ACE
Hello NSAMA community, in an effort to ensure that you have the ability to report things anonymously to the Wellness and Advocacy Committee, we have created the ACE form.

This form is for those individuals who wish to remain anonymous and want to report something. 

Please note that information received through an ACE will assist the committee in developing training and development materials to assist those in similar situations. It is also an assessment tool to aid with the data collect of concerns for UME, CME, and GME professionals. 
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Which area do you work in? *
Please describe your concern. Your description should contain sufficient information to help the committee understand the situation. *
What type of institution are you associated with?
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Your job title:
OPTIONAL: Your name
OPTIONAL: Your email
Do you wish to remain anonymous?
Clear selection
Can we contact you to ask further questions about your concern?

Please note that if you do not provide contact information, we will not be able to follow up with you regarding your concern.
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