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Contact
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AIPPD Robotic Course for Interventional Pulmonology Fellows
"
*
" indicates required fields
Application
Name
*
First
Middle
Last
Email address
*
Fellowship Program
*
Select Program...
Chicago Chest Center
Cleveland Clinic Foundation Respiratory Institute
Cooper University Hospital
Duke University
Emory University
Harvard Combined BIDMC/MGH Interventional Pulmonology Fellowship
Henry Ford Hospital
Icahn School of Medicine at Mount Sinai – Interventional Pulmonology
Jamie Bessich
Johns Hopkins Hospital
Lahey Clinic
LSU Shreveport
Macquarie University Health Sciences Center
Mayo Clinic
Medical College of Georgia
Medical University of South Carolina
Memorial Sloan-Kettering Cancer Center
New York University Langone Medical Center
Northwestern Medicine
Penn State Hershey S Milton Medical Center
Rush University Medical Center
Stanford University
Stanford University School of Medicine
The Ohio State University
The University of Texas and MD Anderson Cancer Center
UCLA
UCSD Interventional Pulmonology Fellowship Program
University of Alabama at Birmingham
University of Arkansas for the Medical Sciences
University of California, San Francisco
University of Chicago
University of Cincinnati
University of Florida
University of Kentucky
University of Maryland
University of Minnesota
University of North Carolina at Chapel Hill
University of Pennsylvania
University of South Florida
University of Southern California
University of Utah
University of Wisconsin
Vanderbilt University
Virginia Commonwealth University
Washington University School of Medicine
Yale University School of Medicine
Year of starting IP Fellowship
*
Name of Program Director
*
Which Robotic Platform do you have in your program?
*
(mark all that apply)
Ion - Intuitive
Monarch – Auris
None
As part of the application, you must submit:
1. A
video
indicating your interest in the course, how do you intend to use the knowledge acquired in this course and explain the reasons you are a good candidate for this program. Video should not be longer than 2 minutes.
Upload video here
*
Accepted file types: mp4, mov, wmv, avi, mkv, flv, webm, mpg, Max. file size: 300 MB.
2. A
letter of support
and commitment from the Program Director stating that the program fully supports participation in the course and will make the necessary accommodations for successful completion of the pre-training, in-person training and post-training modules.
Upload letter here
*
Accepted file types: pdf, docx, otf, Max. file size: 300 MB.