Resident Training Physician

Please contact your Residency Training Program Director or Graduate Medical Education office for initial application information & forms necessary to obtain an initial or renewal Residency Training Permit.

RTP applications are 100% online as of March 1, 2024 (unless you do not have a SSN, if you do not have a SSN please get with your GME or program coordinators) . Please utilize the training PowerPoint for further instructions or get with your GME or RTP contact for additional information. 

*** Only use the "pay later" function of the electronic application if your RTP or Fellowship program is paying for your application***

Initial Application:

Click HERE to submit a Resident Training Permit Online Application

Forms:

General Information and Checklist

Form A – Temporary Postgraduate Training Permit Affidavit of Application

Form A1 – Affidavit for Medical Board License (Citizenship Affidavit)

Form B – Certificate of Postgraduate Training Form/program Director’s Affidavit - Have your program email these directly to [email protected] 

 

Renewal Application:

Click HERE to submit a Resident Training Permit Online Renewal Application

Forms:

General Information and Checklist

Form A1 – Citizenship Affidavit

Form B – Certificate of Postgraduate Training Form/program Director’s Affidavit

 

If you are GME staff and have RTP initial and renewal application issues contact:

Contact

Licensure Manager David Harris

Contact for Residency Training Permit applicants

Link to begin application: https://gcmb.mylicense.com/egov 

[email protected]