Thank you for staying involved! This directory will help keep fellow AMSA residents and alumni in contact and up-to-date on each other's accomplishments and whereabouts. Your email, if provided, will be available online should someone want to contact you. We hope you find this directory useful and choose to stay connected as well. All information you provide is optional and only the items noted (*) will be available in our online directory. All other information will be for our records only.

GENERAL INFORMATION

Name: *
AMSA ID (if applicable):
What leadership role(s) or AMSA activities did you participate in as a student member of AMSA? *
Medical School: *
Graduation Year: *
Residency Program: *
Completion Date: *
Current Specialty/Field of Practice: *
Professional Activities: * (patient care, teaching, administrative, etc.)
Home Address:
Home Phone:
Email: *
Where are you now? * If you would like to update us on what you are up to now, we'd love to include it in our new online Alumni Directory. Have you moved? Changed your name? Added children? Started your own practice? Climbed Mt. Everest in your spare time? Let us know so we can share with fellow alumni and old friends.