Fellow Application

APPD Supporting Medical Education Fellow Scholars (SMERFS) Application: Cohort 2

Applicant First Name:*
Applicant Last Name*
Email Address:*
Cell Phone:*
Institution:*
If "Other" Institution, Please List:
Subspecialty:*
Applicant Gender:*
Which of the following best describes your racial or ethnic identification? (check all that apply)*
- American Indian or Alaska Native
- Asian or Asian American
- Black or African American
- Hispanic, Latino, or of Spanish Origin
- Native Hawaiian or Other Pacific Islander
- Non-Hispanic White
- Prefer not to answer
Part 1 (1,500 max characters for each question)
Why would you like to participate in the SMERFS program? (Max 1,500 characters)*
Have you had any research experience, including medical education research? If so, please describe. (Max 1,500 characters)*
How does participation in the SMERFS program align with your career goals? (Max 1,500 characters)*
What can the SMERFS program provide that is not available at your institution? Please be as specific as possible (e.g. no mentor with expertise in medical education research in my institution, etc.) (Max 1,500 characters)*
Is it the plan for your SMERFS project to meet your scholarly project requirements for the American Board of Pediatrics?*
- Yes
- No
Part II (max 1,500 characters)
Describe what preliminary research question you hope to address and why it is important to address? (Max 1,500 characters)*
Part III
Please upload CV*
Accepted file types: pdf, docx, Max. file size: 128 MB.
Part IV
Please upload a letter of support from your Fellowship Program Director using the below template:*
Max. file size: 128 MB.

Download template letter here: https://www.appd.org/wp-content/uploads/2025/12/FPD-letter.docx
Name Fellowship Program Director writing your support letter (First, Last Name):*
Email of Fellowship Program Director writing your support letter:*

APPD Supporting Medical Education Fellow Scholars (SMERFS) Application: Cohort 2

Part 1 (1,500 max characters for each question)

Part II (max 1,500 characters)

Part III

Part IV

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