Application Summary:
After consultation with appropriate colleagues and supervisors, the applicant will complete and submit the form below. AACOM will then request a written nomination from the applicant's department chair or appropriate supervisor with confirmation of the financial support and signature of the applicant's dean.

The applicant, medical dean and department chair will together develop a proposal/work plan for what is to be accomplished through the Scholarship to assist the local COM and contribute to the greater osteopathic medical education community.

The candidate will submit a description of their current teaching/administrative responsibilities and the various teaching strategies and experiences provided. In the same document the candidate will describe the particular focus of study they wish to pursue with a rationale for developing an expertise in that area. It is anticipated that once selected as a Scholar and progress is made in the Education Scholar Program that goals may be amended.

Both the dean and candidate must determine the appropriate length of time necessary to achieve their goals and AACOM's goals for the Scholarship. Most Scholars are expected to be in residence at AACOM's headquarters for three months. Some may require six months to achieve the depth of work necessary to meet their goals.

By offering your expertise, you will have a vital role in shaping the future of osteopathic medical education. We look forward to reviewing your completed application.

Applicant Details

Full Name:
Email:
Position:
School / Institution Line1:
School / Institution Line2:
Address Line1:
City, State, Zip:
Work Phone:
Fax:

 Applicant's Degrees:
 

Medical education responsibilities at the COM:
Please list and describe the courses/content or topics and/OR your leadership role in medical education:

Special or unique medical education experiences:

 

Special training in medical education pedagogy:
i.e. Harvard Macy Teaching Scholar, masters in education etc.

 

Proposed project for the medical educator's scholarship:
Please describe the particular focus of study with a rationale for developing an expertise in the proposed area. List your expected outcomes and method of evaluation of those outcomes. The applicant, department chair and dean should design this project collaboratively. Please describe the process used to determine the nature and scope of the project and your expected outcomes for your professional development and your College of Osteopathic Medicine. What generalizability to the greater osteopathic medical education community does this project provide?

 

Specific Educational Competencies to be Developed during, and as a result of, this program
Please also include how these competencies will result in benefecial outcomes for your institution.

 

Medical Education Mentors
Up to three who could provide guidance for the stated project and competencies. Please include their titles and affiliations

The requested months of appointment
as an AACOM Medical Education Scholar-in-Residence are
(please include year).

Contact info for the Department Chair / Appropriate supervisor

Full Name:
Email:
Position:
School / Institution Line1:
School / Institution Line2:

If selected as an AACOM Scholar I will commit to working at the AACOM Headquarters in Chevy Chase, Maryland for period of the Scholarship and to the completion of the Responsibilities as described elsewhere.
Read and agreed to by (applicant name/signature)

 

Submission Guidelines:

This Application may be submitted electronically, faxed, or mailed to:

Linda Heun <meded@aacom.org>
5550 Friendship Blvd., Suite 310
Chevy Chase MD 20815

Phone: 301-968-4143
Fax: 301-968-4101

Applications are reviewed quarterly with deadlines of March 31, June 30, September 30 and December 31.