McGaw Global Health Clinical Scholars Program Application 2023

Personal Information & Application Materials

Thank you for your interest in the McGaw Global Health Clinical Scholars Program. Please make sure to complete the full application and submit all supplemental attachments. Questions about this application can be routed to Sara Caudillo (sara.caudillo@northwestern.edu).

McGaw GHCS program candidates should also note that, if accepted, attendance will be required for the program orientation (Wednesday, September 6th, 6:30 pm - 8:30 pm).

1. First Name *This question is required.

2. Middle Name

3. Last Name *This question is required.

4. Email Address *This question is required. This question requires a valid email address.

5. Phone Number *This question is required.

6. Please include a headshot or recent photograph. *This question is required.

File: {{filename}} delete

8. What year of training will you be in during the 2023-24 academic year? (PGY-1, PGY-2, etc.) *This question is required.

9. In what year do you expect to graduate from your residency or fellowship program? *This question is required.

10. Please confirm that you have contacted your program's Global Health mentor to discuss your application and interest in the GHCS program. (Please do not submit your application until discussing with your assigned Global Health mentor.) *This question is required.

Please make sure to also contact your program's Global Health mentor(s) to discuss your interest in the McGaw Global Health Clinical Scholars Program.

Anesthesia
Sarah MacLyman; Feyce Peralta
sarah.maclyman@nm.org; feyce.peralta@northwestern.edu

Emergency Medicine
Jennifer Chan
jennifer-chan@northwestern.edu

Family Medicine - Lake Forest
Deb Clements (Lake Forest)
dclements@northwestern.edu

Family Medicine - Humboldt Park
Wes Gibbert
wgibbert@eriefamilyhealth.org

Internal Medicine
Ashti Doobay-Persaud/Shannon Galvin
a-doobay-persaud@northwestern.edu; s-galvin@northwestern.edu

OB/GYN
Magdy Milad
mmilad@nm.org

PM&R
Prakash Jayabalan; Leslie Rydberg;
pjayabalan@sralab.org; lrydberg@sralab.org

Neurology
Igor Koralnik
igor.koralnik@northwestern.edu

Pediatrics
Liz Groothuis/Kristin Van Genderen/Colleen Fant
egroothuis@luriechildrens.org; kvangenderen@luriechildrens.org; cfant@luriechildrens.org

Surgery (including surgical subspecialties)
Monica Langer
mlanger@luriechildrens.org

If you do not see your program listed, your program may not be an official partner with the McGaw Global Health Clinical Scholars Program. Please contact Sara Caudillo (sara.caudillo@northwestern.edu) as additional administrative steps may be required.

11. Residency/Fellowship Program Director Name *This question is required.

Please provide the following link to your Program Director, so that they can directly fill out a recommendation form to accompany your application.

https://survey.alchemer.com/s3/7374341/GHCS-Program-Director-Recommendation-Form-2023

12. Have you provided your Program Director with the link to the recommendation form?

Please note that we will not be able to consider your application complete without submission of the form. It is the responsibility of the applicant to ensure the Program Director form is completed by the application deadline (July 31). *This question is required.

13. Please provide the review committee with a Statement of Interest describing why you are applying to the McGaw Global Health Clinical Scholars Certificate Program. *This question is required.

File: {{filename}} delete