UC Davis Center for Healthcare Policy and Research
T32 Quality, Safety, and Comparative Effectiveness Research Training (QSCERT) Program
Application
Applications must be submitted in a single file,with CV, via email to:
Teresa Duran, MS,
Two letters of recommendation and mentor letter (if available) can be attached or sent separately.
Transcripts will also be required.
Questions only to: Joy Melnikow, MD, MPH ()
Patrick Romano, MD, MPH()
Deadline for Submission: Monday, December 1, 2015
Funding Period: Three (3) Positions July 1, 2016 – June 30, 2018
See Call for Applications for full details at (link needs to be updated)
Applicant’s Name:
e-mail address:
Phone:
Please have official transcripts sent to:
Teresa Duran, MS
CHPR
2103 Stockton Blvd.
Sacramento, CA 95817
Applicant Information
- Please describe your research interests and the importance of this training program (and mentor, if identified) to your career goals. This is your opportunity to describe why you are a strong candidate for Quality, Safety, and Comparative Effectiveness Research training support.
- Please include a short description of any previous research experiences and training. If you have completed a research thesis or dissertation, please briefly summarize that work.
- If developed, please describe your Research Plan for the fellowship period. This should include a statement of the problem that interests you, hypotheses to be tested,preliminary work that you have performed, and experimental designs that you would like to implement. If you have not yet developed a specific Research Plan, please provide as much additional information as you can about your proposed research and/or research interests (limit 1 page)
Mentor Information
Proposed Mentor: If you have identified a Mentor, please fill out the information in the space provided below. If you have not yet identified a Mentor, please contact or to receive help in identifying potential Mentors:
Title:
Department
e-mail:
Phone:
To be completed by proposed Mentor:
Research Focus:
Prior Experience with Trainees:
Describe research training for applicant (please be specific):
Have Transcripts sent to:
Teresa Duran, MS
UC Davis Center for Healthcare Policy and Research
2103 Stockton Blvd.
Sacramento, CA 95817
Applications, including letters of recommendation, must be submitted in a single file via email to:
Teresa Duran, MS
NO PAPER SUBMISSIONS
DEMOGRAPHIC INFORMATION (For Grant Reporting only)
Age: ______
Gender: ____M ____F
Are you of Hispanic or Latino origin or descent?
___yes___no
What is your race? Mark all that apply.
___Asian___White___Black or African American
___Native American or Alaskan Native
___Native Hawaiian or other Pacific Islander
___Other (Please Specify) ______
Citizenship:
___United States
___Other (Please Specify) ______