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American Head & Neck Society

American Head & Neck Society

Advancing Education, Research, and Quality of Care for the Head and Neck oncology patient.

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ATC Fellowship Program Change Request Form

AHNS Advanced Training Council
Fellowship Program Change Request Form

Change Request Forms must be submitted by November 15 in order to be considered for the next year’s fellowship match

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Program Information

Current Program Accreditation Type:*

Program Change Information

Please complete any of the following that apply:*
Max. file size: 512 MB.
Max. file size: 512 MB.
Potential Triggers for a site visit by the Accreditation Committee include but are not limited to: a change in Program Director, a change in the number of fellows, a significant change in the associate faculty, insufficient case logs, program complaints, failure to address previous citations, and conflicts with the residency program.*
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