Application for Membership (Form M4)

Membership (MFOM) can be awarded only after you have completed all the relevant components of higher specialist training in occupational medicine.  These are:

• For those who enrolled in an approved higher specialist training post pre August 1st 2007 – satisfactorily completing a minimum of 4 years training in a Faculty of Occupational Medicine (FOM) approved post (sitting and passing the AFOM or part 2 of the Membership Examination) and the submission of a dissertation of a satisfactory standard in bound copy form.
• For those who enrolled in an approved higher specialist training post after August 1st 2007 – satisfactorily completing a minimum of 4 years training in a FOM approved post (sitting and passing both the Part 1 and Part 2 Membership Examinations) and the submission of a dissertation of a satisfactory standard in bound copy form.

In order to complete this form you will need to upload:

• a copy of your ARCP outcome 6
• a copy of your trainee declaration form, signed by your educational supervisor and local Regional Specialty Adviser. http://www.fom.ac.uk/wp-content/uploads/M4-Form-Trainee-Declaration.pdf

Please also ensure you have submitted to FOM your bound dissertation.  

We will then forward a recommendation to the General Medical Council (GMC) for you to be awarded a Certificate of Completion of Training (CCT).  You can then apply for entry on to the Specialist Register.  Please note: it can take up to six weeks to make the recommendation once we have received all your necessary documentation.