case reports not adhering to the above mentioned format will be rejected</span></strong><span style="font-family: 'arial','sans-serif'; color: #2d2d2c; font-size: 10pt">.<span style="mso-spacerun: yes">&nbsp; </span>The BCUCM recommends that applicants keep a copy of all documents submitted.<o:p></o:p></span></span></p>
