Brigham and Women’s Center for Surgery and Public Health A Joint Initiative of Harvard Medical School and Harvard School of Public Health
Arthur Tracy Cabot Fellowship Application Cover Sheet
The Center for Surgery and Public Health (CSPH)’s Arthur Tracy Cabot Fellowship supports qualified young scientists who wish to receive training in the research areas of surgical health services and implementation, education, and global health/surgery. In addition to being mentored by BWH surgeons, fellows have the opportunity to pursue a Master’s degree in Public Health at the Harvard School of Public Health.
*All applicants must have either a MD or PhD. Preference will be given to candidates who are surgical residents or have completed a doctoral program in biostatistics.
APPLICANT INFORMATION Last Name: First Name: Middle Name:
Address: City: State: Zip Code: Phone Number: Email: Date of Birth:
US Citizen: Yes No If no, please provide citizenship information:
MEDICAL SCHOOL & RESIDENCY PROGRAM INFORMATION Current Residency Program:
PGY Level: Year of Graduation: Medical School Attended: Year of Graduation:
CABOT FELLOWSHIP INFORMATION Research Interest: Health Services / Outcomes / Comparative Effectiveness Research Implementation Science Education Research End-of-Life Research Global Health/Surgery Identified CSPH Faculty Mentor:
OPTIONAL INFORMATION
The CSPH has contracts with the Federal Government and is subject to federal reporting requirements. It would be helpful to us if you would provide the following information. Please check all that apply. Race: Ethnicity: Sex: American Indian or Alaska Native Hispanic or Latino Male Asian Not Hispanic or Latino Female Black or African American Native Hawaiian or Other Pacific Islander Disabled: White Yes Other No
PROPOSAL
Please prepare a research project proposal, using the Proposal Template provided online (maximum of 4 pages), to include the following: Personal statement outlining short- and long-term career goals (approximately 1 page)
Page 1 Proposed research project (approximately 2 pages) Educational plan including mentorship and educational activities (approximately 1 page)
The Center for Surgery and Public Health is an Equal Opportunity / Affirmative Action Employer
Page 2 Arthur Tracy Cabot Fellowship Application
How did you hear about the CSPH Arthur Tracy Cabot Fellowship program?
BWH Faculty Member Current Fellow CSPH Website Non-BWH Faculty Member Past Fellow Other: ______
Please be sure to include in your application packet: Please send all application materials to:
Current CV Jessica Appelson Proposal (see instructions on previous page; Project Manager, CSPH download Proposal template from website) [email protected] Official Medical School Transcript Two Letters of Recommendation (one from Residency Director or Chairman) *All letters of recommendation should be sent directly to the CSPH from the person providing the recommendation. Two Additional References Letter of Commitment from identified CSPH Faculty mentor (should detail your project plan and anticipate the use If mail submission is necessary, please contact us in advance of funds if the fellowship is awarded) for application submission address.
All application materials are due by Midnight on November 9 th , 2015
Please contact CSPH’s Project Manager, Jessica Appelson, at [email protected] with any questions regarding the application process.
The Center for Surgery and Public Health The Center for Surgery and Public Health (CSPH) was established in 2005 in collaboration with Harvard Medical School (HMS) and Harvard School of Public Health (HSPH) to improve surgical quality, safety, and access at the population level. Our research contributions to the fields of health services and implementation, education, and global health position the CSPH to reach beyond surgery to effect fundamental changes in the delivery of healthcare in the US and abroad. Distinguished by our team of surgeons and collaborators, the CSPH is committed to providing the next generation of surgeons with the skills and mentorship that will position them as leaders in the field of health services research.
For more information on the CSPH and the Arthur Tracy Cabot Fellowship, please visit our website: http://www.brighamandwomens.org/Research/labs/CenterforSurgeryandPublicHealth/csph_fellowship.aspx
Brigham and Women's Hospital
Page 3 Brigham and Women's Hospital (BWH) is a 777-bed nonprofit teaching affiliate of Harvard Medical School and a founding member of Partners HealthCare, an integrated health care delivery network. BWH is committed to excellence in patient care with expertise in virtually every specialty of medicine and surgery, and our leadership in patient quality and safety, development of state-of-the-art treatments and technologies, and robust research programs have improved the health of people around the world.
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