Global Anesthesia Fellowship Application

Please complete all fields of application form (do not refer to CV unless indicated). Personal Statement should include motivations for interest in global health, future plans, past experience (if any), and areas of interest. Letters of Recommendation (3) should be emailed directly to marteaga@stanford.edu. Please Note: All clinical fellows must obtain a California medical liscense prior to starting their fellowship program. You may contact the Medical Board of California 2005 Evergreen Street, Suite 1200, Sacramento, CA 95815, Phone 1-800-633-2322, for applications and information. Please allow a minimum of 6-9 months for processing. Fellowship start date is August 1st, but may be flexible depending on an applicant's unique circumstances. Applications will not be reviewed until all application materials have been received. Applications are due by December 31st of the year prior to the fellowship start date.

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Street Address, Unit (if applicable), City, State

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Test Scores

Given by the ASA/ABA for those who have done an anesthesia residency.

Education & Training

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Medical Licensure

Anesthesia Experience

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Additional Experience

Indicate undergraduate, graduate, or medical student.

You may reference your CV.


Attachments

1) CV 2) Personal Statement on Career in Global Health (500 words maximum) 3) Copy of medical school (MD) diploma (if you have an MD and PhD, please provide both) 4) Copies of USMLE scores 5) Copies of ITE [In-Training Exam] scores 6) California Medical License 7) Professional Headshot Photo (Minimum dimensions: 400x400 pixels)

Recommended file formats: Microsoft Word, .pdf, .png, .jpg

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