PHILIPPINE SPECIALTY BOARD OF INTERNAL MEDICINE (PSBIM) EXAMINATION EXAM REQUIREMENTS SUBMISSION FORM Click to View Requirements Form Please enable JavaScript in your browser to complete this form.IMPORTANT! - Make sure to check that the email address you entered is correct - Make sure each file to be uploaded is within the 1MB limit (1000KB). (Tip: set your scanner resolution to 100dpi) - Only JPEG (.jpg) and PDF (.pdf) files are accepted by the system. - Items marked (*) are required. - Wait for the confirmation that your documents are uploaded successfully before exiting the site or your browser. You should receive this message: Thank you for submitting your requirements - Please make sure to check your email for the confirmation that your documents was successfully uploaded.Last Name *First Name *Middle InitialExtension Name:PRC Number: *Contact Number: *Email Address: *EmailConfirm EmailREQUIREMENTS:REQUIREMENTS 1: * Click or drag a file to this area to upload. Completed scanned application form (No need to Notarize) (Please attach JPEG or PDF. 1mb file limit)REQUIREMENTS 2: * Click or drag a file to this area to upload. Completed scanned PSBIM Diplomate Exam Waiver Form (Please attach JPEG or PDF. 1mb file limit) REQUIREMENTS 3: * Click or drag a file to this area to upload. Valid Professional Regulation Commission (PRC) license (valid at least until the date of the examination) or PRC equivalent for foreign graduates (electronic copy) (Please attach JPEG or PDF. 1mb file limit)REQUIREMENTS 4a: Residency Training Diploma Click or drag a file to this area to upload. a. For a candidate who graduated earlier than October 1, 2024, 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. (Please attach JPEG or PDF. 1mb file limit)REQUIREMENTS 4b. Residency Training Diploma Click or drag a file to this area to upload. b. For a candidate who graduates between October 1, 2024 and January 31, 2025, and intends to take the PSBIM examination on March 1 and/or 2, 2025, but whose Diploma may not be available by January 15, 2025 (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, 2025 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. (Please attach JPEG or PDF. 1mb file limit)REQUIREMENTS 4c. Residency Training Diploma Click or drag a file to this area to upload. 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. 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. (Please attach JPEG or PDF. 1mb file limit)REQUIREMENTS 5: * Click or drag a file to this area to upload. 2x2 high-resolution picture with white background wearing black formal attire. (Please attach JPEG or PDF. 1mb file limit)REQUIREMENTS 6: * Click or drag a file to this area to upload. Proof of payment of examination fee and other monetary obligation (Annual Dues). (Please attach JPEG or PDF. 1mb file limit)ADDITIONAL REQUIREMENT FOR FOREIGN MEDICAL GRADUATES/PHYSICIANS (FMP) WHO HAVE COMPLETED RESIDENCY TRAINING IN PCP-ACCREDITED HOSPITALS :REQUIREMENT 7: Click or drag a file to this area to upload. They must have valid temporary permits to practice (TPP) yearly issued and renewed by the PRC. (Please attach JPEG or PDF. 1mb file limit)ADDITIONAL REQUIREMENTS FOR THE GRADUATES OF ACCREDITED TRAINING INSTITUTION BEFORE 2005REQUIREMENTS 8: Click or drag a file to this area to upload. 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. (Please attach JPEG or PDF. 1mb file limit)ADDITIONAL REQUIREMENTS TO THE GRADUATE IN PHILIPPINE MEDICAL SCHOOLS COMPLETED OF ACCREDITED FOREIGN INTERNAL MEDICINE TRAINING PROGRAMS MUST SUBMIT: REQUIREMENTS 9: Click or drag a file to this area to upload. Certification letter that passed the Clinical Competence Exam. (Please attach JPEG or PDF. 1mb file limit)REQUIREMENTS 10: Click or drag a file to this area to upload. Certificate of Completion of Internal Medicine duly signed by the Program Director of the Training Institution. (Please attach JPEG or PDF. 1mb file limit)REQUIREMENTS 11: Click or drag a file to this area to upload. Certificate of good moral character from the Training Institution of origin. (Please attach JPEG or PDF. 1mb file limit)REQUIREMENTS 12: Click or drag a file to this area to upload. Diploma of the Degree of Doctor of Medicine. (Please attach JPEG or PDF. 1mb file limit)REQUIREMENTS 13: Click or drag a file to this area to upload. Copy of PRC ID. (Please attach JPEG or PDF. 1mb file limit)ADDITIONAL REQUIREMENT TO THE CANDIDATES WHO GRADUATED DECEMBER 2021 OR EARLIER WHO WILL TAKE THE PSBIM FOR THE FIRST TIME REQUIREMENTS 14: Click or drag a file to this area to upload. Must secure endorsement from the Chair, the Training Officer and the Medical Director where his/her training was obtained. . (Please attach JPEG or PDF. 1mb file limit)MODE OF PAYMENT/EXAMINATION FEES For those paying through the bank please use “BILLS PAYMENT FORM” and use your PRC ID number as reference number (Union Bank Pasig Branch. In favor of: Philippine College of Physicians). PSBIM Written Examination Fees: 1. Filipino graduates from PCP accredited training institutions: P6, 000 2. Foreign graduates from PCP accredited training institutions / Filipino graduates of foreign accredited IM training institutions: US$ 250Submit