HEAL Initiative Rotating Fellow Application

HEAL Initiative Rotating Fellow Application

2019 - 2021

Requirements:

Applicants must have completed or be on track to complete residency training at an accredited, US-based institution by 1 July 2019 and/or be licensed to practice medicine in the United States.
Applicants must be US citizens or permanent residents.

Application Process: Applications are accepted on a rolling basis, with priority given to applicants who submit earlier in the process. Applications will be reviewed in 3 Rounds. Applications can be submitted until 31 December as long as positions remain unfilled.

15 September 2018: First Round Application Deadline
15 September - 1 November 2018: First Round Application Review and Interviews with HEAL Team, Domestic Partner Sites, and International Partner Sites (for viable candidates)
1 November 2018: First Round Fellowship Offers Made*
1 November - 15 December 2018: Second Round Application Review and interviews with HEAL Team, Domestic Partner Sites, and International Partner Sites (for viable candidates)
15 December 2018: Second Round Fellowship Offers Made*
31 December 2018: Third Round Application Deadline
1 - 15 January 2019: Third Round Application Review and interviews with HEAL Team, Domestic Partner Sites, and International Partner Sites (for viable candidates)
15 January 2019: Final Fellowship Offers Made*

For Successful Applicants:

February - March 2019: UCSF Fellow Credentialing Process
July 2019: HEAL Global Health Training and Fellowship Start!

FAQs can be found here.

*Acceptance into HEAL contingent upon approval by UCSF Office of Graduate Medical Education.

Full Name *

First Name Middle Name Last Name Suffix

E-mail *

Are you a US Citizen or permanent resident? *

Yes No

Mailing Address *

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Phone Number *

How did you hear about the HEAL Initiative? *

HEAL Website HEAL Social Media (Twitter / Facebook) Email from HEAL Initiative From Residency / Program Director From a Current or Past HEAL Fellow From a Friend / Colleague Attended In-person HEAL Presentation Other

If Other, how did you hear about HEAL?

Residency / Training Program *

Location *

Specialty *

Attended From *

/ Month / Day Year

Attended To

/ Month / Day Year

Medical School *

Location *

Attended From

/ Month / Day Year

Attended To

/ Month / Day Year

Step 1 Score *

Step 2 CK Score *

Step 3 Score

Have you ever failed a Step Exam? *

Yes No

If you have ever failed to pass one of your USMLE examinations, please explain below. *

0/1000

Undergraduate University/College Attended *

Location *

Attended From *

/ Month / Day Year

Attended To *

/ Month / Day Year

Undergraduate GPA *

Do you currently have a medical license? *

Yes No

State Issued *

License Number *

Expiration Date *

- Month - Day Year

Please list languages apart from English that you would have some level of comfort using in a clinical setting.

Language #1

Proficiency

Language #2

Proficiency

Language #3

Proficiency

Please provide the contact information below for 3 references. Please do not submit any reference letters. HEAL will reach out to references separately. One of these references must be a residency / program director.

Name of Reference #1 *

First Name Last Name

Title/Position of Reference *

Relationship to Applicant *

How long have you known this reference? (in years) *

E-mail *

Phone Number *

Name of Reference #2 *

First Name Last Name

Title/Position of Reference *

Relationship to Applicant *

How long have you known this reference? (in years) *

E-mail *

Phone Number *

Name of Reference #3 *

First Name Last Name

Title/Position of Reference *

Relationship to Applicant *

How long have you known this reference? (in years) *

E-mail *

Phone Number *

Why do you want to be a HEAL fellow? (Maximum of 500 words)

*

0/500

Tell us about a time when you worked or lived in a community that was not your own. How did you acclimate to this new community and what did you learn? In hindsight, would you do anything differently? (Maximum 300 words)

*

0/300

Please describe a time when you have experienced a failure. How did you recover from it? What did you learn? (Maximum 300 words)

*

0/300

Below are the HEAL Rotating Fellow positions for our 2019-2021 cohort. Please read the Role Descriptions on the HEAL website carefully and select the domestic and international placement sites that align with your specialty and areas of interest and where you would seriously consider accepting placement for the 2-year fellowship. You can make multiple selections for both Domestic and International positions.

* Please note that additional positions may be added in the coming weeks. If you submit an applicaiton and additional positions are added in your specialty we will inform you via email.

Domestic Positions *

Tséhootsooi Medical Center (Navajo Nation) Chinle Comprehensive Health Care Facility (Navajo Nation) Gallup Indian Medical Center (Navajo Nation) Northern Navajo Medical Center (Navajo Nation) Natividad Medical Center (Salinas, CA)

International Positions *

Last Mile Health (Liberia) Compañeros En Salud / Partners in Health (Mexico) Jan Swasthya Sahyog (India) Possible (Nepal) Abwenzi Pa Za Umoyo / Partners in Health (Malawi) SEWA Rural (India) Inshuti Mu Buzima / Partners in Health (Rwanda)

Of these selected positions, what is your top Domestic Position choice?

Of these selected positions, what is your top International Position choice?

Please include education (medical, graduate and undergraduate education and other residency/trainings with dates), work, research and volunteer experiences, leadership roles, awards, honors, publications and conferences attended. Additionally, please list any significant global health experiences and with dates and the nature of your involvement.

Curriculum Vitae *

Were you ever the subject of disciplinary action at a current or prior academic institution? *

Yes No

If yes, please explain.

0/1000

Thank you for your interest in the HEAL Initiative. Please feel free to contact us with questions at info@healinitiative.org.

Thank you for your interest in the HEAL Initiative. Unfortunately, we can only accept US citizens or permanent residents at this time.

Applicant Information

Education

Medical License

Languages

References

Personal Statement

Placement Site Preference

Curriculum Vitae

Academic Conduct