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

Project & Research Interests

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.

Drop your files here

Send me a copy of my responses

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Applicant Information