European Accreditation of Training Centres
In Adult Respiratory Medicine
APPLICATION FORM REQUEST
We thank you for your interest in taking part in the European accreditation of training centres in adult
respiratory medicine programme.
Kindly complete this application form request and return it, duly signed to ebap@ebap.org. This is a
word form and you will only be able to insert your responses and comments in the grey areas.
Upon receipt of your completed form, we will send you the appropriate application form and
necessary supporting documents.
Our office will also provide you with an estimated timeline for the assessment of your accreditation
request and site visit.
1. Training Centre General Information
1.
Primary centre details
Primary Centre Name
Street
Postal code
Country
Phone (main)
Fax (main)
Website
Contact person
First name
Last name
Title
Department
Phone (direct)
Fax (direct)
Email address
Primary Centre Size
Number of beds
Average new admissions per day
Primary Centre National accreditation
Is this institution/facility accredited
nationally?
Is this institution/facility accredited
regionally?
Please add any further comments on
national/regional accreditation
City
European Accreditation of Training Centre in Adult Respiratory Medicine – Application Form Request
Created by the Accreditation Committee
Page 1
© 2014 European Respiratory Society & EBAP. All material is copyright to the European Respiratory Society and EBAP. It must not be copied, reproduced,
transferred, distributed, leased, licensed, placed in a storage retrieval system or publicly used in any way, except as specifically permitted in writing by
European Respiratory Society and EBAP. Any unauthorised distribution or use of this text may be a direct infringement of the publisher’s rights and those
responsible may be liable in law accordingly. For permissions requests, please contact permissions@ersj.org.uk
European Accreditation of Training Centres in Adult Respiratory Medicine
2.
Training centre network
Definition of a training centre network:
a. A training centre network can be composed of either one single participating site or a network of formally
linked participating training sites
b. A training site is defined as a site which provides the required training, specific training resources and
allows trainees to rotate through each training site in order to reach the educational goals as defined in the
curriculum
c. When a training centre network is composed of more than one site, formal letters of agreement defining
roles and responsibilities must exist between all training sites
1. Is your Training Centre part of a network?
2. If yes, how many secondary centres are part of the network?
3. Are all secondary centres located nationally?
3.
Training Programme
1. What is the average number of pneumology/respiratory medicine trainees the centre accepts to
your training programme per year?
2. How many educational and clinical supervisors are involved in the training programme in adult
respiratory medicine?
3. What is the training duration in calendar months?
4. Is your training program nationally accredited?
Comments on training program national accreditation:
4.
Reasons for going through the accreditation process
1. Please briefly explain the reason(s) for pursuing the European Accreditation for your training
centre.
2. Signature
Name:
Position:
Place and date:
Signature :
European Accreditation of Training Centre in Adult Respiratory Medicine – Application Form Request
Created by the Accreditation Committee
Page 2
© 2014 European Respiratory Society & EBAP. All material is copyright to the European Respiratory Society and EBAP. It must not be copied, reproduced,
transferred, distributed, leased, licensed, placed in a storage retrieval system or publicly used in any way, except as specifically permitted in writing by
European Respiratory Society and EBAP. Any unauthorised distribution or use of this text may be a direct infringement of the publisher’s rights and those
responsible may be liable in law accordingly. For permissions requests, please contact permissions@ersj.org.uk