WSA Visiting Fellows Application

The purpose of this program is to provide WSA young surgeon members with the opportunity to visit and learn from WSA members, enhancing their surgical skills, leadership abilities, and establishing long-term mentoring relationships. Successful visiting fellows will be awarded with a monetary stipend to travel for up to one-week experience with their host. Fellows are responsible for setting up their own travel and housing at a mutually agreed upon date with their host.
Application Deadline: December 1, 2025

Criteria
Applicants must be a member in good standing of WSA. Additionally, the recipients will be required to present their experience at the WSA Annual Meeting in 2026.

Sponsoring Centers
Carlos Brown MD | Dell Medical School at the University of Texas at Austin (Austin, Texas)
Maria Doyle MD | Washington University (St. Louis, Missouri)
Laleh Melstrom MD | City of Hope (Duarte, California)
Mark Truty MD| Mayo Clinic Rochester (Rochester, Minnesota)
Ching-WeiTzeng MD | MD Anderson Cancer Center (Houston, Texas)
Mike Ujiki MD | Endeavor Health (Evanston, Illinois)

Application Checklist

Contact information
Personal statement regarding your educational background, current clinical and academic work, experience training medical students/residents/fellows, and how this award will impact in your career (250 words or less)
Describe surgical procedures you would like to observe
Select up to three sponsoring centers you would like to visit
Copy of CV (upload pdf)

1. Please complete the following information: *This question is required.

First Name

Last Name

Institution

City

State

Email Address

Mobile Phone Number

2. Personal Statement - Please describe your surgical interests and career goals, and explain how this award and the opportunity will support your professional growth. (250 words max)

*This question is required.

3. Describe the surgical procedures that you would like to observe (250 words max)
*This question is required.

4. Select up to three sponsoring centers you would be most interested in visiting in order of preference.
*This question is required. Order the items from the following list. First select an item with the spacebar to show a menu of possible ranking positions. Next, click a ranking position to order it in the ranked list. Note the menu will display more ordering options as you add items to the ranked list.

Carlos Brown MD | Dell Medical School at the University of Texas at Austin (Austin, Texas - United States)
Maria Doyle MD | Washington University (St. Louis, Missouri - United States)
Laleh Melstrom MD | City of Hope (Duarte, California - United States)
Mark Truty MD | Mayo Clinic Rochester (Rochester, Minnesota - United States)
Ching-WeiTzeng MD | MD Anderson Cancer Center (Houston, Texas - United States)
Mike Ujiki MD | Endeavor Health (Evanston, Illinois - United States)

5. Please upload copy of CV (PDF)
*This question is required.

File: {{filename}} delete

6. Agreement
In the event that I am chosen as an award recipient, I agree to comply with the following timeline and conditions:

The successful candidates must submit a report to the WSA after completion of the trip. All publications or presentations resulting from this award must acknowledge the support provided by the Western Surgical Association. *This question is required.

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