General Instructions

• Please review the entire Program Questionnaire carefully before providing information.
• All questions listed in the Program Questionnaire must be answered.
• Please be concise when responding to narrative questions and do not leave questions unanswered.
• If a question is not applicable to your program, indicate so in your response.
• As additional pages are added, number each page in sequence along with the name of the program. (example: Family Practice – 2)
• Completed Program Questionnaire should be signed and dated by Program Director and Department Head before submission to GME Office.

Any questions about the Internal Review process or completion of the Program Questionnaire should be directed to the GME Office at 874-2995 or email at jdeinert@uph.org.