<p> OFFICE OF THE CHIEF MEDICAL EXAMINER STATE OF MARYLAND FORENSIC PATHOLOGY FELLOWSHIP Opening for 2018-2019</p><p>The Office of the Chief Medical Examiner (OCME) of Maryland is currently seeking a qualified individual for its ACGME- accredited forensic pathology fellowship training program for 2018-2019. Established in 1939, the agency is considered "one of the model State Medicolegal Investigative Systems." Under the supervision of 15 Board-certified forensic pathologists, the fellow will perform post-mortem examinations to determine the cause and manner of death in a wide variety of cases involving both urban and rural settings. The OCME investigates sudden unexpected deaths, approximately 14,000 per year, in 23 counties and conducts approximately 5,000 autopsies. A comprehensive curriculum includes daily morning and afternoon rounds, regularly scheduled didactic lectures, journal club, scene investigations, rotations within the in-house toxicology lab, formal rotations with the Maryland State Police Crime Lab, forensic anthropology, and forensic neuropathology. Courtroom testimony is strongly encouraged, first by shadowing an attending physician, followed by the fellow’s own testimony later in the year. The office is within walking distance to the University of Maryland Medical Center and School of Medicine and is easily accessible to The Johns Hopkins University Hospital. The salary is $65,964. As a state employee, the fellow receives benefits such as health insurance, vacation, and sick time. Fellows are provided private office space along with time and funding to attend at least one national meeting. For more information, contact Nikki Mourtzinos, D.O. (fellowship director) or visit https://health.maryland.gov/ocme to download the application.</p><p>Requirements: Successful completion of an accredited pathology residency training program in either Anatomic Pathology or combined Anatomic/Clinical Pathology.</p><p>Nikki Mourtzinos, D.O., Fellowship Director Office of the Chief Medical Examiner 900 W. Baltimore Street Baltimore, MD 21223 [email protected]. (410) 333-3250 APPLICATION FOR FELLOWSHIP TRAINING OFFICE OF THE CHIEF MEDICAL EXAMINER 900 W. BALTIMORE STREET BALTIMORE, MARYLAND 21223 (410) 333-3250 (410) 333-3063 FAX</p><p>Fellowship from______to ______</p><p>Name in Full______S.S.#______</p><p>Age ______Date of Birth ______Place of Birth ______</p><p>If Not U.S. Citizen, Type of Passport or Visa ______</p><p>If Naturalized U.S. Citizen, Date ______</p><p>Sex: M ______F______Marital Status______Number of Dependents ______</p><p>Telephone: Home______Office ______</p><p>Email Address: ______</p><p>Present Address ______</p><p>______</p><p>Permanent Address ______</p><p>______</p><p>Medical School ______Year of Graduation ______</p><p>College or University ______</p><p>Number Years Attended ______Degree and Date ______Internships, Residencies, Fellowships:</p><p>Hospital/Institution Position From To Head of Department </p><p>1. ______</p><p>2. ______</p><p>3. ______</p><p>4. ______</p><p>Other Post-Graduate Training ______</p><p>______</p><p>Research Experience ______</p><p>______</p><p>What licenses to practice medicine do you hold?</p><p>National Board ______Date of Acquisition ______</p><p>State Board (State) ______Date of Acquisition ______</p><p>State Board (State) ______Date of Acquisition ______</p><p>State Board (State) ______Date of Acquisition ______</p><p>Served in U.S. Armed Forces?</p><p>Branch of Service ______Capacity ______</p><p>Dates of Service ______</p><p>Are you in good physical condition? Yes ______No ______If you have any physical defect or abnormality, describe ______</p><p>______</p><p>(2) American Board of Pathology Certificate? Yes ______No ______</p><p>Pathology Anatomy ______Date ______</p><p>Clinical Pathology ______Date ______</p><p>Other ______Date ______</p><p>What Medical Societies are you a member in good standing?</p><p>______Date of Admission ______</p><p>______Date of Admission ______</p><p>______Date of Admission ______</p><p>Give name and address of three (3) persons for references. Include present employer, no relatives.</p><p>Name Address City - State</p><p>1. ______</p><p>2. ______</p><p>3. ______</p><p>List your publications:</p><p>1.</p><p>2.</p><p>3.</p><p>______Date of Application Signature of Applicant</p><p>Attach a small, recent photo (head and shoulders).</p><p>(3)</p>