American Academy of Pediatrics Section on Administration and Practice Management 2014 National Conference & Exhibition Scholarship The American Academy of Pediatrics (AAP) is pleased to announce that through the generosity of the AAP Section on Administration and Practice Management (SOAPM), three $1,000 scholarships will be available for Medical Students, Residents, and Fellowship Trainees to attend the AAP National Conference and Exhibition (NCE) this October in San Diego, CA. There are a total of three (3) $1,000 scholarships available (1 for Medical Students; 1 for Residents; 1 for Fellowship Trainees). BACKGROUND Historically there has been little or no preparation in residency programs on the business aspects of pediatric practice. To enhance existing efforts to educate young physicians on key practice management issues, SOAPM will offer scholarships to residents, medical students and fellowship trainees who have an interest in practice management to attend the 2014 AAP National Conference & Exhibition. A. Who Can Apply: B. What Is Covered: C. Deadline: AAP Medical Students, Residents, and Fellowship Trainees Three scholarships are available (1 for Medical Students; 1 for Residents; 1 for Fellowship Trainees) Expenses up to $1,000 directly related to attending the 2014 NCE Tuesday, July 22, 2014 Please answer the following questions and submit your application, along with the attached W-9 Form, to Jose Lopez, Manager, Practice Management, at jlopez@aap.org by 5:00 pm CST on Tuesday, July 22, 2014. If you have any questions about this award, please contact Jose Lopez at the above email address or by phone at 847/434-4089. For more information on the Section on Administration and Practice Management, visit www.aap.org/soapm. AAP Section on Administration and Practice Management National Conference & Exhibition 2014 Scholarship Application Check the box for which scholarship you are applying: Medical Student Scholarship : Resident Scholarship: Fellowship Trainee Scholarship: Applicant Information (All fields are required) Name: Email: AAP Member ID: If resident, residency program: If medical student, college institution: If fellow, fellowship program and subspecialty: By checking this box, I indicate that I have cleared my calendar and if awarded this scholarship, I will be able to attend the NCE in San Diego, CA October 11-14, 2014. Scholarship Questions (Applicants must answer all questions) 1) Describe your interest in Practice Management (250 words or less): 2) Explain your commitment to parlaying what you learn during NCE into action when you return home (250 words or less): 3) Please provide a description of what you plan to do with the information you learn at the NCE practice management sessions. (e.g. How would you apply the information you receive at the session(s) you attend? Give a presentation/lecture, collaborate with AAP Chapter, local stakeholders, and/or start a local program)? (250 words or less): 1|Page Scholarship Recipient Requirements Scholarship recipients are required to attend the Section on Administration and Practice Management Program (Saturday, October 11, 2014 from 8:00 am – 12:15 pm) at the 2014 NCE. In addition, recipients must attend at least 2-3 practice management-related sessions (see attached). If chosen to receive a scholarship, you will be required to apply the information you received at the session(s) you attend by participating in an activity of your choosing. Your activity and a written report must be completed by December 19, 2014. 2014 NCE Registration, Hotels, and Travel Information Registration, housing and other meeting details can be accessed on the Academy’s Website at the following link: http://www.aapexperience.org. AAP residents, medical students and trainees must register and make their travel and housing arrangements as soon as possible as hotels for the NCE sell out quickly! Advance registrants (US and Canadian residents only) will receive their confirmation, conference badge, and tickets at their primary AAP mailing address approximately two weeks prior to the NCE. Scholarship Disbursement Please Note: A check for $1,000 will be sent to the recipients after the National Conference & Exhibition and receipt of the Practice Management-related activity report. Please note the $1,000 check will be made payable to the Medical Student, Resident, or Fellowship Trainee (unless otherwise specified on the form) and they will receive a 1099 form from the IRS for the year 2014. Important Dates: July 22, 2014: Applications due via E-mail to jlopez@aap.org August 4, 2014: Awardees Announced August 29, 2014: Early-Bird Registration Closes October 11 – 14, 2014: National Conference & Exhibition in San Diego, CA December 19, 2014: Practice Management-Related Activity Report Due to jlopez@aap.org. Report must be between 1-2 pages in length. Payment will be issued upon receipt of Activity Report. 2|Page