2025 AAFP Award for Excellence in Graduate Medical Education

Award for Excellence in Graduate Medical Education Application

1. Contact Information *This question is required.

Name

AAFP ID#

Street Address

Apt/Suite/Office

City

State

Zip

Email Address

Work Phone

Mobile Phone

2. I am a second-year resident* at
*You must be a second-year resident in a ACGME-accredited family medicine residency, intending to apply for a third year of training at the date of application OR currently in the first year of an AOA-approved family medicine residency after completion of an AOA-approved rotating general or family medicine internship. *This question is required.

Name of Program

Street Address

City

State

Zip

3. Preferred Mailing Address *This question is required.

4. Residency Program Director Reference *This question is required.

Residency Program Director Name

Street Address

City

State

Zip

5. Active Member Reference

Name of Active Member *This question is required.

6. Please indicate your professional activity plans upon completion of your family medicine residency (type of practice, further training, faculty position, and location). This information is in additional to your personal statement. *This question is required. Max word count = 200

7. Personal statement to address the following:

Why are you studying medicine?
Why did you choose family medicine?
What obstacles/barriers have you overcome to achieve your goals?
What separates you from the other candidates?
Why should you receive this award?

*This question is required. Max word count = 1000

Questions? Contact us.

American Academy of Family Physicians | AAFP Award of Excellence in Graduate Medical Education | Attn: Tammy Underwood
11400 Tomahawk Creek Parkway | Leawood, KS 66211-2672
(913) 906-6337 | tunderwood@aafp.org | Fax (913) 906-6088 | www.aafp.org/awards-scholarships/student/gme