2022 Chris O’Brien Traveling Fellowship Award Application

Step 1 of 2

A current, detailed curriculum vitae, including medical school, postdoctoral education, and past hospital appointments, plus a complete bibliography and record of meeting presentations are to be submitted with this application. Applicants are to submit, in addition, an essay of no more than one page, stating how, in their opinion, they fulfill the requirements and their reasons for applying for the fellowship. Applicants are requested to indicate their name in the upper left-hand corner of the essay.

1. Applicant


Present Academic Position

MM slash DD slash YYYY

2. Education

Senior (Chief) Residency

3. Present Hospital Appointments