SIR International Visiting Professor Program Application for Host Hospital 

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Society of Interventional Radiology

Instructions for application.

National, regional or local radiology societies, universities, or hospitals in or that primarily serve developing countries are invited to apply to host an international visiting professor (IVP) team.  The host institution will select and organize visits to hospitals that have active interventional radiology training programs with the need and potential for educational enrichment from a international visiting professor team. If desired, the IVP team will also lecture at the host's national or regional radiology society meeting.

The host institution is expected to:
  • Provide complimentary hotel accommodations and most meals to the international visiting professor for the duration of their visit.
  • Appoint a contact who is fluent in English and able to communicate program, schedule, and hospitality arrangements with the IVP and the SIR staff contact.
  • Complete an evaluation of the visiting professor and the program within four weeks of the IVP visit.

The host hospital is is expected to:

  • Appoint a contact who is fluent in English and able to communicate and act as a liaison to the visiting professor and SIR staff through the duration of the program.
  • Complete an evaluation of the visiting professor and the program within four weeks of the IVP visit.

Application requirements:


Applications must be completed and submitted jointly by the national, regional, or local radiology society, university or host hospital. Along with your application please include a proposed one to two week schedule for an IVP visit.


Submitting your application and supporting documentation:


Application and all supporting materials should be submitted electronically to Shams Iqbal drshams241@gmail.com (If the materials cannot be submitted electronically, please mail a hard copy to Society of Interventional Radiology, 3975 Fair Ridge Drive, Ste 400 North, Fairfax, Virginia, 22033, USA.


Learn more about this program, including eligibility and requirements at this link www.sirweb.org/giveback.  For questions, contact the SIR Giveback team at 703-460-5574 or email Shams Iqbal drshams241@gmail.com

 PLEASE TYPE OR PRINT. IF COMPLETING THIS ELECTRONICALLY, USE ADOBE READER , AVAILABLE FREE ONLINE.
1.  Host Hospital Information:










2. Briefly describe the interventional radiology program:












                                          
                                          

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3. Describe the Interventional Radiology Department














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4. Availability of learning and administrative resources








5. Qualifications and Expectations of the Visiting Professor Team:

6. Other Information:


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