UNIVERSITY INTERNAL MEDICINE RESEARCH FOUNDATION Department of Medicine External Research Fellowship Competition Room 450, Bethune Building Department of Medicine QEII Health Sciences Centre Halifax, Nova Scotia Canada B3H 2Y9 EXTERNAL RESEARCH FELLOWSHIP GUIDELINES The Department of Medicine has established a Research Fellowship program for clinicians to obtain research training external to Dalhousie University following the completion of their residency training programs in the Department of Medicine. The main purpose of this award is to attract and foster the development of promising individuals as researchers. Priority will be given to those who have a pre-established faculty position within the Department to return to at the completion of their external fellowship training. Each application will be considered a joint effort of the applicant and their supervisor. A letter of support from the Head of the Division for whom the applicant will return to work must be included. Successful applicants may be required to sign a contract / letter of intent mutually agreed upon by the applicant, the Division Head and the Department Head. Please note, contracts will vary depending on the individual’s and the Division’s particular needs. Applications must be completed in accordance with the guidelines given; application forms and supporting documents must be filed electronically with the Department of Medicine Research Office at kathryn.nelson@nshealth.ca by November 15th. Incomplete submissions or those received after the deadline date will not be considered. Tenure: The Research Fellowship will commence the first of July and continue for a two or three-year period depending on the external research program and/or Division’s request During tenure, the Fellow shall devote not less than 75 % of his/her time to the purposes of the award in the chosen field of endeavour. The awardee may engage in, and receive remuneration for other activities, including undergraduate teaching, that may contribute to the development of a researcher’s career. These ancillary activities should not interfere with the primary research purpose of the award. An award may be terminated at any time for proper cause by either the awardee or the Department of Medicine. The Research Fellowship must be renewed annually. A letter of support for renewal of the application must be submitted by the supervisor and it must clearly indicate the progress made during each year of the fellowship. Also required for renewal of this fellowship is a letter from the applicant, not to exceed one single-spaced typewritten page, indicating progress to date. Both of these letters must be submitted to the Research Office by January 15 of each year of the award. Revised June 2015 Salary and Allowances: The basic stipend is dependent upon academic, clinical and research experience. In general, the remuneration will follow the guidelines established by Dalhousie University for post-graduate Ph.D. and by the Maritime Resident Doctors for M.D. trainees. Applicants are expected to apply to other local, national and international research fellowship competitions. Awards from external funding agencies should be accepted in preference over UIMRF funding. In some instances where an external award is less than the equivalent of UIMRF remuneration, UIMRF may subsidise funding. Eligibility Criteria: The M.D. candidate must be eligible for Royal College certification in Internal Medicine or one of its disciplines. This fellowship will normally be the first fellowship held by the candidate. Ideally, the successful applicant will be within five years of obtaining professional qualifications, (MD, Ph.D., and FRCPC). These fellowships are open to Canadian citizens or landed immigrants. Application Process: Department of Medicine External Research Fellowship submission deadline: on or before November 15th. Send completed application to kathryn.nelson@nshealth.ca in the Department of Medicine Research Office. The Department of Medicine Research Fellowship application form must be used. The application must be submitted electronically and shall include: 1) Checklist. 2) Completed application form (attached) which must be signed by the applicant, the supervisor and the Division Head. 3) A transcript of the applicant's academic marks with standing. 4) A letter from the Division Head appraising the candidate, the proposed research program and a brief outline of the candidates anticipated role upon returning to the Division. 5) A letter of support from the supervisor appraising the candidate and the proposed research program along with a description of the nature and extend of any other work to be carried out by the awardee during the tenure of the proposed application, including a summary of resources and funding source(s) for the proposed project. 6) A copy of the supervisor's curriculum vitae. 7) Three additional (sealed) letters of recommendation from professors or instructors under whom the candidate has taken previous training and which specifically evaluate the candidate for the proposed Dalhousie award. 8) A clear and concise description of the proposed research, not to exceed two single-spaced, 2 typewritten pages; this should be written by the applicant in consultation with the intended supervisor. The research proposal should include a clear statement of hypothesis and methods to be used in the project, and a statement of expected outcome. 9) List of applicant and supervisor’s published articles within the last five years which are relevant to this proposal. 10) Proof of citizenship/landed immigrant status. Renewal application: The applicant must submit a letter requesting renewal. The supervisor will also submit a separate letter of appraisal of the awardee, including a statement of progress to date. These documents must be received by the Research Office on or before January 15th. Renewal submissions made at other times of the year will be permitted only under special circumstances and with the specific approval of the Head of the Department and the Research Committee. Adjudication: The Research Committee of the Department of Medicine will review all applications for scientific merit and will make recommendations of priority rating. Factors affecting the merit rating will include: training, experience and previous performance of the applicant and supervisor, the proposed protocol and the research environment. The Research Committee reserves the right not to award a fellowship in a given year. 3 APPLICANT CHECKLIST UIMRF External Research Fellowship Complete and return with application to kathryn.nelson@nshelath.ca . Applicant: Date: To be checked by applicant: 1. Checklist 2. One electronic copy (including all attachments and appropriate signatures) of the fellowship application. 3. Transcript of applicant’s academic marks with standing. 4. Letter from Division Head (content specified in guidelines). 5. Letter from Supervisor (content specified in guidelines) 6. Copy of Supervisor’s curriculum vitae. 7. Three additional (sealed) letters of recommendation from professors or instructors under whom the candidate has taken previous training and which specifically evaluate the candidate for the Dalhousie award. 8. A clear and concise description of the proposed research (maximum two typewritten single-sided pages). 9. Reprints and pre-prints of applicant’s and supervisor’s published articles within the last five years which are relevant to this proposal. 10. Proof of Canadian citizenship/landed immigrant status. In completing application: All answers must be typewritten. Attach additional sheets where response space is limited; indicate applicant’s name on the top right-hand corner of each additional page. Submit complete application as one PDF file to DoM Research Office. Revised June 2015 4 UIMRF EXTERNAL FELLOWSHIP APPLICATION FORM Name of applicant: 1. Date: Present address: Telephone: 2. Present appointment: Title Department Institution Date 3. Name any other agencies to which application for support has been or will be made: 4. When will applicant be free to take this award if granted? 5. Supervisor, department and institution (with address) at which applicant has arranged to undertake research training: Supervisor Department Institution 6. Title of research project: 7. Give no more than five key words or phrases which identify your research project: 8. Ultimate career goals: 5 9. Education: (include degrees/certifications expected in the next 12 months): Degrees Course University Year 10. Experience (academic, clinical and research): Date Position Supervisor/Dept. Institution 11. Distinction and awards (undergraduate/graduate awards, type and dates): Award Type Date 12. Current research interests: 13. Membership in professional and scientific societies: 14. Publications Peer Reviewed (published papers and abstracts): a) Total number: Papers: Abstracts: b) Of the above total, give details of the publications (authors, titles and journals) for the past five years. If not first author, indicate the applicant’s role. List abstracts separately. Publications Non-Peer Reviewed (published papers and abstracts): a) Total number: Papers: Abstracts: b) Of the above total, give details of publications (authors, titles and journals) for the past five years. If not first author, indicate the applicant’s role. List abstracts separately. 6 15. Applications must include a transcript of the applicant’s academic record and three letters of recommendation from supervisors with whom the applicant had previous research or clinical training. These should be sent under separate cover. 1) Name/Position Held Address 2) Name/Position Held Address 3) Name/Position Held Address 16. A copy of the proposed supervisor’s curriculum vitae and letter of critical appraisal are required under separate cover. 17. Applicant agrees to abide by the regulations governing this award, if granted. Date: Signature: 18. We recommend that this candidate be considered for this award to undertake research training at at the current level of stipend set by the Department. Date: Signature of Supervisor: Date: Signature of Division Head: Date: Signature of Department Head: 7 19. Assurance is given that any human experimentation will be acceptable to the institution on ethical grounds and that in the care of laboratory animal experimentation, the guiding principles enunciated by the Canadian Council on Animal Care will be adhered to and that the proposed research will not be undertaken until it has been accepted as meeting the requirements regarding biological and chemical hazards as outlined in the Canadian Institutes of Health Research “Guidelines for the Handling of Recombinant DNA Molecules and Animal Viruses and Cells”. Signature of Applicant Date Signature of Division Head Institution 20. Nature of Proposed Research Describe the rationale, objective and experimental approach of the proposed research. Begin summary on this page and attach one additional sheet if necessary. Do not exceed two singlespaced, typewritten pages. Append pre-print and re-prints of applicant’s publications relevant to this research proposal. 8