Application for the CPV Visiting Scholars Program

Application for the

CPV Visiting Scholars Program

To apply to the Visiting Scholars program, please submit the following to the Center for Professionalism & Value in Health Care.

Please reach out to Emma Dorsch, the Center’s point of contact for the Scholars Program, with any questions.

Applicant Information

First Name*

Last Name*

Email Address*

Phone Number

Phone

Mailing Address

Current Position or Level*

Eg. Assistant Professor or PGY-3

Program or Institution*

How did you hear about the CPV Visiting Scholars Program?

Please check the box below if you are based outside of the United States, and therefore, applying to the International Scholars Track

Preferred Date(s) to Visit Washington, DC*

If providing more than one range of dates, please rank-order your preference.

Anticipated Research Project*

Please briefly describe the project or topic you would like to explore during the Scholars Program Visit.

Contribution to Family Medicine/Primary Care Research*

Please briefly describe how your project will contribute to Family Medicine/Primary Care Research.

Research Experience

Please list your most recent research projects, if applicable.

Letter of Interest & CV*

Please upload your letter of Interest outlining potential research questions and your Curriculum Vitae.

Drag and drop files here or

Send me a copy of my responses

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