Call for Volunteer Hosts for SRS Award Winners

Hosts

Name of Host(s)*:

Site Contact

Name*:     

Email*:     

Site Location

Institution*:   

Address*:      

City*:             

State:

ZIP Code:

Country*:

Phone:          

Fax:               

Host Site Description

Things to potentially include

• Demographic of clinical spine deformity practice (pediatrics, adult, both)
• Research support available- research coordinators, statistician support
• Clinical team and support available - residents, fellows, etc.
• The typical week's activities - time spent in clinic, operating room, doing research, etc.
• Do you allow hands-on experience?

Fellowships

Please select for which fellowships you would like to host:

Edgar G. Dawson Fellowship (2-3 days):

Available to Candidate or Active SRS members under the age of 45 and reside in North America. Host site must be in North America.

Eduardo R. Luque Memorial as a Fellowship (2 weeks): 

Winners will be from either Mexico, Central or South America, or the Iberian Peninsula and 45 years old or younger.

Global Outreach Visiting Fellowship (3-4 weeks):

The 45 year old or younger winner will be from a developing nation and looking to observe clinical care and spinal deformity surgeries from an Active SRS Fellow. Recipients will also have had a minimum of two years of independent spine surgery experience.

Robert B. Winter Fellowship (4-6 weeks):

The host site should be staffed with Active SRS members. Fellowship winners are highly motivated spine surgeons currently in clinical practice in any financially-challenged underserved area worldwide. They should be in a position to disseminate knowledge acquired during the fellowship to others in their home country upon their return. Recipients must be from sites that have the ability to perform complex spine surgery.

Please indicate if you (the host) are interested in visiting the Winter fellow in their country of origin to follow up on knowledge and skills learned during the fellowship:

Yes

No

Emerging Technologies Fellowship (2-3 weeks):

Winners will visit SRS members currently practicing vertebral body tethering. Visiting surgeon must visit 1-2 SRS members who regularly performs vertebral body tethering using any vertebral body tethering technology approved in the host surgeon’s locale. A minimum of 2 vertebral body tethering cases must be performed per week in which the surgeon is visiting (on average). Applicants currently in their fellowship year preferred.

Do you regularly perform vertebral body tethering technology?

Yes

No

Are you able to perform a minimum of 2 vertebral body tethering cases during the 2-3 week fellowship period?

Yes

No

Lori A. Karol, MD Women in Spine Award (2 -3 weeks):

Winners will be female identifying and complete a 2-3 week visiting fellowship with an SRS member. Recipients of this award will also be invited to participate in the SRS Leadership Dinner (Tuesday) and SRS President’s Reception (Friday) at the SRS Annual Meeting to help honor the mentorship Dr. Karol provided, and her dedication to being a leader within the SRS.

Thank you for your Volunteer Host form submission.

Please feel free to contact us at info@srs.org with any questions, concerns.