Sharma International Scholar Program Application Form

Welcome to a World of Learning and Collaboration: The Sharma Family Foundation, in association with ASPN, proudly introduces the SHARMA International Scholar Program. This initiative is a testament to the commitment of the foundation and ASPN to advancing the field of interventional pain management globally. We aim to facilitate the cross-border exchange of knowledge and expertise in this specialized medical area.

Eligibility and Program Focus: This program is tailored for physicians with a solid background in interventional pain management, requiring at least five years of clinical experience post-graduation. It offers an enriching two-week observational experience with leading pain management professionals in the United States.

Program Offerings:

  • Comprehensive Financial Support: The program fully covers all travel and accommodation expenses for participating scholars.
  • Experiential Learning: Scholars will gain hands-on observational experience with top U.S. physicians, accessing advanced methodologies and practices in interventional pain management.
  • Knowledge Sharing: The program empowers physicians to bring back and implement new skills and insights in their home countries, thus elevating global healthcare standards.

Personal Information

Educational Background

Medical School:

Residency/Fellowship:

Professional Experience

Current Employment:

Employment History Since Graduation:

Use as many as needed

Learning Goals in the U.S.

Specific Learning Goals:

Reason for Choosing These Goals:

Motivation for Applying

Personal Motivation:

Community Impact: How will your experience benefit your local communities?

Long-term Goals:

References

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Data Privacy Consent

By checking the box below, I consent to the processing of my personal data exclusively for the purposes of this scholarship application. I acknowledge that the information provided will be handled with the utmost confidentiality.