DAVID AND ETHEL PLATT FAMILY
PHYSICIANS SUMMER FELLOWSHIP

 Deadline for 2009 applications- Feb. 15, 2009
This fellowship has been established in the name of two exemplary family physicians in our state to help create a way to excite 1st and 2nd year medical students about family medicine.

Four fellowships will be awarded from the fund established. It will award $1,200.00 for a four-week preceptor program where each chosen student will spend a week with various family doctors in Delaware.

This exposure, it is hoped, will help guide these students into the field of medicine that the Drs. Platt helped to further in Delaware.

Most four week cycles will be during summer vacations, but other arrangements will be made as requested.

Awards will be made based on the enclosed application. Participants will spend each week of the four-week program with a different family physician in the state of Delaware.

A stipend of $1,200.00 will be given to participants.

All interested students are encouraged to apply by completing the attached application. Applications will be accepted through Feb. 15, 2009.

Completed applications with two letters of recommendation from professors should be sent to:

M. Diana Metzger, MD
Delaware Academy of Family Physicians Research and Education Foundation
P.O. Box 8158, Wilmington, Delaware 19803
phone: (302) 479-5515   |  fax: (302) 479-5518
e-mail: delfamdoc@comcast.net

APPLICATION

(Deadline: February 15, 2009)

PLATT FAMILY PHYSICIANS SUMMER FELLOWSHIP

Name __________________________________ Date of Application _____________

School Address ________________________________________________________________

Phone _______________________________________

Home Address _________________________________________________________________

Home Phone __________________________________

Medical School ________________________________
 

Year of Anticipated Graduation ___________________

Undergraduate School ___________________________

Year of Undergraduate Graduation _________________

Undergraduate Degree in _________________________

Dates of Fellowship Desired ______________________

Why do you wish to be awarded this fellowship?

 

 

 

  Do you have an interest in Family Practice?

 

 

 

NOTE: Print out and return this application to the address above with two letters of recommendation from your professors. (Add additional pages as necessary.)

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