AAP SECTION ON DERMATOLOGY

Search:

Walter W. Tunnessen, Jr., MD 2010 Visiting Professorship Application
Name of Individual Completing Application:
E-mail of Individual Completing Application:
Institution Name:
Institution Address:
Institution City:
Institution State:
Institution Zip:
Total Number of Pediatric Residents
Total Number of Medicine/Pediatric Residents (not included in above amount)
Department Chair Name:
Department Chair E-Mail Address:
Department Chair Address:
Department Chair City:
Department Chair State:
Department Chair Zip:
Department Chair Phone:
Program Director Name:
Program Director E-mail Address:
Program Director Address:
Program Director City:
Program Director State:
Program Director Zip:
Program Director Phone:
Statement of educational needs to be met by the visiting professor

Describe any existing pediatric dermatology resources within your institution (ie, do you have a pediatric dermatologist or expert in pediatric dermatology affiliated with your organization?)

Names and institutional affiliations of 3 candidates for the visiting professorship. List in order of preference. (If you need assistance in identifying nominees, a list of possible candidates is available upon request from Ms. Drelicharz at: bdrelicharz@aap.org)

Anticpated format of the visit. Please provide a complete and detailed program schedule.

© COPYRIGHT AMERICAN ACADEMY OF PEDIATRICS, ALL RIGHTS RESERVED.	Site Map \| Contact Us \| Privacy Statement \| About Us \| Home
American Academy of Pediatrics, 141 Northwest Point Blvd., Elk Grove Village, IL, 60007, 847-434-4000