Oral Examiner Recommendation

1.

Personal and Contact Information
(person providing recommendation)

Question Title

* Name (First and Last)

Question Title

* Email Address

Question Title

* ABEM Affiliation

Current or Senior Director

Oral Examiner

Item Writer

Subspecialty Subboard or Exam Committee Member

None

Other (please specify)

Information about the Nominee

Question Title

* Nominee Name (First and Last)

Question Title

* Please explain how well and in what capacity you know the nominee.

Question Title

* Please explain how familiar you are with the oral examiner role and why you believe this nominee would be a good examiner.

Page1 / 3