IM Resident Educational / Conference Reimbursement form

Use this form to claim reimbursement for:
– In-person conferences & online virtual conferences (please ensure you are applying for leave)
– Relevant educational courses
– Relevant medical education apps or subscriptions
– Medical education text books (e.g MKSAP)
– ACP ACP-ASIM (American College of Physicians – American Society of Internal Medicine Associate Membership

If you want to use funding toward something not on the above list, please reach out to Ros Wisenthal (ros.wisenthal@ubc.ca) BEFORE incurring the cost.

Name(Required)

First Last

PG Level(Required)

PGY1

PGY2

PGY3

PGY4

Mailing Address

Make sure you are signed up for direct deposit on Workday Student in order to receive payment from UBC Finance. Your address entered here should match your address on Workday.

Email(Required)

Enter Email Confirm Email

Claim Category

Educational (eg subscriptions, books, non mandatory courses)

Presenting at conference – When presenting at a conference, residents are welcome to submit a letter of request for additional funding. Include breakdown of costs in your letter. Pls submit your request PRIOR to the conference.

Attending conference

ACP-ASIM (American College of Physicians – American Society of Internal Medicine Associate Membership (does not count against your education funding)

Other

Claim details

Provide details here

Total reimburement amount requested(Required)

Residents are provided a $600 educational funding allowance each AY, with the option to carryover $600 the following year ($1200 max at any time).

Upload reciepts and other documentation here.(Required)

We require an itemized receipt that includes proof of payment.
If your receipt is non CAD please attach a copy of the actual CAD amount charged on your credit card.

Drop files here or

Accepted file types: pdf, jpg, png, Max. file size: 20 MB.