Dr. Henry Chaim Witelson
Memorial Prize in Ophthalmology
Application
Henry Chaim Witelson, M.D., Chief of Service in Ophthalmology, Hamilton Civic Hospitals, died in 1997. He was
a devoted clinician to thousands of patients in the Hamilton region and beyond since 1969. He was founding
Director of the Wentworth Eye Foundation (1979). Dr. Witelson was also a lifelong student of ophthalmology,
frequently visiting other Centres and leading surgeons in North America to learn new ideas and techniques.
His work has been memorialized by The Dr. Henry C. Witelson Memorial Ophthalmological Diagnostic Unit at
Hamilton Health Sciences, McMaster University Medical Centre; The Dr. Henry C. Witelson Vitreo-Retinal Centre,
Jewish General Hospital, McGill University; and The Dr. Henry C. Witelson Ophthalmic Pathology Laboratory,
Royal Victoria Hospital, McGill University.
The purpose of this award is to provide the opportunity for medical students to devise an elective in
ophthalmology, which they might not otherwise have the ability to do.
Eligibility
Medical student enrolled in McMaster University
This prize is intended to provide an opportunity for an in-depth experience in a block elective for a minimum of two
weeks in a clinical or research aspect of ophthalmology and to increase interest in the specialty of eye medicine
and surgery. It is aimed at students in any year who have an interest in ophthalmology as a possible career
choice.
Deadline
November 14, 2014
Please send Ten (10) copies of the completed application package to:
Gwen Flynn
Hamilton Health Sciences Foundation
40 Wellington North (internal mail)
P.O. Box 739, LCD1
Hamilton, ON L8N 3M8
RE: Dr. H. C. Witelson Prize
For further information, please contact
Gwen Flynn at 905-521-2100 Ext 47003
flynngwen@hhsc.ca
September 2014
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Applications will be judged by members of the Dr. Henry C. Witelson Memorial Educational Fund Advisory
Committee on the merits of the applicant and the proposed plan of study. The committee may consider the
following in making its selection:
1.
2.
3.
4.
Academic excellence
Applicant’s interest in ophthalmology
Clarity of description of proposed elective and the quality of the elective
How important the award would be to help the student pursue ophthalmology
Section One: Applicant Information
Full Name:
Address:
Street Address
Apt #
City
Phone:
Province
Postal Code
Email:
Section Two: Proposed Elective
a. A description and details of the proposed program for an elective which may include visits to
University/Hospital units, a private practice of ophthalmology, or work with a non-profit organization
involved in providing eye care to third world countries (list available in Electives Office) Please enclose a
budget plan.
Please submit up to 2 pages.
b. A statement of goals of the elective and how the elective may impact long-term career goals.
Please submit up to 2 pages.
Section Three: Education and Professional Status
Please provide a brief description of your present educational and professional status in medical school.
Please submit up to 2 pages
Section Four: Appendices
Please include the following with your application:
 An up-to-date curriculum vitae
 Bachelor degree transcript copy
 Two letters of reference concerning the applicant’s educational and professional abilities and experience
 Any additional information on the proposed elective
Signature of Applicant
Date
The Successful Candidate(s) will be required to furnish the Foundation with a valid Social Insurance Number before transfer of any funds.
September 2014
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