SURGICAL CRITICAL CARE FELLOWSHIP APPLICATION

Current position:
Mailing Address:
Please return this contact page and documentations required to:
Lena M. Napolitano, MD, FACS, FCCP, FCCM
Program Director, Surgical Critical Care Fellowship
Professor of Surgery
Division Chief, Acute Care Surgery
Trauma, Burn, Critical Care, Emergency Surgery
Associate Chair for Critical Care, Department of Surgery
University of Michigan Health System
1500 E. Medical Center Drive, SPC 5033
Ann
Arbor, MI 48108-5033
Phone:
(734) 936 3662 Fax: (734) 936 9657
Email: lenan@umich.edu (Program Coordinator: Tarja Virtanen Email: tarjav@umich.edu)
I am applying for the following Fellowship Year (select one)
2008-2009
2009-2010
2010-2011
DOCUMENTATION REQUIREMENTS FOR APPLICATION:
- A recent photograph
- A copy of your current curriculum vitae
- A copy of your USMLE scores
- Copies of your undergraduate and medical school transcripts
- A copy of your medical school diploma
- Three letters of recommendation (on of which must be from your chairman)
Submit by Email
Print Form