PHILIPPINE COLLEGE OF PHYSICIANS
PHILIPPINE SPECIALTY BOARD OF INTERNAL MEDICINE (PSBIM) EXAMINATION

APPLICATION FORM
(Revised October 2018)

1. Completed scanned application form (No need to Notarize)
2. Valid Professional Regulation Commission (PRC) license (valid at least until the date of the examination) or PRC equivalent for foreign graduates (electronic copy)
3. Residency Training Diploma

a. For a candidate who graduated earlier than October 1, 2018, the requirement as proof of completion of residency training is a certified true copy of the Diploma. The minimum authorized signatories of the diploma should include: Chair and Training Officer of the Department of Internal Medicine, and Medical Director of the hospital. The certified true copy must come from the authorized office and signed by the designated officer of the training center.
b. For a candidate who graduates between October 1, 2018 and January 31, 2019, and intends to take the PSBIM examination on March 3, 2019, but whose Diploma may not be available by January 15, 2019 (deadline for submission of complete documents), a letter certifying that the trainee has completed/or will complete the Residency Training in Internal Medicine by January 31, 2019 will be accepted. This certification letter must be duly signed by the Chair and Training Officer of the Department of Internal Medicine, and another signature representing the Administration (Medical Director or Chief of Clinics or Chair of the Department of Medical Education and Training) will be accepted. The diploma, however, must be submitted when applying for the oath taking for Diplomate in the same year.
c. In case a candidate is trained in > 2 different institutions, he/she must submit ‘certified true copies’ of both the Diploma of completion of residency training program, and letter of certification that he/she had satisfactorily completed a particular Year Level of residency training program from the respective institution.
4. One copy of high-resolution picture (2"x2")
5. Proof of payment of examination fee and other monetary obligation (Annual Dues)

ADDITIONAL REQUIREMENTS FOR THE GRADUATES OF ACCREDITED TRAINING INSTITUTION BEFORE 2005
6. May be referred to another institution by the PSBIM to undergo evaluation of clinical competence, OR can ask for an endorsement letter from the chair of a training institution or PCP chapter president in the area where he/she is practicing. The endorsement letter must confirm the competent practice of the candidate. The endorsement letter will take the place of the clinical competence evaluation.

ADDITIONAL REQUIREMENTS FOR THE FOREIGN MEDICAL GRADUATES TRAINED IN ACCREDITED FOREIGN INTERNAL MEDICINE TRAINING PROGRAMS:
7. Certification letter that passed the Clinical Competence Exam
8. Certificate of Completion of Internal Medicine duly signed by the Program Director of the Training Institution
9. Certificate of good moral character from the Training Institution of origin
10. Original and certified true copies of Citizenship, National ID number and travel documents as applicable.
11. Diploma of the degree of Doctor of Medicine or equivalent degree recognized by his/her country of origin.

1. Filipino graduates from PCP accredited training institutions: P5, 000
2. Foreign graduates from PCP accredited training institutions / Filipino graduates of foreign accredited IM training institutions: US$ 250