January 23, 2006
Short Term Fellowship
Some of you have been asking for information regarding the AAIO Short Term Fellowship. For ease of all, the required information is posted here. Please email pvirdi@virdieyemd.com with "Short Term Fellowhip" in the subject line if you have any questions.
Purpose: To provide subspecialty training in ophthalmology at participating and other centers in the United States to suitable ophthalmologists from India. The subspecialty areas will include: External Disease and Cornea, Retina and Vitreous, Glaucoma, Neuro-Ophthalmology, Pediatric Ophthalmology, and Ocular Pathology.
Duration: 3 months
Support: The fellow will receive $1000 a month to cover the cost of lodging and boarding. He or she will be provided funds to support his or her cost for attending the American Academy of Ophthalmology. The candidate is responsible for round-trip transportation from India to their final destination within the United States.
Qualifications: Qualified ophthalmologist of Indian origin who has completed his/her residency and post-graduate studies from an accredited institution in India. He/She is affiliated or has offers for affiliations with a medical institution or hospital involved in patient care, research and/or teaching. The candidate should demonstrate reasonable evidence that upon return to India, he/she will be in a position to utilize his/her training for patient care, research and teaching in India.
Ranking:
1. All the applications received will be reviewed by members of the Fellowship Committee.
2. Each applicant will receive a priority score* on a scale of 1-10, 10 being the highest score.
3. The top 4-5 candidates will be interviewed by the Fellowship Committee or the representative selected by the Committee at the All India Ophthalmological Society Meeting in India and each will receive their interview priority score, also based on 1-10, 10 being the highest score.
4. The best candidate will be chosen on the basis of his/her priority score obtained from #2 and #3.
* The priority score assigned from both the application review and the interview will take into account his/her prior training, current position and future goals and prospects to utilize the training in practice, research and training of future ophthalmologists.
The application and instructions are below.
Please print clearly.
| SHORT FELLOWSHIP PROGRAM
APPLICATION FORM |
Name _______________________________________________________
[Last First Middle(Maiden)] | Marital Status ________________ |
Sex _______________
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| Department _______________________________________________________ |
| Address (present) _______________________________________________________ |
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| Address (permanent) _______________________________________________________ |
| Birthdate _______________________________________________________
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| Birthplace _______________________________________________________ |
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| Educational Experience: |
| Institution Name, City and State | Dates Attended From-To(Mo/Yr) | Type of Program, Degree Received |
| Pre-Med: _______________________________________________________ | __________________________ | __________________ |
| Medical School: _______________________________________________________ | __________________________ | __________________ |
| Internship (1st Year): _______________________________________________________ | __________________________ | __________________ |
| Residency and/or Post Graduate: _______________________________________________________ | __________________________ | __________________ |
| Honors, Publications, etc. _______________________________________________________ |
| Other Qualifications ________________________________________________________
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| Signed ____________________________________________
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| Date ________________________________
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Telephone: work _____________________
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Telephone: home _____________________
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FAX/Telex: __________________________
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email: ________________________________
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INSTRUCTIONS:
The following Documents must be sent to BOTH Dr. Chandra and Dr. Das by September 30th.
1. Completed Application
2. Curriculum Vitae
3. 500-word statement explaining why your qualifications and future plans make you a candidate for this fellowship. Please use separate piece of paper.
4. Letter of recommendation from the head of the department in the hospital of your previous residency training.
5. At least one additional letter of recommendation.
6. A recent photograph of yourself.
Send the above documents to BOTH Dr. Chandra and Dr. Das.
Suresh Chandra, MD
Department of Ophthalmology
University of Wisconsin
600 Highland Avenue, F4/346
Madison, WI 53792
Email: srchandr@wisc.edu
Fax: (608) 263.7694
Phone: (608) 263.9338
T.P. Das, M.D.
L.V. Prasad Eye Institute
Road No. 2 Banjara Hills
Hyderabad 500 034
INDIA
Email: tpd@lvpei.org
Phone1:
Phone2:
Email:
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