Guideline for the KSIR ( Korean Society of Interventional
Radiology) International Fellowship
1. Objectives
The objectives of the fellowship are to promote clinical activity by Asian specialists in
interventional radiology and to train them in Korean academic institutions. And it is also
to contribute to the distribution and improvement of interventional radiology in Asia,
encouraging mutual understanding as well as scientific cooperation.
2. Administration of the Fellowship
The fellowship will be administered under the rules of KSIR Fellowship as decided at
KSIR.
KSIR will be responsible for the following matters regard to clinical training in Korea:
1) Selection of Participant.
2) Assistance in finding an appropriate institution for the candidate.
3) Giving a grant for the fellowship.
4) Issue of certificate in completion of clinical training after receiving a
related report from the recipient.
3. Institutions for Clinical Training
National, public or private institutions in Korea, including universities, colleges, hospitals,
laboratories(etc.) which are able to receive Participant.
4. Term and Period for Clinical Training
(1) The term for clinical training and/or research shall be 1 month to less than 3
months in principle.
(2) The period of clinical training and/or research shall not be altered in principle.
(3) The Participant must start the training in their applicable year.
(4) The due date for the application is May 31th every year and applicants are given
an official notification during June from KSIR.
5. Field of Clinical Training and/or Research
Clinical training and/or research shall be in the field of interventional radiology.
6. Requirements of Participant
(1) Age: Participant may be up to 40 years of age.
(2) Career: Participant must be specialists with sufficient training and experience in
radiology who have graduated from medical colleges.
(3) Language: Participant must use fluent English to enable them to
complete the clinical training
( If you have any certificate-credit- of TOEFL or TOEIC, please send it with
other documents)
7. Duties of Participant
(1) During the period of clinical training, Participant must obey Korean law, should
cooperate with teachers and related personnel, and should make every effort to
achieve the objectives of the fellowship.
(2) On completion of the period of clinical training, Participant should submit a
related report to the office of KSIR at their earliest convenience.
(3) Immediately on completion of clinical training, Participant are obliged to leave
Korea for their home country where they should contribute to the general
improvement of interventional radiology.
8. Grant for Recipient
KSIR sponsors for Asian radiologist who would like to spend as visiting fellow in Korea.
The grant will include air-fare and minimum cost of living ( 30,000 KRW per day).
Some hospitals have their own guest house with low price for visiting fellows, but you may
check a vacant room and make a reservation.
9. Documents
for
for
submission
submission
- Application form
- Reference from director ( including your English level)
Please send to KSIR Office via Email
E-mail: ksiroffice@intervention.or.kr
Wonchon-dong, san 5, Youngtong-gu, Suwon, 443-749, Korea
Tel: +82-10-9265-5132 FAX: +82-31-219-5862
http://www.intervention.or.kr
Application Form for the KSIR Fellowship
Full name:
Date of birth (d/m/y)
/
/
Place of birth
Membership of academic societies
Age
Nationality
Address for correspondence
Phone:
Fax:
Academic career(after high school)
Year: Position
:
:
:
:
Occupation career
Year: Position
:
:
:
:
:
Present position
E-mail:
Specialty
Field of Interest or what you want to learn ( Multiple Choice within 3 topics) .
□ Liver Cancer ( TACE for HCC, DC beads, Radioembolization)
□ Aortic intervention ( EVAR, TEVAR)
□ PAOD ( Peripheral Arterial Occlusive Disease) – Iliac, SFA,BTK
□ Portal Hypertension (TIPS, BRTO)
□ GI tract Intervneiton ( GI stent )
□ Gynecologic Intervention ( Uterine Fibroid Embolization)
□ Hemodialysis Access ( PTA or Stent)
□ Arteriovenous Malformation ( Embolization, Sclerotherapy)
□ Biliary Intervention (PTBD, Stent)
□ Venous Intervention (Deep Vein Thrombosis , IVC filter )
□ Varicose vein Intervention
□ Etc; please describe below
Requested institution for clinical training
No special request
Special request in:
Already applied to
Requested period of clinical training
Inception (d/m/y):
/ /
Not applied to
Completion (d/m/y):
Itinerary after completion of clinical training and
/
/
Special remarks
Photograph
(upper half of body)
List of recent five years’ publications(follow the style of Index Medicus)
Date (d/m/y):
/
/
Signature___________________________
Pledge
I hereby pledge the following, if I am appointed as a participant of the KSIR
Fellowship:
(1) During the period of clinical training, I will obey Korean law,
will cooperate with teachers and related personnel, and will make every effort to achieve
the objectives of the fellowship.
(2) On completion of the period of clinical training, I will submit a related
report to the office of KSIR at my earliest convenience.
(3) Immediately on completion of clinical training and, I will leave Korea and
return to my home country where I will contribute to the general improvement of
interventional radiology.
Date (d/m/y):
/
/
Signature_____________________________________
Full name in print_______________________________
Medical Report
Name of applicant:
Age :
______________________________________________
Sex:
Height:
Weight:
1. If the applicant has a history of illness or disorders for the last 5 years, please describe
the treatment and the present status of them.
2. List any abnormalities indicated in the chest X-ray.
3. What is the applicant’s blood pressure?
4. Is the applicant free from infectious disease (AIDS, tuberculosis, trachoma, skin disease,
etc.)?
5. Is the applicant able physically and mentally to carry on intensive training away from
his/her home?
6. Describe the applicant’s overall health condition and remarks of the examining
physician.
Name and Address of Clinic:
Date:
Name of physician:
Signature (Stamp)