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Step 1

Eligibility & membership category

NSM primarily welcomes physicians, health professionals, researchers and educators engaged in medical sciences and related disciplines. Please indicate your membership category and basic eligibility information as recognised by your professional or regulatory body.

Membership category you are applying for *

Fellow status typically requires nomination or endorsement by existing NSM Fellows and may involve additional review.

Primary professional background *

Primary clinical / scientific specialty *

Where possible, align with NSM sections and specialty structures used on the NSM website.

Country / region of primary practice *

Are you currently in good standing with your primary professional / regulatory body? *

Yes — in good standing No / currently under review (please explain below)

Professional licence / registration details (if applicable)

If not in good standing, please briefly outline context

Step 2

Personal & professional details

These details will be used for membership records, formal correspondence and, where authorised, directory listings. Please provide names and affiliations as they should appear in academic or professional contexts.

Professional title *

Given / first name *

Family / last name *

Preferred name (optional)

Pronouns (optional)

Primary email for NSM correspondence *

Secondary email (optional)

Contact telephone (optional)

Country / region of residence *

City (optional)

Primary institution / organisation *

Department / unit (optional)

Current role / position *

Year of primary medical / health qualification (if applicable)

Step 3

Academic profile & alignment with NSM

NSM is an academically oriented organisation. The information below supports review of your academic background, research interests and alignment with NSM’s mission to advance medical sciences, education and ethical practice.

Highest academic / professional degree *

Academic appointment (if applicable)

Main areas of clinical practice and/or scientific focus *

Key research / academic interests (keywords)

Provide 3–6 key terms that best describe your research or academic focus areas.

How does your work align with NSM’s mission, and why do you wish to join? *

0 / 1500 characters

NSM activities you would be interested in (optional)

Joining NSM sections / committees relevant to my specialty Presenting at NSM congresses, courses or webinars Participating in NSM registries, research or consensus projects Contributing to NSM educational and mentoring initiatives

Step 4

References & supporting information

For certain membership categories (particularly Fellow status), NSM may request references or endorsements from existing NSM Fellows or senior colleagues. You may also indicate relevant supporting documents.

If you are applying for Fellow (FNSM) status, please provide details for at least one nominating NSM Fellow or senior referee. For other membership categories, references are generally optional unless specifically requested.

Nominating NSM Fellow / primary referee (for Fellow applications) *

Name

Role / title

Institution

NSM ID (if known)

Additional referee (optional)

Name

Role / title

Supporting documents (optional)

In production, this may include copies of licences, CVs, academic profiles or letters of support, in line with NSM’s application guidelines and data protection policies.

Step 5

Declarations, privacy & submission

Before submitting, please review the declarations below. These reflect NSM’s status as an independent 501(c)(3) academic non-profit and its commitment to ethical standards in professional conduct, research and education.

Declarations *

I confirm that, to the best of my knowledge, the information provided in this application is accurate and complete. I agree to abide by NSM’s statutes, governance framework and professional Code of Conduct, including expectations on ethical practice, non-discrimination and responsible communication. I understand that NSM membership does not constitute or replace any clinical licence, specialist recognition or regulatory registration in any jurisdiction.

Privacy & data protection *

I acknowledge that NSM will process my personal data in line with its Privacy Policy and applicable regulations for membership administration and governance. I have reviewed the relevant NSM Terms & Conditions for membership applications.

Directory and communications preferences (can be updated later)

List my name, institution and country in the public NSM membership directory (where applicable). Directory listing visible to NSM members only. No directory listing (subject to NSM rules and technical capabilities).

I agree that NSM may contact me with official membership communications, governance notices and programme information relevant to my role and interests.

Joining the National Society of Medicine

Eligibility & membership category

Personal & professional details

Academic profile & alignment with NSM

References & supporting information

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