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Johns Hopkins University Department of

Surgery (JHU DOS): Surgery

Apprenticeship Program (SAP)

Please submit completed applications and direct any questions to the Program Director, Dr.
Sandy Fang at
Application Deadline: December 15, 2016
Skype Interviews: January to February 2017
Acceptance letters: February 15, 2017
Completion of IRB/Clinical Shadowing training by student: February 15-June 12, 2017
Fellowship period: June 12, 2017 to August 4, 2017

Name_______________________________________________ Social Security Number________________________

Phone number____________________________________ E-mail____________________________________________

Please include the following documents in your application, in addition to this completed
application form:
Undergraduate transcript
Curriculum Vita
o For an example, please refer to the Johns Hopkins Bloomberg School of Public
2 Reference letters

Research proposal/idea (limit 1 page):

Please note that we are accepting research proposals to be coordinated only with surgery
faculty within the Gastrointestinal Surgery Division of the Department of Surgery at this
o The following surgery faculty will be participating in this program:
Colon and Rectal Surgery:
Sandy Hwang Fang, MD, Program Director
Susan Gearhart, MD
Bashar Safar, MD
Minimally Invasive Surgery:
o Please include the following in your research proposal:
Name of project
Name of surgery faculty

Personal Statement (limit 1 page, single-spaced, 12 Times New Roman font):
Please tell us a little about yourself, indicate why you would like to participate in this
program, and what experiences you feel would make you a strong candidate for this
If you have previously participated in this program, please explain why returning would
benefit you. Please indicate what other additional opportunities you would seek and
arrange if you were accepted to this program again.