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Advanced Spine Research Fellowship Application

The MERC Advanced Spine Research Fellowship program and support is awarded to qualified graduates of accredited medical education institutions and currently participating in an active orthopaedic or neurosurgical residency or fellowship program.

The overall objective of this Advanced Spine research training program is for the fellows to become proficient in the methodological aspects of conducting basic scientific and / or clinical research.

Fellows will be required to propose research protocols as part of this application based upon understanding the capabilities of the MERC facility. Fellowship positions will be offered for terms of 3, 6 or 12 months minimum of 6 months for international applicants), and all applicants must commit for the full term selected and approved. Please review the Globus Medical Advanced Spine Research Fellowship Program Overview and guidelines document prior to completing this application.

Fellowship positions will be offered for terms of 3, 6 or 12 months minimum of 6 months for international applicants), and all applicants must commit for the full term selected and approved. Please review the Globus Medical Advanced Spine Research Fellowship Program Overview and guidelines document prior to completing this application.

Read Our Program Overview and Application Guidelines

Step 1 of 6

Applicant Information
Name*
First Last
Mailing Address
Street Address City State / Province / Region ZIP / Postal Code Country
Email Address*
Phone
Institution
Year of Residency (PGY):
Fellowship Term Desired
- 3 months
- 6 months
- 12 months
Current CV attached:
Accepted file types: jpg, pdf, doc, docx, csv, xls, xlsx, Max. file size: 50 MB.
Allowed file types: jpg, pdf, doc, docx, csv, xls, xlsx
Medical School Attended and Graduation Year:
List any awards or special recognition:
Please list any special needs you may have:

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Residency/Fellowship Program Information
Program Name:
Mailing Address:
Street Address City State / Province / Region ZIP / Postal Code Country
Phone
Fax
Department Chairman*
First Last
Email Address*
Fellowship/Residency Director
First Last
Email
Number of residents/fellows in your program:
Institutions at which you have clinical privileges:
List research equipment experience (e.g. MTS, SEM, DEXA, Histology, Radiography, etc.):
Number of peer review journal publications:
Number of presentations given (briefly describe type and meeting):

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Applicants should mail completed application packages to:

        Attn: Brandon Bucklen, PhD
        Musculoskeletal Education and Research Center
        Globus Medical, Inc.
        2560 General Armistead Avenue
        Audubon, PA 19403

Please include with your application:
- A copy of your current CV.
- Provide at least two letters of recommendation from current faculty in your program.
- A complete copy of any proposed research project or area of interest.
- For international applicants, a supporting letter of documentation is required indicating either a monthly stipend in the amount of $1,600 will be provided to the applicant by the applicant’s home institution / university for general living expenses or the applicant can document liquid assets equal to $1,600 for each month of the fellowship.
- For domestic applicants, a supporting letter of documentation indicating that the fellow’s living expenses will be covered by their home institution is required.
- Applicants may be asked to have a phone interview with Globus Medical Review Committee and / or the Director of Musculoskeletal Research as part of the decision making process.
- Applicants will be notified via mail as to the Globus Medical’s decision regarding their application.
- Submission of this form does not guarantee acceptance to the program.
Questions: Please contact Globus Medical – MERC Research Division:
Brandon Bucklen, PhD Group Manager, Biomechanics
Email

Phone: 610-930-1800 x 2517
FAX: 610-930-2042
Applicant Signature*
Date*
MM slash DD slash YYYY

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