ECFMG Offer Letter - sample

DATE

RESIDENT/FELLOW NAME
ECFMG NUMBER
CURRENT ADDRESS

Dear SALUTATION:

The Department of DEPARTMENT, in accordance with ECFMG requirements, would like to inform you through this Offer Letter that you have been accepted into or are continuing progression in the OFFICIAL ACGME PROGRAM NAME  Program at the University of Minnesota Medical School.  The official start date for your upcoming training experience is TRAINING YEAR START DATE and the end date will be TRAINING YEAR END DATE.  This Program is ACGME approved for X YEARS and you will be training at the PGY LEVEL training level with a stipend rate of STIPEND.  If there are any questions, please contact CONTACT NAME at PHONE/E-MAIL INFO.

Sincerely,

_________________________                           ___________
Program Director Signature                                     Date

_________________________                            __________
Resident/ Fellow Signature                                       Date

 
***Offer letter complete only when signed and returned to department.

ECFMG Offer Letter Instructions
The following are the instructions for completing the Offer Letter for Foreign Medical Graduates. It is required to complete this letter every year for Foreign Medical Graduates on a J-1 Visa.  Replace all of the capitalized, green areas on the Offer Letter with your resident/fellow and department specific information:

DATE: Replace with the current date.

RESIDENT/FELLOW NAME: Enter the legal first and last name

ECFMG NUMBER: Enter the 8-digit Resident/Fellow ECFMG number

CURRENT ADDRESS: Enter the current address in which the resident/fellow is living (this does not have to be an address in the United States)

SALUTATION: Enter the Resident or Fellows name

DEPARTMENT: Enter the name of the department (i.e. Medicine, Pediatrics, Family Practice, etc.)

OFFICIAL ACGME PROGRAM NAME: Enter the specialty (i.e. Internal Medicine Residency) or subspecialty (i.e. Gastroenterology Fellowship) program name. Please refer to the Master Program List located on the GME web site for the official ACGME training program names.

START DATE: For new residents, enter the date that the resident or fellow will enter the program.  For continuing residents, enter the date the next training level begins.

END DATE: Enter the date that is one year from the start date or the actual end date, if it is less than one year.

X YEAR:  Enter the total number of years that the program is ACGME approved for.

PGY LEVEL: Enter the Resident level or the Fellowship level that this physician will be training at.  Refer to the PeopleSoft Stipend Rates located on the GME web site for the listing of PGY levels.

STIPEND: Enter the stipend level that the resident or fellow will be receiving. Refer to the PeopleSoft Stipend Rates on the GME web site.

CONTACT NAME: Enter the name of the program coordinator or director that the resident/fellow or ECFMG office should contact for additional information.

PHONE/E-MAIL INFO: Enter the phone number and/or email address of the program coordinator or director that the resident/fellow or ECFMG office should contact for additional information.

Program Director Signature: The Program Director must sign the Offer Letter before it is sent to the Resident/Fellow.                                                                

Resident/ Fellow Signature: The Resident/ Fellow must sign the Offer Letter and return the original to the Department before it can be sent to the ECFMG Office.

The Offer Letter must be printed on Letter Head of the Department offering the resident/fellow the position. One copy should be kept in the department file as well as one copy sent to the ECFMG TPL (Erica King, MMC 293 or fax number 624-0150).