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Associate Diplomate Fellowship Enrollment Request Form
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Associate members of the SDPA, defined as any PA interested in dermatology who is an SDPA member in good standing, can submit a special request to be enrolled in the Diplomate Fellowship. We fully understand that some PAs may have had to switch to Associate status for various reasons and this will provide a path for those who wish to take the course. Please note that we will have a selection process and qualification. Associates will be required to evidence their dedication to working in the field of dermatology for a Board certified or eligible dermatologist.

Associates who are granted permission to complete the full course, will not gain true Diplomate Fellow status until they become Fellow members in good standing. Until that time, their title would be Diplomate Fellow Candidate. Upon gaining Fellow member status (and if the member has completed the full course at that time), their Fellowship designation would be changed to Diplomate Fellow and associated discounts would apply. Associates who complete the course will be expected to follow maintenance requirements while working to obtain Fellow membership and continue those maintenance efforts once they obtain Fellow membership.

This request must be submitted using the form below - we will not accept separately emailed, mailed or phone call requests.  


Enrollment Request Form

 Contact & SDPA Membership and Participation Details

Provide your name and contract details below. Our staff will use this information to confirm your membership is current and that you are an Associate member of the SDPA.















 Background

Please provide us with a brief written explanation (500 words maximum) of why you are requesting to access and complete the full Diplomate Fellowship course:

 Dedication to the Field of Dermatology

Tell us why you are currently an Associate member and about your goals to transition (or return) to working in dermatology. The SDPA is committed to a team based approach and defines a dermatology PA as a PA working with a board certified or eligible dermatologist. We understand you are an Associate now, but part of our approval process is to grant permission to those PAs looking to remain in the field of dermatology working for dermatologists.

Calendar

SDPA 15th Annual Fall Dermatology Conference 2017 - REGISTER NOW!
November 8-11, 2017 – Caribe Hilton – San Juan, Puerto Rico

SDPA Annual Summer Dermatology Conference 2018
June 28-July 1, 2018 – Westin Hotel – Seattle, WA

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