Resident Organization of AAOMSApplication for Executive Committee PositionsFirst Name

Rev. 10/23

Middle Initial

Last Name

Address

CityState

Phone Number

ZIP CodeEmail Address

OMS Training Program

Year in Training (effective July 1)
Position Interested in:

Anticipated Year of Residency Completion

Vice President
District Representative
Committee Liaison

Please note: You may indicate any of the above positions. Those candidates not elected Vice Chair may subsequently run for Committee Liaisonand District Representative positions. Those candidates not elected Committee Liaison may subsequently run for District Representative.

Application Instructions
1. All interested candidates must submit the following materials with this application:
Curriculum vitae.
Letter of recommendation from a faculty member.
A signed by the applicant’s Program Director. The letter of approval is provided
and outlines the responsibilities that the applicant will assume upon being
selected to serve as an Executive Committee member.

Application Deadlines
Vice President – March 15
Committee Liaison – Aug. 1
District Representative – Aug. 1

2.

District Representative positions will be appointed by the presiding ROAAOMS Executive Committee. District Representatives can apply
to serve for an optional second year. Applicants must have 18 months of OMS training remaining.

3.

Committee Liaison positions will be appointed by the presiding ROAAOMS Officers (President, Vice President and Immediate Past President).
Applicants must have served previously on the ROAAOMS Executive Committee.

4.

The Vice President position will be appointed by the AAOMS Board of Trustees based on the recommendation provided by the Officersof ROAAOMS. Applicants must have served previously on the ROAAOMS Executive Committee and have at least 18 months of OMS
training remaining.

5.

Non-categorical OMS residents will not be eligible to serve on the Executive Committee.

6.

All appointments will be announced in August.

7.

For additional information, view the ROAAOMS Operating Guidelines available at AAOMS.org/ROAAOMS.

Return Application to:
Manager, Advanced Education and Resident Affairs
AAOMS
9700 W. Bryn Mawr Ave.
Rosemont, IL 60018
Fax: 847-678-6286
Email: advancededucation@aaoms.org

Resident Organization of AAOMS Application
for Executive Committee Positions

Election Platform(Please outline your goals, including implementation strategies, for the Resident Organization):

AAOMS DISTRICTS
District I: Northeastern
Connecticut
Maine
Massachusetts
New Hampshire
New York
Rhode Island
Vermont
District II: Middle Atlantic
DelawareDistrict of Columbia Maryland
New Jersey
Pennsylvania
U.S. Air Force
U.S. Army
U.S. NavyDistrict III: Southeastern
Alabama
FloridaGeorgia
KentuckyLouisiana
Mississippi
North Carolina
Puerto Rico
U.S. Territories (Guam & VirginIslands)
South Carolina
Tennessee
Virginia
West Virginia
District IV: Great Lakes
Illinois
Indiana
Michigan
Ohio
Wisconsin
Veterans Affairs
U.S. Public Health Service
District V: Midwestern
Arkansas
Colorado
Iowa
KansasMinnesota
MissouriMontanaNebraska
New Mexico
North Dakota
OklahomaSouth Dakota
Texas
Wyoming
District VI: WesternAlaska
Arizona
California
Hawaii
Idaho
NevadaOregonUtah
Washington

Return Application to:
Manager, Advanced Education and Resident Affairs
AAOMS
9700 W. Bryn Mawr Ave.
Rosemont, IL 60018
Fax: 847-678-6286
Email: advancededucation@aaoms.org

ROAAOMS District Representative Application Approval
The Resident Organization of the American Association of Oral and Maxillofacial Surgeons (ROAAOMS)
was established in 1994 in order to provide OMS residents a forum for discussion of resident issues,
to indoctrinate residents into organized dentistry and medicine, and to support residents in theirdevelopment as future leaders of the specialty. Since the organization’s inception, great advances
have been made in the formalization of ROAAOMS.
Comprehensive operating guidelines have been developed to allow ROAAOMS to function under theauspices of AAOMS. A strategic plan has been developed to ensure that the organization continues tofollow its vision, purpose and mission. The strategic plan includes four major goals:(1) Improve and enhance communication among its members and its affiliates; (2) educate residents
concerning the specialty of oral and maxillofacial surgery and issues facing the specialty; (3) assist in
the recruitment and retention of highly qualified professionals in oral and maxillofacial surgery and(4) demonstrate the value of oral and maxillofacial surgery to OMS residents, dental students, public,
professional and pre-dental audiences.
ROAAOMS continues its efforts to increase resident awareness and encourages OMS residents to takeownership of and become involved in their specialty. A network of residents (one program liaison per
residency training program) has been developed to assist the committee in communicating important
information and upcoming events to all residents. In addition, ROAAOMS is committed to reachingdental students to not only educate them about the specialty but also to nurture and improve
relationships between dental students and OMS residents. By initiating this dialogue with dental
students, ROAAOMS hopes to interact with the future leaders of dentistry and create the opportunity
for lifelong relationships with their professional colleagues.
As an applicant for the position of District Representative, your resident, if elected, would servea one-year term commencing with the adjournment of the AAOMS Annual Meeting immediately
after appointment and ending with the adjournment of the subsequent AAOMS Annual Meeting.
As District Representative, your resident will represent the ROAAOMS membership of the AAOMS
geographical district on the Executive Committee, maintain active liaison with training programs
and constituent members in their district and present on the contemporary practice of oral andmaxillofacial surgery to dental students, dentists and other specialties in order to increase
participation and knowledge and to enhance patient treatment through appropriate referrals.
As an official resident representative, the resident will be expected to participate in various ROAAOMS
meetings and activities, such as ROAAOMS Executive Committee conference calls and one two-day,onsite meeting and attend the Resident Transitions into Practice Conference, AAOMS Day on the Hill,
American Student Dental Association (ASDA) national meeting and AAOMS Annual Meeting.

OMS Program Director Signature

Date

ROAAOMS Committee Liaison Application Approval
The Resident Organization of the American Association of Oral and Maxillofacial Surgeons (ROAAOMS)
was established in 1994 in order to provide OMS residents a forum for discussion of resident issues,
to indoctrinate residents into organized dentistry and medicine, and to support residents in theirdevelopment as future leaders of the specialty. Since the organization’s inception, great advances
have been made in the formalization of ROAAOMS.
Comprehensive operating guidelines have been developed to allow ROAAOMS to function under theauspices of AAOMS. A strategic plan has been developed to ensure that the organization continues tofollow its vision, purpose and mission. The strategic plan includes four major goals:(1) Improve and enhance communication among its members and its affiliates; (2) educate residents
concerning the specialty of oral and maxillofacial surgery and issues facing the specialty; (3) assist in
the recruitment and retention of highly qualified professionals in oral and maxillofacial surgery and(4) demonstrate the value of oral and maxillofacial surgery to OMS residents, dental students, public,
professional and pre-dental audiences.
ROAAOMS continues its efforts to increase resident awareness and encourages OMS residents to takeownership of and become involved in their specialty. A network of residents (one program liaison per
residency training program) has been developed to assist the committee in communicating important
information and upcoming events to all residents. In addition, ROAAOMS is committed to reachingdental students to not only educate them about the specialty but also to nurture and improve
relationships between dental students and OMS residents. By initiating this dialogue with dentalstudents, ROAAOMS hopes to interact with the future leaders of dentistry and create the opportunity
for lifelong relationships with their professional colleagues.
As an applicant for the position of Committee Liaison, your resident, if elected, would servea one-year term commencing with the adjournment of the AAOMS Annual Meeting immediately
after appointment and ending with the adjournment of the subsequent AAOMS Annual Meeting.
As Committee Liaison, your resident would provide representation on the Executive Committee for
the ROAAOMS membership of AAOMS and maintain active liaison with the committees appointed to.
Your resident will present on the contemporary practice of oral and maxillofacial surgery to dental
students, dentists and other specialties in order to increase participation, knowledge and to enhancepatient treatment through appropriate referrals. Your resident will be expected to participate invarious ROAAOMS meetings and activities, such as ROAAOMS Executive Committee conference calls
and one two-day, onsite meeting, visit one dental school in his or her district and attend the Resident
Transitions into Practice Conference, AAOMS Day on the Hill, American Student Dental Association(ASDA) national meeting and AAOMS Annual Meeting.

OMS Program Director Signature

DateAAOMS Vice President Application Approval

the auspices of AAOMS.

Executive Committee conference calls and one two-day, onsite meeting and attend
ice Conference, AAOMS Day on the Hill, American Student Dental
Association (ASDA) national meeting and AAOMS Annual Meeting.