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American Academy of Pediatric Dentistry Foundation

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American Academy of Pediatric Dentistry Foundation Powered By Docstoc
					                       Call for Applications
                       2010 SAMUEL D. HARRIS HEALTH POLICY FELLOWSHIP


PREAMBLE
Healthy Smiles, Healthy Children: The Foundation of the American Academy of
Pediatric Dentistry® (HSHC) is accepting applications for the Samuel D. Harris Health
Policy Fellowship. Pediatric dental residents and individuals in their first five years
post-residency (academic or private practice) are eligible to apply.

EXPECTATIONS AND OUTCOMES
The Harris Fellow will complete a project in health policy resulting in a publishable
paper in a peer-reviewed journal. The topic of the project and resultant paper will be
mutually agreed upon by the Fellow and HSHC. Relative to that goal, the Fellow will
spend time at the AAPD Headquarters in Chicago and will attend other relevant
meetings within that timeframe. Additionally, the Fellow will present the findings of
their research at the 2011 Annual Session in New York, NY by poster and/or oral
presentation.

HSHC, the Harris Fellow and their program director (if applicable) will work together
to agree upon the exact fellowship dates. The schedule will be flexibly designed for the
Harris Fellow and their program or practice. A stipend to cover the costs of travel to
Chicago for the duration of the fellowship, as well as travel to necessary meetings and
the Annual Session will be provided. In addition, a $500 cash award will be given to the
Fellow. HSHC will arrange and cover housing and will cover all fellowship-related
administrative costs and supply needs, including a desk at the AAPD headquarters
office.

SELECTION CRITERIA
Selection will be based on the applicant’s:
    Interest and specific personal goals for the program
    Relevant activities or roles within their professional sphere (both on-going and
       future)
    Three required letters of reference (if the applicant is a current pediatric dental
       resident, one letter must be from the applicant’s program director authorizing an
       absence from training.)
    Proposed research project topic(s).
    Phone interview with HSHC Staff and leadership (if applicable).

For more information, please contact Foundation Coordinator, Tracey Schilligo at
312-337-2169 or tschilligo@aapd.org. Applications are due by email to
tschilligo@aapd.org by April 30, 2010.
                          Healthy Smiles, Healthy Children
             Samuel D. Harris Policy & Management Fellowship Application

Personal Information

Candidate Name

Office or School Address

City                                                        State            Zip                   District

Office or Work Phone                                        Fax Number

Home Phone                                                 Email Address


Education & Training

Name of Pediatric Dentistry Program

Address                                                    City                        State                  Zip

Name of Program Director

Address                                                    City                        State                  Zip

 I am currently a member of the AAPD
Year of graduation, if graduated from pediatric dentistry program

Name of Dental School                                                                  Year of graduation


Interest in Program

Why do you want to participate in this fellowship program and what benefits do you hope to gain?
Proposed Research Project Topic(s)

Please list the topic(s) that you hope to research for your Harris Fellowship Project.




Pertinent activity and Experience in Healthy Smiles, Healthy Children, the AAPD and other Organizations

Please list any professional positions/ activities in which you have served or have agreed to serve in the future.

Organization                              Position or Office                                           Years(s)




Reminder:
Please include with this application, three letters of support which address your abilities and how you are likely to use this
experience to better the oral health of children through advocacy, political action or investment in organized dentistry. One letter
must be from your program director (if applicable). If you are still in a residency program, this letter must give permission for
the leave from training.

Activities/Requirements of Program

The fellow will participate in the following activities:

           Complete orientation to the headquarters functions of the HSHC and AAPD staff and leadership.
           Attend one of AAPD’s major governance/advocacy activities: Autumn Legislative Workshop for Pediatric Dentistry
            Leaders; Spring Congressional visits and Meeting of the Council on Government Affairs; Summer Leadership
            Orientation; or the Winter Strategic Planning Meeting of the Board of Trustees, as available by timing of the fellowship
            experience.
           Contribute material to the HSHC website.
           Join meetings of councils, committees or Task Forces as available.
           Attend conferences and inter-professional meetings between HSHC, AAPD and other organizations.

I understand the following requirements of the program and will comply with these requirements if selected:

           Relocate to Chicago and devote full time commitment to the project for the period of the fellowship, (two months in
            total) exact times to be arranged.
           Complete a project on a topic mutually agreed upon by HSHC and fellow.
           Participate in the planning and implementation of HSHC activities during the program.

Signature                                                                         Date

Applications are due by April 30, 2010
Please submit your application via email to tschilligo@aapd.org

				
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