Verification of the completion of medical school, residency, fellowship and boards is usually done online via the American Medical Association (AMA), American Osteopathic Association (AOA) or National Student Clearinghouse (NSC). This only needs to be done once for the life of the provider, since this information does not change from year to year. In the event that there is data that UPHG cannot verify (sometimes the AMA is not current), then we go directly to the institution(s). This might be done verbally or in writing. If a practitioner has completed his/her training or education within the last 5 years, UPHG will send a competency questionnaire to the director of the program.