Complete Your Free Resident Membership

You’re joining hundreds of Med-Peds physicians who’ve found community, mentorship, and career support through AMPP. Complete the form to activate your free one-year membership.

This takes about 3 minutes to complete. We’ll review your application and send login credentials within 1-2 business days.

Your Information

We’ll use these details to send your login credentials, connect you with local chapters, and verify your eligibility for the free Resident tier.

Name:*

First Name*

Last Name*

First Name Required Last Name Required

Billing Address

NPI Number:* NPI Number is Required

City:* City is Required

State:* State is Required

AlabamaAlaskaArizonaArkansasCaliforniaColoradoConneticutDelawareFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingDCPuerto Rico

Place of Employment:* Place of Employment is Required

Clinical Role:* Clinical Role is Required

CardiologistClinical Investigator/ResearcherComplex Care / Transition MedicineEndocrinologistFellowGastroenterologistHematologist-OncologistHospitalistHybrid Inpatient/OutpatientIntensivistLifestyle Medicine PhysicianPalliative Care PhysicianPediatricianPediatric CardiologistPediatric EndocrinologistPediatric Hematologist-OncPediatric HospitalistPrimary Care PhysicianSleep PhysicianSports Medicine PhysicianTransplant PhysicianUrgent Care ProviderOtherNone

Academic Role: Academic Role is not valid

Assistant ProfessorAssociate ProfessorClinical Faculty/Clinical InstructorCommunity PhysicianCore FacultyDean / Assistant Dean/ Associate Dean/ Dean EmeritusGME AdvisorProfessorResidency PreceptorStudent Career AdvisorOtherFellowNone

Administrative Role: Administrative Role is not valid

Assistant Clinical DirectorAssistant/Associate Residency Program DirectorChief Medical OfficerClinical DirectorDEI DirectorDepartment Chair / Department Vice ChairDirector of EducationDivision ChiefFellowship Program DirectorFormer Program DirectorGME Dean/DIOHealth Equity DirectorMedical Director / Associate Medical DirectorPrivate Practice OwnerQI Officer/DirectorRegional Medical OfficerResidency Program DirectorOtherNone

Post-Nominals and Associations (select multiple with the cmd/ctrl key):* Post-Nominals and Associations (select multiple with the cmd/ctrl key) is Required

MDDOMBBSPhDPharmDMPHMSMScMBAMAMEdMHPEFAAPFACPFHMIBCLCCTropMedDipABLMAAHIVSPCCMBBChMBChBScDDrPHEdDDBADNPDPTDPMODDCDDSDMDPsyDMHAMMMMHMMPAEMBAMSPHScMMSCEMSCIMPhilMSNMNMSWMBIMHCDSMSCTSMSMEJDLLMMACPFACSFAAFPFACEPFACCFCCPFCCMFACHEFACOIFAANFACOGFAHAFAAEMCPECPHQCHCQMPA-CNPAPRNFNPPNPANPCRNACNMCNS

Residency:* Residency is Required

Albany Medical CenterAlexandria Faculty of MedicineBaylorBaystateBeaumont Royal OakBrigham and Women's HospitalBrownCase Western Reserve University/MetroHealthCedars-SinaiChristiana CareCreighton UniversityDukeEast Carolina UniversityGeisingerGeorgetown UniversityHarvardIndiana UniversityJohns HopkinsLoma Linda UniversityLouisiana State UniversityLoyola ChicagoMaine Medical CenterMarshall UniversityMarshfield ClinicMassachusetts General HospitalMedical College of GeorgiaMedical College of WisconsinMedical University of South CarolinaMichigan StateMount SinaiNC Memorial HospitalNCH HealthcareNew York Hospital CornellOhio State UniversityPenn StatePrisma HealthRush UniversityRutgers - NJMSRutgers-UMDNJSaint Joseph's Medical CenterSaint Louis UniversitySouth AlabamaStony BrookSUNY BuffaloThomas Jefferson UniversityTulane UniversityUniversity of Alabama at BirminghamUniversity of ArizonaUniversity of ArkansasUniversity of California, Los AngelesUniversity of California, San DiegoUniversity of ChicagoUniversity of CincinnatiUniversity of ColoradoUniversity of Illinois at ChicagoUniversity of Illinois, PeoriaUniversity of KansasUniversity of KentuckyUniversity of LouisvilleUniversity of MarylandUniversity of MassachusettsUniversity of MiamiUniversity of MichiganUniversity of MinnesotaUniversity of MississippiUniversity of Missouri, ColumbiaUniversity of Missouri, Kansas CityUniversity of NebraskaUniversity of North CarolinaUniversity of OklahomaUniversity of PennsylvaniaUniversity of PittsburghUniversity of RochesterUniversity of Southern CaliforniaUniversity of South FloridaUniversity of TennesseeUniversity of Texas, HoustonUniversity of Texas, SouthwesternUniversity of UtahVanderbiltVirginia Commonwealth UniversityWayne StateWestern Michigan UniversityWest Virginia UniversityWilliam Beaumont HospitalWright State UniversityYaleUniversity of Florida Shands Medical CenterOther

Graduation Date:* Graduation Date is Required

Focus (select multiple with the cmd/ctrl key): Focus (select multiple with the cmd/ctrl key) is not valid

Academic Clinician EducatorAcademic General PediatricsAcademic GeneralistAddiction MedicineAdult NephrologyAllergy/ImmunologyCardiologyClinical BioethicsClinician ScholarsCombined Palliative MedicineCritical CareDevelopmental and Behavioral PediatricsEISEndocrinologyGeneral Internal MedicineGastroenterologyHealth Services ResearchHematology/OncologyHIV/STIHospice and Palliative MedicineHospital MedicineInfectious DiseaseInformaticsLGBTQ+ CareObesity MedicinePalliative MedicinePediatric CardiologyPediatric Critical CarePediatric GastroenterologyPediatric Hospital MedicinePediatric NephrologyPreventive MedicinePrimary CarePrimary Care ResearchPulmonary Critical CareRheumatologySleep MedicineSports MedicineOther (please specify below)

Are you currently practicing Med-Peds?

Are you currently practicing Med-Peds?:* Are you currently practicing Med-Peds? is Required

Yes No

If no, which patient type do you see?

If no, which patient type do you see?: If no, which patient type do you see? is not valid

Internal Medicine Pediatrics Retired

Would you like to be contacted to be part of a committee or leadership position?

Would you like to be contacted to be part of a committee or leadership position?:* Would you like to be contacted to be part of a committee or leadership position? is Required

Yes No

I agree to receive emails about news and updates from AMPP?*

Comments (please clarify any of the above fields if needed): Comments (please clarify any of the above fields if needed) is not valid

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Password Confirmation:* Password Confirmation Doesn't Match

Password Strength

I have read and agree to the Terms Of Service*

This site collects names, emails and other user information. I consent to the terms set forth in the Privacy Policy.

 

No val Please fix the errors above

Pay AMPP

Free for 1 Year

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  Resident Trial Year – Payment

  Free for 1 Year

  $0.00

Total

$0.00