is pleased to announce

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is pleased to announce

  1. 1. is pleased to announce CASL/Bristol Myers Squibb Clinical Fellowship in HepatologyApplication Deadline: February 15, 2008DescriptionThe purpose of this program is to provide salary and benefits for individualspursuing additional training focused on patient care in hepatology, beginning onJuly 1, 2008.Eligibility Criteria 1. Candidates for the Fellowship must hold an MD degree. 2. The fellowship is open to all applicants, but Canadian citizens or permanent residents will be given first consideration. The recipient and supervisor are responsible for ensuring that appropriate work visa and/or permit is in place by the time of award tenure. 3. Candidates for the Fellowship must have completed training in a primary specialty (e.g. Internal Medicine or Pediatrics). Candidates who have completed a Gastroenterology residency by the time of the Fellowship tenure will be given first consideration. 4. Fellowship training ideally should be carried out at accredited Canadian institutions. Exceptional training opportunities outside of Canada will be considered, but letter of support from the proposed supervisor and institution must accompany the application. 5. The supervisor must be a member of CASL. For training opportunities outside of Canada, the applicant must have a sponsor who is a member of CASL. 6. The supervisor must confirm that the Fellow will receive a well rounded experience in clinical hepatology by submitting a 2-page summary outlining the training specifics. (See Required Documents section) 7. An interim progress report (500 words) must be jointly submitted by the supervisor and recipient to CASL 6 months after the award tenure. 8. A final report (500 words) must be jointly submitted by the supervisor and recipient to CASL no later than 2 months after the end of the award tenure. 9. Any publications arising from work during the award tenure should acknowledge the training award support, CASL and industry sponsor. 1
  2. 2. Level of FundingThe Fellowship award will be $60,000. This amount is for salary and benefits (upto 8%) for the recipient. Awards are granted to the individual applicant, not theapplicant’s institution. However, funds will be paid directly to the awardee’sinstitution. Awards cannot be transferred to another institution and recipientcannot change supervisor or institution without prior written approval from CASL.The award recipient is responsible in ensuring that payment arrangement is inplace at the institution.Payments of the award will be in the form of equal quarterly installments, the firston July 1, 2008.Period of SupportThe Fellowship award will provide funding for one year.Selection CriteriaCandidates will be evaluated based upon their credentials and commitment toclinical hepatology. Specifically, applications will be reviewed based on: • Professional potential of the applicant • Clinical and academic experience and commitment of the supervisor • Opportunities and quality of the training environment • Relevance to CASL’s mandateThe CASL Education Committee will review the applications and select therecipient for the Clinical Fellowship award. Applications will be reviewed basedonly on the submitted written materials. Incomplete applications and applicationsthat fail to adhere strictly to the instructions (including the submission deadlineand page limitations) will be returned without review. Selection decision will beannounced by March 31, 2008Submission Process and DeadlineAn original and five (5) copies of the completed application (including supportmaterials) must be received by February 15, 2008 and should be sent to:Canadian Association for the Study of Liver34 Eglinton Avenue WestSuite 323Toronto, ON M4R 2H6Notification DateMarch 31, 2008. 2
  3. 3. APPLICATION FORMInstructions 1. Use this form as a cover page. Please print or type. 2. Include additional information and provide signatures as requested. 3. Include separate typed pages for all additional information using one-inch margins. Use only white 8 ½ x 11-inch paper. Put your name (last name, first name) in the upper right-hand corner of each page. 4. Do not use fonts smaller than 10-point type. Items may be single-spaced, but please make the presentation as user-friendly to the reviewers as possible. 5. Assemble the application in the order listed in the Required Documents section. Clearly label each piece of additional information. Complete all sections. 6. Please adhere to page limits.General Information ______________________________________________________________ Applicant’s Name (last, first, middle initial) ______________________________________________________________ Applicant’s Degree(s) and Year(s) granted ______________________________________________________________ Current Position Appointment Date (month/year) ______________________________________________________________ Current Address ______________________________________________________________ Office Telephone Fax Number Email Address ______________________________________________________________ Applicant’s Citizenship Status in Canada ______________________________________________________________ Name and Address of the Supporting Institution ______________________________________________________________ Supervisor’s Name ______________________________________________________________ Supervisor’s Address ______________________________________________________________ Supervisor’s Office Telephone Fax Number Email Address 3
  4. 4. Required Documents 1. Curriculum Vitae of Applicant – Provide a biographical sketch including any publications, abstracts, or presentations. 2. Curriculum Vitae of Supervisor 3. Clinical Program Description – The supervisor must submit a detailed description of the curriculum, including monthly schedule of training and patient care responsibilities (maximum: 2 pages). Inclusion of a monthly schedule in tabular format is encouraged. 4. Facilities Description – The clinical environment should be described, including access to patients, laboratory space (if applicable), consultants and technical (including computer) resources (maximum: 2 pages). 5. Candidate’s Statement – Statement of applicant’s career plans (1 page). 6. Letter of Supervisor’s Support – The supervisor must submit a letter confirming his/her sponsorship of the applicant (1 page). 7. Letter of Departmental Support – Letter should be provided from the Department or Program Chair of the proposed training institution, describing the commitment of institutional resources, support and environment to the applicant and supervisor (1 page). 8. Letters of Reference – Letter from three (3) physicians well acquainted with your abilities.Applicable SignaturesNote: Your signatures below indicate that the applicant meets the eligibilitycriteria for this fellowship program and that the information in this application isaccurate to the best of your knowledge.Signature of Applicant Name Date________________________________________________________________Signature of Supervisor Name Date 4

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