Membership Level change You have selected the Regular Member membership level. Regular membership is from February of the current year through January of the following year. Active membership shall be limited to those who meet the criteria: Works in a Pediatric Department which is part of an accredited medical school of the Association of American Medical Colleges and is involved in teaching, research, and patient services; or works in a Pediatric Department that is affiliated with an accredited medical school of the Association of American Medical Colleges and is involved in teaching, research, and patient services and holds an administrative position in the Pediatric Department. The price for membership is $600.00 now. Membership expires on January 31, 2025. Do you have a discount code? Click here to enter your discount code Discount Code Account Information Already have an account? Log in here Username Password Confirm Password First Name Last Name Email Address Confirm Email Address Full Name LEAVE THIS BLANK More Information Profile Picture Recommended size is 100px X 100px Position/Title Office Phone Number Mobile Phone Number Race Select one White Black or African American Asian American American Indian/Alaska Native Native Hawaiian/Pacific Islander Multiple race Prefer not to answer Gender Identity Select one Male Female Non-binary Other (enter below) Prefer not to answer If your gender identity is not listed, enter it here. Preferred Pronouns Select one She/her/hers He/him/his They/them/theirs Other (enter below) Prefer not to answer If your preferred pronoun is not listed, enter it here. Professional Information Department Hospital Medical School Select one Albany Medical College Albert Einstein College of Medicine Baylor College of Medicine Boston University School of Medicine Brown University Case Western Reserve University School of Medicine Central Michigan University College of Medicine Cleveland Clinic Columbia University Vagelos College of Physicians and Surgeons Creighton University School of Medicine Dalhousie University Dartmouth College Geisel School of Medicine Degnon Associates Drexel University College of Medicine Duke University School of Medicine East Carolina University Brody School of Medicine East Tennessee State University Eastern Virginia Medical School Emory University School of Medicine Florida International University Herbert Wertheim College of Medicine George Washington University School of Medicine and Health Sciences Georgetown University School of Medicine Harvard Medical School Massachusetts Gen. Hospital Hosfra University Donald and Barbara Zucker School of Medicine Howard University College of Medicine Icahn School of Medicine at Mount Sinai Indiana University School of Medicine Johns Hopkins University School of Medicine Loma Linda University School of Medicine Louisiana State University School of Medicine in New Orleans Louisiana State University School of Medicine in Shreveport Loyola University Chicago Stritch School of Medicine Marshall University Joan C. Edwards School of Medicine Mayo Clinic Alix School of Medicine McGill University McMaster University Medical College of Georgia Medical College of Wisconsin Medical University of South Carolina College of Medicine Meharry Medical College School of Medicine Memorial University Mercer University School of Medicine Michigan State University College of Human Medicine Morehouse School of Medicine New York Medical College New York University Grossman School of Medicine Northeast Ohio Medical University Northwestern University Feinberg School of Medicine Oakland University William Beaumont School of Medicine Ohio State University College of Medicine Oregon Health and Science University School of Medicine Penn State University College of Medicine Ponce Health Sciences University Queens University Blair College of Health Rosalind Franklin University of Medicine and Science Chicago Medical School Rush University Medical College Rutgers University New Jersey Medical School Rutgers University Robert Wood Johnson Medical School Saint Louis University School of Medicine Sanford School of Medicine The University of South Dakota Southern Illinois University School of Medicine State University of New York Upstate Medical University Stony Brook University Renaissance School of Medicine Temple University Lewis Katz School of Medicine Texas A&M Health Science Center College of Medicine Texas Tech University Health Sciences Center El Paso Paul L. Foster School of Medicine Texas Tech University Health Sciences Center School of Medicine Thomas Jefferson University Sidney Kimmel Medical College Tufts University School of Medicine Tulane University School of Medicine UMass Chan Medical School Uniformed Services University of Health Sciences School of Medicine Univeristy of Alberta College of Health Sciences University at Buffalo Jacobs School of Medicine and Biomedical Sciences University of Alabama at Birmingham Heersink School of Medicine University of Alabama College of Community Health Sciences University of Arizona College of Medicine Tucson University of Arkansas for Medical Sciences College of Medicine University of British Columbia University of Calgary University of California Davis School of Medicine University of California Irvine School of Medicine University of California Los Angeles David Geffen School of Medicine University of California San Diego School of Medicine University of California San Francisco School of Medicine University of Chicago Pritzker School of Medicine University of Cincinnati College of Medicine University of Colorado School of Medicine University of Connecticut School of Medicine University of Florida College of Medicine University of Hawai‘i at Mānoa John A. Burns School of Medicine University of Illinois College of Medicine University of Illinois Urbana-Champagne Carle Illinois College of Medicine University of Iowa Carver College of Medicine University of Kansas School of Medicine University of Kentucky College of Medicine University of Louisville School of Medicine University of Manitoba Max Rady College of Medicine University of Maryland School of Medicine University of Miami Miller School of Medicine University of Michigan Medical School University of Minnesota Medical School University of Mississippi School of Medicine University of Missouri School of Medicine University of Missouri–Kansas City School of Medicine University of Nebraska Medical Center College of Medicine University of Nevada Las Vegas Kirk Kerkorian School of Medicine University of Nevada Reno School of Medicine University of New Mexico School of Medicine University of North Carolina School of Medicine University of North Dakota School of Medicine and Health Sciences University of Oklahoma College of Medicine University of Oklahoma School of Medicine University of Ottawa School of Medicine University of Pennsylvania Perelman School of Medicine University of Pittsburgh School of Medicine University of Puerto Rico School of Medicine University of Rochester School of Medicine and Dentistry University of Saskatchewan College of Medicine University of South Alabama College of Medicine University of South Carolina School of Medicine University of South Carolina School of Medicine Greenville University of South Dakota Sanford School of Medicine University of South Florida Morsani College of Medicine University of Southern California Keck School of Medicine University of Tennessee Health Science Center College of Medicine University of Texas at Austin Dell Medical School University of Texas Health Science Center at Houston McGovern Medical School University of Texas Health Sciences Center San Antonio Joe R. and Teresa Lozano Long School of Medicine University of Texas Medical Branch School of Medicine University of Texas Rio Grande School of Medicine University of Texas Southwestern Medical Center University of Toledo College of Medicine and Life Sciences University of Toronto University of Utah School of Medicine University of Vermont Larner College of Medicine University of Virginia School of Medicine University of Washington School of Medicine University of Western Ontario University of Wisconsin Madison School of Medicine and Public Health Vanderbilt University School of Medicine Virginia Commonwealth University School of Medicine Virginia Tech Carilion School of Medicine Wake Forest University School of Medicine Washington University School of Medicine St. Louis Wayne State University School of Medicine Weill Cornell Medicine West Virginia University School of Medicine Western Michigan University Homer Stryker M.D. School of Medicine Wright State University Boonshoft School of Medicine Yale University School of Medicine Other If your medical school is not listed, enter it here. Name of Chair Email of Chair Is your Chair a member of AMSPDC? Yes No Are You The Head Administrator Of Your Department? If so, check the box below and attach a confirmation letter from Chairperson Yes Attach confirmation letter from Chairperson If You Are Not The Head Administrator Of Your Department... ...check the box below and provide the name, title, and email of the head administrator. No Name of the head adminstrator of your department Title of the head adminstrator of your department Email of the head adminstrator of your department Membership Information Are you replacing someone at your institution? Yes No If yes, name of person you are replacing Choose Your Payment Method Pay with PayPal Pay by Check Billing Address First Name Last Name Address 1 Address 2 City State Postal Code Country Afghanistan Aland Islands Albania Algeria American Samoa Andorra Angola Anguilla Antarctica Antigua and Barbuda Argentina Armenia Aruba Australia Austria Azerbaijan Bahamas Bahrain Bangladesh Barbados Belarus Belgium Belize Benin Bermuda Bhutan Bolivia Bosnia and Herzegovina Botswana Bouvet Island Brazil British Indian Ocean Territory British Virgin Islands Brunei Bulgaria Burkina Faso Burundi Cambodia Cameroon Canada Cape Verde Cayman Islands Central African Republic Chad Chile China Christmas Island Cocos (Keeling) Islands Colombia Comoros Congo (Brazzaville) Congo (Kinshasa) Cook Islands Costa Rica Croatia Cuba Cyprus Czech Republic Denmark Djibouti Dominica Dominican Republic Ecuador Egypt El Salvador Equatorial Guinea Eritrea Estonia Ethiopia Falkland Islands Faroe Islands Fiji Finland France French Guiana French Polynesia French Southern Territories Gabon Gambia Georgia Germany Ghana Gibraltar Greece Greenland Grenada Guadeloupe Guam Guatemala Guernsey Guinea Guinea-Bissau Guyana Haiti Heard Island and McDonald Islands Honduras Hong Kong S.A.R., China Hungary Iceland India Indonesia Iran Iraq Ireland Isle of Man Israel Italy Ivory Coast Jamaica Japan Jersey Jordan Kazakhstan Kenya Kiribati Kuwait Kyrgyzstan Laos Latvia Lebanon Lesotho Liberia Libya Liechtenstein Lithuania Luxembourg Macao S.A.R., China Macedonia Madagascar Malawi Malaysia Maldives Mali Malta Marshall Islands Martinique Mauritania Mauritius Mayotte Mexico Micronesia Moldova Monaco Mongolia Montenegro Montserrat Morocco Mozambique Myanmar Namibia Nauru Nepal Netherlands Netherlands Antilles New Caledonia New Zealand Nicaragua Niger Nigeria Niue Norfolk Island North Korea Northern Mariana Islands Norway Oman Pakistan Palau Palestinian Territory Panama Papua New Guinea Paraguay Peru Philippines Pitcairn Poland Portugal Puerto Rico Qatar Reunion Romania Russia Rwanda Saint Barthelemy Saint Helena Saint Kitts and Nevis Saint Lucia Saint Martin (French part) Saint Pierre and Miquelon Saint Vincent and the Grenadines Samoa San Marino Sao Tome and Principe Saudi Arabia Senegal Serbia Seychelles Sierra Leone Singapore Slovakia Slovenia Solomon Islands Somalia South Africa South Georgia and the South Sandwich Islands South Korea Spain Sri Lanka Sudan Suriname Svalbard and Jan Mayen Swaziland Sweden Switzerland Syria Taiwan Tajikistan Tanzania Thailand Timor-Leste Togo Tokelau Tonga Trinidad and Tobago Tunisia Turkey Turkmenistan Turks and Caicos Islands Tuvalu U.S. Virgin Islands US Armed Forces Uganda Ukraine United Arab Emirates United Kingdom United States United States Minor Outlying Islands Uruguay Uzbekistan Vanuatu Vatican Venezuela Vietnam Wallis and Futuna Western Sahara Yemen Zambia Zimbabwe Phone Processing...
