Diplomate Advisory Committee Interest Form

The American Board of Pathology (ABPath) invites board-certified pathologists in good standing to express interest in serving on its Diplomate Advisory Committee.

The Diplomate Advisory Committee advises the ABPath Board of Trustees for continuous evaluation and improvement of certification, Continuing Certification and other ABPath programs and initiatives from a diplomate’s perspective. It consists of 12 volunteer diplomates with a range of backgrounds, specialties, and professional experience. An ABPath Trustee chairs the committee, and members serve three-year terms.

The committee meets virtually once a quarter for one hour. Members may occasionally be asked to review materials and provide feedback before a meeting.

If you would like to be considered, please complete both steps:

1. Fill out and submit the form below.
   
2. Upload your CV.

*Fields marked with an asterisk are required

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Name *

First

Last

Email *

Committee of Interest *

• Diplomate Advisory Committee

Statement of Interest and Areas of Expertise *

Please describe your interest in serving on the ABPath Diplomate Advisory Committee and any relevant experience or qualifications.

Practice Setting or Academic Position *--- Select Choice ---Community Practice PractitionerAcademic Instructor/LecturerAssistant ProfessorAssociate ProfessorFull ProfessorOther

If you selected Other, please describe your role.

Submission of CV *

• I agree to send my CV to the link at the top of the page.

Consent for Data Use *

• I consent to the collection and use of my personal information and materials provided in this form for the purpose of consideration for appointment to the ABPath Diplomate Advisory Committee (DAC). I understand that my information will be reviewed by the ABPath staff and committee.

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