Prize: £5,000

Through the generosity of the Trustees of The EGA Hospital Charity, the Council of the College is able to offer an annual prize of £5,000 to be awarded to one applicant each year in memory of Miss Anne Boutwood FRCOG.

The Fellowship will be awarded to a trainee in obstetrics and gynaecology resident in the UK to facilitate travel overseas to enable research or training for the purposes of personal development and to enhance the awardee’s contribution to the specialty of obstetrics and gynaecology.

On return to the UK, the successful candidate will receive a certificate and may be expected to present a short lecture of their experience at an RCOG event, a University College of London Hospital event, or both.

CONDITIONS

  • Travel must take place within 12 months of the award being made in October 2017
  • The award may only be used for the purpose outlined in your original application
  • A detailed report (maximum 1,000 words), including pictures if necessary, must be submitted to the RCOG Awards Administrator within eight weeks after the elective

TO APPLY:

Please send the following documents to the Awards Administrator by email (E:) by midnight on Wednesday, 31 May 2017. Applications received after the closing date will not be accepted.

  • Completed application form
  • An essay of not more than 2 sides of A4 providing details of the project. The first paragraph should be in bold and not more than 4 lines to capture the essence of the proposed plan.
  • Two references from two RCOG members in clinical practice (see Section 3)
  • A short CV (maximum of four A4 pages) including university details
  • Confirmation from the host institution that your visit has been approved and that you will be supervised in in the country by a Consultant in Obstetrics and Gynaecology

Your application will be judged on the following criteria:

  • Presentation and planning
  • Evidence of supervision
  • Relevance of project to career development in O&G
  • Level of involvement
  • Benefit to the NHS
  • Benefit to the local community

SECTION 1

PERSONAL DETAILS

Name of applicant:
Current appointment (Grade and Institution):
Work Address:
Correspondence Address (if different from above):
Telephone number:
Email address:
Date of birth:

SECTION 2

DETAILS OF TRAVEL

Details of Institution(s) to be visited:
Have you enclosed confirmation from the institution that your visit has been approved? (please tick) / YES NO
Estimated duration of visit:
Planned departure date:
Estimated travel costs including subsistence and accommodation:
Please list details of any other financial assistance being requested and/or obtained for the visit including other RCOG Awards and Prizes:

SECTION 3

REFERENCE

Please attach two professional character references from Fellows in active clinical practice separately, including how this award will benefit the applicant.

REFERENCE 1

Name:
Role:
Email address:
Telephone:
Relationship to applicant:

REFERENCE 2

Name:
Role:
Email address:
Telephone:
Relationship to applicant:

SECTION 4

How did you hear about this award? Please tick all that apply.

Word of mouth
RCOG website
RCOG email
RCOG magazine
University/Hospital communication
Other

I understand that the grant may only be used for the purpose outlined in the original application and I confirm a written report will be submitted to the RCOG within 8 weeks after travel/completion of the project and that the grant will be acknowledged in any related publications.

APPLICANT SIGNATURE
DATE

1