AO North America Jack McDaniel Memorial AO Fellowship

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1 AO North America Jack McDaniel Memorial AO Fellowship This fellowship has been established by AO International and is administered by an AO North America Committee. The fellowship will be awarded in the spring of each year at the Annual North American Basic and Advanced AO Course and can be activated anytime in the year thereafter. Eligibility: The candidate must have completed all but the final year of training in his or her specialty at the time of activation of the fellowship, or must be within one year of his/her completion of his/her formal training, or be within one year of completion of a fellowship immediately following his/her formal training. Application Procedure: Applications and guidelines can be obtained by writing the Chairman of the Fellowship Committee* or AO North America. Completed applications with supporting documents must be received by December 1st of each year. The decision will be announced at the annual spring North American Current Concepts and Advanced Courses. An application will consist of 1) an AO International Standard Fellowship application; 2) a letter of reference from the applicant's Chief of Service; 3) a letter of reference from an appropriate sponsor who can also be the Chief of Service; 4) a curriculum vitae, a brief autobiography and a proposal for the candidates fellowship which will include: what he/she plans to do, for example research, gain certain clinical skills, where the candidate would like to work and with whom, and how he/she plan to use this special training. The Award: The final award will be confirmed and provided by the President of AO International. The award will consist of all travel expenses to the site of the Fellowship, and the usual current monthly AO Fellowship stipend for a period of no more than three months (at present, $2,000 U.S. dollars per month). At the annual North American Spring Basic & Advanced AO Course immediately after completion of the fellowship, the fellow will be invited to be a table instructor and his/her travel expenses and lodging will be covered as for other faculty members. Support for family members is not included. The fellowship may take place at any AO Fellowship Center in the USA or Europe. *CHAIRMAN OF THE FELLOWSHIP COMMITTEE: Timothy J. Bray, M.D. Reno Orthopaedic Clinic 555 N. Arlington Avenue Reno, NV 89520

2 THE AO FELLOWSHIP BASIC AIMS The purpose of the AO Fellowship is to provide additional experience in AO techniques for fully trained orthopaedic and general surgeons interested in trauma. It should make them familiar with indications, planning, techniques and pitfalls of osteosynthesis as judged by AO experts. This applies to fractures, multiple trauma management, pseudoarthrosis, osteotomies, arthrodeses, etc. ORGANIZATION AO Fellowships are offered in AO hospitals in Switzerland, Germany, Austria, Belgium, France, Spain, Great Britain, Canada, the United States, Chile, Australia and Singapore. The duration of a regular AO Fellowship is a minimum of one to a maximum of three months. The stipend for the fellow is sent care of the host clinic. This allowance usually covers the cost of accommodation and meals. All travel expenses are the responsibility of the fellow. Most clinics provide simple accommodation for one person only. This is best for a quick integration into the daily routine and work in the surgical unit (incl. scrubbed in assistance for emergency operations) and an optimal professional training during the short period of the fellowship. If other accommodation (e.g. for the family) is requested, the fellow must organize and pay for it himself. AO International handles and coordinates all Fellowship applications worldwide. PREREQUISITES The applicant for an AO Fellowship must fulfil the following criterias: - interest to increase his/her knowledge in the treatment of trauma with particular emphasis on AO techniques - graduation from a general surgical or an orthopaedic training programme - previous participation in an AO Basic course - to have previous experience with the AO Instrumentation APPLICATION FOR AO FELLOWSHIP Upon completion of the application form (typewritten), the resident is asked to return it via to or to AO North America, 1700 Russell Road, Paoli, PA USA (Phone: ; Fax: ), enclosing the following documents: - curriculum vitae - copy of medical school diploma - copy of AO Basic course certificate - two letters of recommendation from residents superiors - list of publications and/or lectures of the applicant - 2 photographs SPECIAL REMARKS: If a visa is required to enter a specific country this should be sought well in advance. Please state that this is for visiting purposes only and not for work. AO International will provide a letter of invitation to facilitate the visa procedure.

3 REGULATIONS FOR THE AO FELLOWSHIP 1. Applications must be sent at least 8-12 months prior to the requested period of the fellowship. 2. The candidate may express his preference for a clinic with his application; the final decision will however be with AO International, based on the application and availability places. 3. In view of the numerous applications, all arrangements are exclusively coordinated by AO International; no direct arrangement between a future fellow and a specific clinic will be tolerated nor supported 4. Confirmation of acceptance must be received by AO International within one month after the fellowship has been granted. The arrangement is then considered as a binding contract. If no response is received within that period, AO International will be free to assign the place to another candidate. 5. Any later wishes for change of dates or places may endanger the entire fellowship. If a fellow cannot fulfill the regulations mentioned herein, the head of the clinic may propose to the President of AO International a premature termination of the stay. 6. The scholar is expected to follow the daily routine of the clinic and should be available for emergencies at night and on weekends. Active participation as a scrubbed assistant should be possible. 7. Temporary leave of absence needs approval from the head of the clinic. If, for some reason, the fellow wishes to change the placement or leave prior to completion of the allotted period, permission must be sought from the chief of the clinic and the President of AO-International. 8. Some clinics suggest, as a means of introduction, that the fellow gives a short presentation to the staff. This can be on a subject or topic with which the fellow is familiar or may be actively involved in. We recommend that you contact the clinic to enquire about such a presentation. 9. The fellowship program can only maintain its standard or improve, if there is feedback from the fellows. Following completion of the placement, a confidential report is requested. This evaluation form should be returned to the President of AO International with honest comments or criticisms. 10. A confidential report is also prepared by the host clinic on every fellow. This will be used as a reference for any further communication or information.

4 AO INTERNATIONAL STANDARD FELLOWSHIP APPLICATION FOR TRAINING IN AN AO CLINIC (ONLY TYPEWRITING ACCEPTED) Current photo FAMILY NAME: FIRST NAME: DATE OF BIRTH: NATIONALITY: MARITAL STATUS: PERMANENT HOME ADDRESS: HOME TEL. NO.: ADDRESS: NAME OF UNIVERSITY/HOSPITAL: COMPLETE ADDRESS OF HOSPITAL: (if you are in private practice, please explain your position and indicate name and address of the hospital) HOSPITAL/OFFICE TEL.NO: HOSPITAL/OFFICE FAX NO: PRESENT POSITION: CHIEF OF CLINIC: NAME OF HEAD OF DEPARTMENT: LANGUAGES SPOKEN: ENGLISH: FRENCH: GERMAN: SPANISH: OTHERS:...

5 MEDICAL SCHOOL: NAME OF SCHOOL(S):. ADDRESS:. DURATION:. DATE OF GRADUATION:. POST GRADUATE EDUCATION: GENERAL SURGERY: where: duration: qualification: ORTHOP. SURGERY: where: duration: qualification: DETAILS ABOUT SPECIAL TRAINING IN TRAUMA: (shock, polytrauma, closed and open treatment of fracture, hand, spine, maxillofacial) where: duration: HAVE YOU USED THE ORIGINAL AO/ASIF INSTRUMENTS: YES: NO: WHERE: HOW LONG: OR COPIES / OTHER: YES: NO: WHICH PRODUCTS AND WHERE: ARE YOU RESEARCH ORIENTED: YES: NO: IN WHICH AREAS:

6 INTEREST IN RESEARCH: YES: NO: CLINICALLY, EXPERIMENTALLY? PLEASE EXPLAIN:.... PUBLICATIONS: YES: NO: (please attach your bibliography) WHAT DO YOU EXPECT FROM A STAY IN AN AO CLINIC? IN WHICH FIELDS ARE YOU PARTICULARLY INTERESTED? (trauma, hand surgery, maxillofacial surgery, others) HAVE YOU ATTENDED AN AO/ASIF BASIC COURSE? YES: NO: IF YES, WHERE ONE AND WHAT YEAR: (Please enclose a copy of your certificate) IF NOT, WHEN DO YOU PLAN TO ATTEND ONE:... PLEASE NOTE: AO Fellowships are only granted to candidates who have completed an official AO/ASIF Basic course (workshops, seminars etc. are not acceptable) WHAT ARE YOUR FUTURE PROFESSIONAL INTENTIONS? PLEASE ANSWER AS PRECISELY AS POSSIBLE. WE WISH TO CONSIDER YOUR FUTURE PROFESSIONAL GOALS WHEN ASSIGNING YOUR TRAINING CLINIC DO YOU PLAN TO CONTINUE YOUR CAREER AT THE SAME CLINIC? DO YOU HAVE ANOTHER DEFINITE APPOINTMENT? YES: NO: where: position:

7 EXPECTED DURATION IF FELLOWSHIP IS GRANTED:... WEEKS PLEASE INDICATE THE MOST CONVENIENT DATE(S):... PLEASE NOTE: The months of July and August are generally not recommended due to the summer holiday with reduced staff etc. However, clinics with frequent polytrauma are in full activity during summer months. IF YOU ARE GRANTED AN AO/ASIF FELLOWSHIP, ARE YOU PLANNING TO COME ALONE? YES: NO: PLEASE BE AWARE THAT WE CAN NORMALLY ONLY PROVIDE SINGLE ACCOMMODATION. WHICH AO MEMBERS DO YOU PERSONALLY KNOW? PLEASE EXPLAIN YOUR ASSOCIATION WITH THEM: OTHER REFERENCES: ADDITIONAL REMARKS: ************************************************************************* I HAVE READ THE ENCLOSED INSTRUCTION FORM AND ACCEPT HEREBY ALL CONDITIONS: SIGNATURE:... PLACE/DATE:... ************************************************************************* PLEASE ENCLOSE THE FOLLOWING DOCUMENTS WITH YOUR APPLICATION: 1) CURRICULUM VITAE 2) COPY OF YOUR MEDICAL SCHOOL DIPLOMA 3) COPY OF YOUR BASIC COURSE CERTIFICATE 4) MINIMUM OF TWO NEW LETTERS OF RECOMMENDATION 5) LIST OF PUBLICATION AND/OR LECTURES 6) 2 PHOTOGRAPHS THIS COMPLETED FORM MUST BE RETURNED VIA TO or to: AO North America 1700 Russell Road Paoli, PA USA Phone: Fax:

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