2019-20 Cura Personalis Fellowship Application
Thank you for your interest in the Cura Personalis Fellowship in Professional Identity Formation and Coaching. This innovative Georgetown School of Medicine teaching-learning program is an exciting opportunity for clinicians to further develop their mentorship and facilitation skills, while engaging the longitudinal professional identity development of a cohort of 10 medical students as they progress throughout their undergraduate medical education.

This fellowship program is sponsored by the Office of the Dean and the Office of Medical Education at the Georgetown School of Medicine.

Please contact Dustyn Wright with any questions at djw76@georgetown.edu.
Full Name *
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Preferred Email *
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Specialty *
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Main Location (i.e. Georgetown Hospital, Virginia Hospital Center, etc.) *
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Current Georgetown School of Medicine Affiliation (check all that apply) *
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Chair Name *
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Chair Email *
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Briefly describe your interest in participating as a Cura Personalis Fellow (200 words or less) *
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Are you able to attend an introductory meeting with your cohort of mentees during medical student Orientation the week of 7/31-8/2? *
Can you commit to attending 5-8 professional development seminars (approximately 1 hour each) in the next year, schedule permitting? *
Can you commit to meeting with your group of mentees as a small group once or twice a semester, and individually at least once/year (in-group sessions are pre-scheduled for you and typically take place from 12-1pm)? *
Do you anticipate being able to commit to years 2-4 (advanced fellowship) to continue to engage your mentees' development throughout the final three years of their undergraduate medical education? *
Briefly describe factors that influenced your own journey becoming a physician or your own professional identity formation as a physician. (200 words or less) *
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What topics would be of most interest to you for professional development activities and training during Cura Personalis Fellowship?(check all that apply)
Please email a copy of your CV to djw76@georgetown.edu and affirm below once you have done so *
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