THE AMERICAN COLLEGE OF GASTROENTEROLOGY 2014 INTERNATIONAL GI TRAINING GRANTS PROGRAM

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THE AMERICAN COLLEGE OF GASTROENTEROLOGY 2014 INTERNATIONAL GI TRAINING GRANTS PROGRAM DESCRIPTION International GI Training Grants provide partial financial support to physicians outside of the United States and Canada to receive clinical or clinical research training or education in Gastroenterology and Hepatology in selected medical training centers in North America. Grants are to be used for travel to and from the training center and to the ACG Annual Meeting as well as for incidental expenses related to the training. ELIGIBILITY Physicians who are not citizens of nor are residing in the United States or Canada and who are working in gastroenterology or related areas are eligible to apply together with his/her training institution. The training must take place between July 1, 2014 and June 30, 2015. AWARDS One fellowship with a maximum of $10,000 per IGT fellowship will be awarded during 2014, for a training period of not less than 6 months. Applicants should submit a completed application form, curriculum vitae, copies of all published articles and abstracts within the last five years, a personal statement that summarizes the reasons and objectives of additional training, and completed application form by host training center. Three letters of recommendation are required one from the training preceptor/director and another from a person of your choosing to be forwarded with the application. A third letter of support is required from an ACG Fellow which should be mailed under separate cover to the ACG administrative office. Completed applications and all correspondence should be mailed to the ACG address listed below. REVIEW PROCESS Awards will be made by a special committee of the ACG and will be based upon the applicant s credentials, the merit of the proposed training by the selected host training center and the potential of enhancing the field of gastroenterology in the applicant s home country. Application forms can be obtained online at www.gi.org/research-and-awards. All applications must be submitted by mail or express delivery to: ACG International Training Grant, Attn: Maria Susano, 6400 Goldsboro Road, Suite 200, Bethesda, Maryland, 20817-5842. Questions regarding this program should be addressed to Marcelo F. Vela, M.D., MSCR, FACG, Chair, International Relations Committee, American College of Gastroenterology, 6400 Goldsboro Road, Suite 200, Bethesda, Maryland, 20817-5842. DEADLINE Deadline for submission of application is March 28, 2014. The awardees will be notified after July 1, 2014 with funding to begin after July 2014.

AMERICAN COLLEGE OF GASTROENTEROLOGY INTERNATIONAL GI TRAINING GRANT PURPOSE: Provide funding for clinical or clinical research training so that an individual can acquire or develop new cognitive knowledge or a technical skill. This newly acquired knowledge or skill would then be used to improve patient care in the applicant s geographic area. SELECTION PROCESS: The International Relations Committee of the American College of Gastroenterology (ACG) will be responsible for reviewing the applications and selection of the awardees. The selections will be made annually. The completed application must be received at the ACG Office no later than March 28, 2014. Awards will be based solely on the merits of the application. Travel grants may or may not be awarded in any given year. GUIDELINES APPLICANTS 1. Complete an application form. 2. Include a written personal statement on reasons for seeking training. 3. Copy of curriculum vitae. 4. Three letters of recommendation: one from your training preceptor/director; one from an ACG fellow; and one from another person of your choosing. 5. Copies of published articles and abstracts (last 5 years). 6. Must be responsible for selecting host training center who will agree to participate in program and to forward completed host training center application. This host training center must be able to accomplish training goal. 7. Written summary (critique, educational experience) by applicant to be submitted to the International Relations Committee monitor at the completion of the GI training program. 8. The International GI Training Grant of the College must be mentioned in any publication(s) generated between awardee and host training center through this program. PROGRAM DIRECTOR 1. Written acceptance of host training center for applicants must be included in the application. 2. Written outline of training program for applicant (goals, schedule, etc.) to be included in application. 3. Written summary (critique) of program submitted to International Relations Committee monitor at completion of study program. 4. Acknowledgment of ACG s International GI Training Grant in all publications generated from study period. 5. Host training center is voluntary. ACG would not be responsible for any additional financial obligation to preceptor for GI training program. Selected international GI fellows will receive up to $10,000 during the training period. INTERNATIONAL RELATIONS COMMITTEE STUDY MONITOR 1. To be selected from members of the International Relations Committee of ACG to monitor awarded studies and serve as conduit to ACG from host training center and awardee. 2. Monitor will oversee only one GI training program at a time. 3. Monitor will review completed summaries (critiques) by host training center and awardee and report to the International Relations Committee annually (at Annual Meeting).

AMERICAN COLLEGE OF GASTROENTEROLOGY 6400 Goldsboro Road, Suite 200, Bethesda, Maryland 20817-5842 Phone: 301-263-9000 INTERNATIONAL TRAINING GRANT APPLICATION FORM To be filled out by applicant (please type or print): Name in Full: Office Address: Residence Address: Phone: Fax: E-mail: Date & Place of Birth: Education College or University Attended and Dates: Medical School Attended and Dates: Postgraduate Training: Type Institution Dates Internship: Residency: Fellowship: Other: Present Professional Position: Publications from last five years (please attach separately) Funding Amount Being Sought: Other Financial Support Committed: Are There Sources for Travel Funds Available from your Government or elsewhere in your Country? If yes, please explain:

Reasons for Seeking Training (please type or print): (A personal statement of what is to be learned and how it will improve delivery of GI care in your country or practice): Checklist Please make sure that your application materials include the following items before mailing to the ACG: Completed application form Copy of curriculum vitae Copies of published articles and abstracts (last 5 years) Personal statement on reasons for seeking training Letters of recommendation (3): one of which is from the program director or mentor; one from an ACG Fellow; and one from a person of your choosing Host training center application and written acceptance I certify that the information I have provided on this application is true and accurate to the best of my knowledge. Signature of Applicant: Date:

Hospital/Center: Address: City/State/Zip: AMERICAN COLLEGE OF GASTROENTEROLOGY INTERNATIONAL TRAINING GRANT APPLICATION FORM To be filled out by host training center and forwarded with application by applicant (please type or print): Telephone: Fax: Program Director: Individual Responsible for Applicant and Phone Number: Specific Training Objectives (written outline including goals, schedule, etc.): Duration of Program (include dates): Previous Experience of Program with International Trainees (last five years only): Housing Arrangements: Signature of Program Director: Date: