JBI Developing Countries Clinical Fellowship Application Form 2016

Comments

Transcription

JBI Developing Countries Clinical Fellowship Application Form 2016
JBI Developing Countries Clinical Fellowship 2016
Application form
Please fill out the form below and send to [email protected] along with a copy of your
resume and a letter of support from your organisation.
Title (Dr, Mr, Ms, Mrs,
etc)
First Name
Last Name
Position
Organisation
City
Country
Address
Telephone
Email
Qualifications (most recent first):
Qualification
Year
Subject (Study)
Institution
Employment (most recent first):
Position / Title
Dates
Department
Organisation
Briefly describe your current clinical setting and context.
Describe a health care issue that you would like to investigate (and improve) for your project,
including the population, what is currently occurring, and what you would like to see improve. This
should be an area in which you can conduct a baseline clinical audit, implementation of evidence
based strategies, and then a follow-up clinical audit aimed at assessing outcomes.
What are the aims/ outcomes that you are hoping to achieve through this clinical fellowship?
How will your participation in the Clinical Fellows program contribute to improving healthcare within
your country?
Are you currently linked with a JBI centre or group, or have you completed any JBI training
previously?

Similar documents