Verification of Residency or Fellowship

Welcome to the Medical College of Wisconsin, Department of Anesthesiology Verification System!

As of April 2014, Medical College of Wisconsin, Department of Anesthesiology Education Office will no longer provide training verifications without payment of the verification fee for internship, residency or fellowships that are more than one year after the former house officer's last day in our program. There will be a charge of $15 for each standard verification letter and $75 for a detailed verification of training, payable via credit card (Visa or MasterCard) or check (see directions below).

Instructions for requesting training verification:

Please complete our training verification request form and e-mail or fax the completed request to tfikejs@mcw.edu, fax number (414) 805-5915.  Each request must also be accompanied by a signed Authorization for Release of Information.

When we have received your request and payment for a standard verification of training , you will be e-mailed or faxed a standard verification (see example) and a receipt for your payment of $15. Note that your $15 payment covers standard verifications only.

Standard verification information includes:

  • Name of trainee

  • Training Program(s) / Specialty

  • Dates of training

  • Confirmation of successful completion of program(s) or

  • Explanation and further information if program not successfully completed

When we receive your request and payment for a detailed verification of training (attach your form), you will be e-mailed or faxed your completed form and a receipt for your payment of $75.

Detailed verification information includes:

  • Name of trainee

  • Training Program(s) / Specialty

  • Dates of training

  • Confirmation of successful completion of program(s) or

  • Explanation and further information if program not successfully completed

  • Specific privileges and/or procedure training (Attach your questions or form) and/or

  • Information from Performance Evaluations (Attach your questions or form)

 

If we are unable to provide a verification (i.e., we have no record of the individual in question) you will be notified by e-mail and you will not be charged.

If you do not have the capability to submit your request via e-mail or fax, you may submit your request via US mail.  Please attach the forms and return to us with your payment information or check made out to the Medical College of Wisconsin - Dept. of Anesthesiology Education Div. and send to:

Medical College of Wisconsin
Department of Anesthesiology
Education Division - Pavilion Bldg. 3rd Floor
ATTN:  Amy Matenaer
9200 West Wisconsin Avenue
Milwaukee, WI 53226

Our Tax ID number is 39-0806261

If you have any questions please contact Amy Matenaer, Residency Program Coordinator at (414) 805-6102 or amatenaer@mcw.edu or Orlando Diaz, Fellowship Program Coordinator at (414) 805-6104 or odiaz@mcw.edu.

Thank you,

Amy Matenaer, Residency Program Coordinator
(414) 805-6102

Orlando Diaz, Fellowship Program Coordinator
(414) 805-6104

Thomas Ebert, MD, PhD
Program Director

Medical College of Wisconsin
8701 Watertown Plank Road
Milwaukee, WI 53226
(414) 955-8296
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