Bakı Təhsil Məlumat Mərkəzi Açıq Cəmiyyət İnstitutu və Amerika Avstriya Fondu İNC. Salzburg medical seminar 2007 Elan edir salzburg medical seminar



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Bakı Təhsil Məlumat Mərkəzi

Açıq Cəmiyyət İnstitutu və

Amerika Avstriya Fondu İNC.

SALZBURG MEDICAL SEMINAR 2007 Elan edir
SALZBURG MEDICAL SEMINAR - bir həftəlik seminar müxtəlif sahədən olan təcrübəli həkimlər üçün təşkil olunmuşdur. Seminarlar Soros Fondu, Amerika Avstriya Fondu və Avstriya Höküməti tərəfindən maaliyyələşdirilir. Seminarlar Salzburqda keçirilir və Kornell Universiteti Tibb Mərkəzi, Filadelfiya Uşaq Xəstəxanası, Hersoq Universiteti Tibb Mərkəzi və Salzburq ümumi xəstəxanası tərəfindən aparılır.




Su. 28 Yanv. – 3 Fevral (Şənbə)

Pathology


Jennifer Hunt, M.D.

Dontscho Kerjaschki, M.D.





4 Mart (Bazar)– 10 Mart (Şənbə)
Pediatric Pulmonary / Asthma

Julian Allen, M.D.



11 Mart (Bazar) –17 Mart (Şənbə)

Neurosurgery

Roger Hartl, M.D.

Christian Matula, M.D.




29 Aprel (Bazar)– 5 May (Şənbə)

Psychiatry

Michael Sacks, M.D.

Wolfgang Fleischhacker, M.D.




13 May (Bazar) – 20 May (Şənbə)

Pediatric Neurology

Gihan Tennekoon,M.D.





20 May – 26 May (Şənbə)

Maternal and Infant Health

Richard Polin, M.D.

Friedrich Reiterer M.D.




27 May (Bazar) – 2 İyun (Şənbə)

Cardiothoracic Surgery

Thomas Mihaljevic, M.D.

TBC



Son tarix: 1 Noyabr, 2006

Daha ətraflı məlumat üçün:


Bakı Təhsil Məlumat Mərkəzi

Süleyman Rəhimov küç., 183

Tel/Faks: 448 28 45/46

www.beic.az

Open Society Institute/SOROS Foundation

Open Medical Institute

Salzburg Medical Seminars International

2007

Application Form



How to submit your application electronically:
Complete the attached form in ENGLISH electronically and e-mail it back to the Local Soros Foundation/Spin Off organization in your country - for detailed information about your country please visit http://www.aaf-online.org/osi.htm
Please save the application form in the following form: indicate your surname, name, seminar topic, year, e.g.: gassner_josef_neurology_07_appl.doc
Please attach to the application form:


  • CV (curriculum vitae) saved as:
    “lastname_firstname_seminartitle_07_cv.doc”

  • Digital Photograph: lastname_firstname_seminar_year _pic.jpg

  • Medical Diploma (scanned): lastname_firstname_seminar_year _dip.jpg

  • Medical License (scanned / if applicable): lastname_firstname_seminar_year _lic.jpg

  • Specialization Diploma/s: lastname_firstname_seminar_year _spec.jpg

  • List of English publications (if available): lastname_firstname_seminar_year _publ.doc

Country of origin please check one (x)


( ) Albania

( ) Armenia

( ) Azerbaijan

( ) Bosnia

( ) Bulgaria

( ) Croatia

( ) Czech Republic

( ) Estonia

( ) Georgia

( ) Hungary

( ) Kazakhstan

( ) Kyrgyzstan



( ) Latvia

( ) Lithuania

( ) Macedonia

( ) Moldova

( ) Mongolia

( ) Poland

( ) Romania

( ) Russia (Moscow)

( ) Russia (Novosibirsk)

( ) Russia (N. Novgorod)

( ) Russia (Rostov on Don)

( ) Russia (Samara)



( ) Russia (St.Petersburg)

( ) Russia (Vladivostok)

( ) Kosova

( ) Montenegro

( ) Serbia

( ) Slovakia

( ) Slovenia

( ) Tajikistan

( ) Ukraine

( ) Uzbekistan



( ) other: _________________






Seminar you are applying for

check only one (x)

Date

Deadline

( )

Pathology

Sun. Jan. 28 – Sat. Feb. 3

Nov. 1, 2006

( )

Internal Medicine

Sun. Feb. 18 – Sat. Feb. 24

Nov. 1, 2006

( )

Pediatric Pulmonary / Asthma

Sun. March 4 – Sat. March 10

Nov. 1, 2006

( )

Neurosurgery

Sun. March 11 – Sat. March 17

Nov. 1, 2006

( )

Bone and Joint Surgery

Sun. March 18 – Sat. March 24

Nov. 1, 2006

( )

Ob/Gyn/Reproductive Medicine

Sun. March 25 – Sat. March 31

Nov. 1, 2006

( )

Public Health Education *

Sun. April 8 – Sat. April 14

Nov. 1, 2006

( )

Pediatric Emergency Medicine

Sun. April 15 – Sat. April 21

Nov. 1, 2006

( )

Ophthalmology

Sun. April 22 – Sat. April 28

Nov. 1, 2006

( )

Psychiatry

Sun. April 29 – Sat. May 5

Nov. 1, 2006

( )

Cardiology

Sun. May 6 – Sat. May 12

Nov. 1, 2006

( )

Pediatric Neurology

Sun. May 13 – Sat. May 20

Nov. 1, 2006

( )

Maternal and Infant Health

Sun. May 20 – Sat. May 26

Nov. 1, 2006

( )

Cardiothoracic Surgery

Sun. May 27 – Sat. June 2

Nov. 1, 2006

( )

Infectious Diseases

Sun. June 3– Sat June 9

March 1, 2007

( )

Adolescent Medicine

Sun. June 10 – Sat. June 16

March 1, 2007

( )

Urology

Sun. June 17– Sat. June 23

March 1, 2007

( )

ENT

Sun. June 24– Sat. June 30

March 1, 2007

( )

Family Medicine

Sun. July 1– Sat. July 7

March 1, 2007

( )

Neurology

Sun. July 8 – Sat. July 14

March 1, 2007

( )

ESU Master Class in Urology **

Sun. July 15– Sat. July 21

March 1, 2007

( )

Anesthesiology

Sun Sept. 2 - Sat. Sept. 8

March 1, 2007

( )

Pediatric Gastroenterology

Sun. Sept. 16 – Sat. Sept. 22

March 1, 2007

( )

Oncology

Sun. Sept. 23 – Sat. Sept. 29

March 1, 2007

( )

Imaging

Sun. Sept. 30 – Sat. Oct. 6

March 1, 2007

( )

Drug Replacement Therapy *

Sun. Oct. 7 – Sat. Oct. 13

March 1, 2007

( )

Pediatric Anesthesiolgy / Critical Care

Sun. Oct 21 – Sat. Oct. 27

March 1, 2007

( )

Pediatric Palliative Care in Cancer and Aids *

Sun. Oct. 28– Sat. Nov. 3

March 1, 2007

( )

Rehabilitation Medicine

Sun. Nov. 18 – Sat. Nov. 24

March 1, 2007


* by invitation of OSI only ** Selection by ESU
Have you ever applied for participation in a Salzburg Medical Seminar International of the Open Medical Institute?





Yes




No


If yes, were you selected and did you attend?





Yes




No


If yes, please provide the date and name of the seminar:






Personal information:





Title:







Name:










Last name (surname as it appears in your passport)

First name (given name)

Sex:







Male




Female










Date of Birth:
















Day

Month

Year





Place of Birth:

Country of Citizenship:

Medical license number:

Date issued:

Passport number:

Date issued:

ID number:

Date issued:



Work address:

Name of Institution:

Department:

Street:

Number:

City:

Postal code:

Country:

Work-Phone:

Work-Fax:

Work-Email:



Home address:

Street:

Number:

City:

Postal code:

Country:

Home Telephone:

Home Fax:

Email:

EDUCATION



Medical School/Institute:

Name:

City & Country:

Dates attended:

Degree:

Specialty:


Other University/College:

Name:

City & Country:

Dates attended:

Degree:

Name:

City & Country:

Dates attended:

Degree:


Practical Training (internships, residencies, specializations, other practical training or fellowships):

Name of Institute/Hospital:

Dates:

Specialty:

Location:








Have you had any training or attended any medical conferences abroad?




Yes




No

If yes, please describe:






PROFESSIONAL EXPERIENCE



Describe your current position and responsibilities:






Other (previous) work experience:





List fields of special scientific or clinical interest:






List any teaching appointments you have or have held:





List below (or on a separate sheet) titles of any papers you have presented at conferences:






List below (or on a separate sheet) titles of your publications: Please highlight English

publications






List any positions you hold with professional organizations or societies:






List any awards or honors:



ESSAY SECTION


Describe below your reasons for applying for this fellowship and what you hope to accomplish.







Describe how you will share the information you gain at the seminar with your colleagues upon returning to your country.






I CERTIFY THAT THE INFORMATION GIVEN IN THIS APPLICATION IS COMPLETE AND ACCURATE TO THE BEST OF MY KNOWLEDGE.
I CONFIRM, THAT IF SELECTED I WILL SHARE, FOR FREE, ALL THE INFORMATION I ACQUIRE WITH MY COLLEAGUES WHEN I RETURN TO MY HOME COUNTRY.








Name

Date



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