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Report PD & PA changes

This form is intended for our PGME programs, Departments and Divisions to:

Report a new, departing or change of access for a:

Program Administrator

Program Director

Site Director

Departmental Administrator

Enable swift access to, or removal from, PGME and external systems, and communication lists.

Name of person submitting form*
What is your name?
First Last
Email of person submitting form*

What is your email?
I wish to report a:*
- New Program Administrator
- New Program Director (or Associate PD)
- New Site Director
- Dept. / Division Administrator
- Departing PA/PD/SD/DA only (select this if you are reporting an outgoing person only)
Name of Authorizing Manager/Supervisor (approves this request)*
PGME Program name:*
Faculty of Medicine Department:
Program Site:*
Program Stream (if applicable):
Name of incoming person:*
First Last
Position title of incoming person:
Start Date for incoming person:*
Is this an interim appointment?
- Yes
- No
Email of new Program/Site/Departmental Director/Administrator*
Please indicate which of the following internal PGME systems the incumbent requires access to:
The incumbent will be contacted for a system orientation to any systems selected in this question. All incoming faculty and staff will be granted automatic access to the Residency Programs Group (RPG) MS Teams site. All people leaving their position will be removed.
- RMS
- one45
- CPMS
- Entrada
- TTP (read only, admin. staff access only)
- PGME Resident Reimbursement Form
- Clinical Fellow Module (admin. staff access only)
Please indicate which of the following external systems the incumbent requires access to:
- CanAMS
- CaRMS online (PA/PD access)
CWL of new Program/Site/Departmental Director/Administrator
Or visit https://activate.id.ubc.ca/iamweb/ to create a CWL account
If RMS access is required, please indicate the level:*
Business Phone Number:*
Business Address:
Street Address Address Line 2 City Postal Code
Name of outgoing person:
First Last
Please remove access to the following PGME systems for the outgoing person:
- RMS
- one45
- CPMS
- Entrada
- TTP
- PGME Resident Reimbursement Form
Remove access of systems for outgoing person on:
If this user still requires system(s) access and/or requires a change to their permissions, please indicate in the Any Additional Comments section below.
Any additional comments:
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Mistreatment Help

If you feel that you have experienced or witnessed mistreatment or have concerns about your learning environment, we encourage you to report it:

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Tel: 604 675 3781
Fax: 604 675 3779
Email: postgrad@postgrad.med.ubc.ca

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Postgraduate Medical Education

Faculty of Medicine

City Square

200 - 555 West 12th Ave

Vancouver, BC Canada V5Z 3X7

Tel 604 675 3781

Fax 604 675 3779

Website postgrad.med.ubc.ca/

Email postgrad@postgrad.med.ubc.ca

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