American Academy of Dermatology Diversity Mentorship Program

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American Academy of Dermatology Diversity Mentorship Program

  1. 1. American Academy of Dermatology Diversity Mentorship Program American Academy of Dermatology Diversity Mentorship Program The American Academy of Dermatology (AAD) invites first- through fourth-year medical students from ethnically and socio-economically diverse backgrounds who have demonstrated financial need and are interested in learning more about the specialty of dermatology to participate in the Academy’s Diversity Mentorship Program. Applicants will be asked to discuss their level of financial need as it relates to their pursuit of a career in medicine. In 1996, the AAD was one of the first medical specialty societies to create a mentorship program aimed at a diverse medical student population. Often dermatologists who participate in this program as mentors and the students who shadow them in their office develop a professional relationship that follows the student through their residency and at key junctures in the medical student’s career. The Diversity Mentorship Program is a one-month (160 hours), one-on-one program in which the medical student gains hands-on exposure to the treatment and management of patients presenting with dermatologic disorders of the skin, hair, and nails. Skin diseases and conditions may range from the medical dermatology treatment of acne and psoriasis and the surgical removal of suspicious lesions to conditions specific to skin of color such as pseudofolliculitis, progressive fibrosing alopecia and sarciodosis. The mentorship experience may take place in the dermatologist’s private practice or in an academic health center setting. Program Description and Purpose The American Academy of Dermatology would like to reach out to first through fourth year medical students from ethnically and socio-economically diverse backgrounds to gain exposure to the specialty of dermatology by providing a firsthand one-on-one mentorship experience with the dermatologist of the student’s choice. Medical students commonly participate in this mentorship program in the summer months; however there is some flexibility in accommodating the student’s schedule. The program must be completed by December 1 of the program year that the grant is awarded. Upon application to the program, medical students may choose a mentor on their own, or they can choose from a list of mentors maintained by the Academy. Medical students who are selected to participate in the Diversity Mentorship Program will receive a $1,500 grant.
  2. 2. Application Process: The Diversity Mentorship Program application is also available online at the Academy’s Website or through the minority affairs office at your medical school. Please be advised that answers must be concise as space is limited to the text box provided. Completed applications must be postmarked by January 31st . Medical students will be notified of their status by April 30. Questions about the program should be addressed to the Program Administrator at hpp@aad.org or by calling 847.240.1805. “Frequently Asked Questions” are also posted on the Academy website.
  3. 3. American Academy of Dermatology Diversity Mentorship Program Application Please complete the application form and attach the following documents: • A copy of your resume or curriculum vitae, • A copy of your medical school transcript. First year students may submit a list of current classes. • Two professional letters of recommendation. Application Form (Answer in the space provided.) NAME: SCHOOL ADDRESS: SCHOOL CITY: SCHOOL STATE: SCHOOL ZIP: PERMANENT ADDRESS: PERMANENT CITY: PERMANENT STATE: PERMANENT ZIP: PHONE: FAX: E-MAIL: MEDICAL SCHOOL: YEAR IN SCHOOL: HOW DID YOU LEARN ABOUT THE PROGRAM? DIVERSITY OFFICE ______ DERMATOLOGY DEPARTMENT _____ OTHER:____________________ SOCIAL SECURITY #: MENTOR: (must be an AAD member): American Academy of Dermatology Diversity Mentorship Program Application continued
  4. 4. Please confine your comments to the space provided here. 1. Why do you want to study dermatology? ___________________________________________________________________ ___________________________________________________________________ ___________________________________________________________________ ___________________________________________________________________ ___________________________________________________________________ ______________________________ ___________________________________________________________________ ___________________________________________________________________ ____________________________________________________ 2. What qualities and skills do you possess that make you a good candidate for receiving this mentorship? ___________________________________________________________________ ___________________________________________________________________ ___________________________________________________________________ ___________________________________________________________________ ___________________________________________________________________ _____________________________________ 3. Describe the community service activities that you have performed. ___________________________________________________________________ ___________________________________________________________________ ___________________________________________________________________ ___________________________________________________________________ ___________________________________________________________________ _____________________________________ 4. Discuss any experiences in medical research and list any published articles and/or papers in dermatology or medicine. ___________________________________________________________________ ___________________________________________________________________ ___________________________________________________________________ ___________________________________________________________________ ___________________________________________________________________ ____________________________
  5. 5. 5. Discuss your level of financial need as it relates to your pursuit of a career in medicine. ___________________________________________________________________ ___________________________________________________________________ ___________________________________________________________________ ___________________________________________________________________ ___________________________________________________________________ ___________________________________________________________________ ________________________________ 6. Discuss how diversity has affected your pursuits. What challenges have you had to face and overcome? ____________________________________________________________ ____________________________________________________________ ____________________________________________________________ ____________________________________________________________ ____________________________________________________________ ____________________________________________________________ 7. What would you like to accomplish as a result of completing this mentorship? ___________________________________________________________ ___________________________________________________________ ___________________________________________________________ ___________________________________________________________ ___________________________________________________________ ___________________________________________________________ ___________________________________________________________ ___________________________________________________________ Please return application form and required documents to: Attn: Diversity Mentorship Program American Academy of Dermatology 930 E. Woodfield Rd. Schaumburg, IL 60173 If you wish, please describe yourself. ____ African American, Black ____ Asian or Pacific Islander (including Indian subcontinent) ____ American Indian or Alaskan Native (tribal affiliation) ____ Hispanic, Latino(a) ____ White, Anglo ____ Multiracial (explain) ________________________________________
  6. 6. 5. Discuss your level of financial need as it relates to your pursuit of a career in medicine. ___________________________________________________________________ ___________________________________________________________________ ___________________________________________________________________ ___________________________________________________________________ ___________________________________________________________________ ___________________________________________________________________ ________________________________ 6. Discuss how diversity has affected your pursuits. What challenges have you had to face and overcome? ____________________________________________________________ ____________________________________________________________ ____________________________________________________________ ____________________________________________________________ ____________________________________________________________ ____________________________________________________________ 7. What would you like to accomplish as a result of completing this mentorship? ___________________________________________________________ ___________________________________________________________ ___________________________________________________________ ___________________________________________________________ ___________________________________________________________ ___________________________________________________________ ___________________________________________________________ ___________________________________________________________ Please return application form and required documents to: Attn: Diversity Mentorship Program American Academy of Dermatology 930 E. Woodfield Rd. Schaumburg, IL 60173 If you wish, please describe yourself. ____ African American, Black ____ Asian or Pacific Islander (including Indian subcontinent) ____ American Indian or Alaskan Native (tribal affiliation) ____ Hispanic, Latino(a) ____ White, Anglo ____ Multiracial (explain) ________________________________________

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