2009_PIDS_Trad_App.10.31.08

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PEDIATRIC INFECTIOUS DISEASES SOCIETY

Fellowship Award Application for 2009-2011

Instructions

Completed applications for a Pediatric Infectious Diseases Society Fellowship Award must be received by

February 1, 2009 for the award to be given on July 1, 2009.

Goals: The goal of the Fellowship Award is to help increase the pool of highly trained pediatric infectiousdisease clinical scientists and to stimulate scholarly basic and clinical research in the following areas pertinentto pediatrics: public health/epidemiology, hospital epidemiology, clinical trials of antimicrobials, outcomeresearch, pharmacokinetics, pathophysiology and molecular pathogenesis. One of the fellowship awards hasbeen designated to support research related to viral respiratory diseases and will be funded by MedImmune, Inc.NOTE: The Society encourages applications for clinically applied/translational research.

Eligibility: Candidates must possess a MD and/or PhD; selection preference will be given to physicianscientists. The candidate must be at least a first year fellow in a Pediatric Infectious Diseases program in NorthAmerica at the time of application, and the award will be given for two subsequent years of training, duringwhich time the applicant is expected to devote the major portion (approximately 75% of time) of those years

conducting the research project under the direct supervision of a mentor who must be a PIDS member in goodstanding for at least one year.

Support: The annual stipend will be $45,000 and will be given for two years, subject to review at the end of the first year. In case the award is given to the candidate in the last year of fellowship, only year one of the

award will given to the award recipient. The stipend is intended to provide salary and benefits for the fellow. Itis not intended to provide resources for a division's research program, nor to pay indirect costs of the institution

Application and Selection Process: The completed application and a letter of support from the applicant'smentor should be sent to the PIDS Headquarters office; Attn: PIDS Fellowship Awards Committee; 1300Wilson Boulevard, Suite 300, Arlington, VA 22209. The original and seven copies of the completed

application and letter of support (no staples) should arrive at the PIDS office no later than February 1, 2009. Application must strictly adheres to the instructions; application or supporting documents received after the

deadline date will not be considered.

Each application will be reviewed by the Pediatric Infectious Diseases Society Fellowship Awards Committee(see Review Criteria). Announcement of the awards will be made at the Pediatric Infectious Diseases SocietyAnnual Dinner and Awards Banquet. The recipient and the mentor should be present to accept the award.

Progress Report: A progress report must be prepared by recipients of the Fellowship Award and submitted bythe following February to the PIDS office, in order to receive the second year of funding commencing July 1 of that year. The report should detail results accomplished to that date, problems encountered, if any, alterationsin the original protocol that might be necessary, and the prospects for completion of the project in the two yearsenabled by the award. Publications, pending publications, or presentations to scientific meetings should also besubmitted. The report will also be sent to the Pharmaceutical Company that is sponsoring the fellow's training.

Final Report: At completion of the two-year funding period, the fellow must furnish in the format of the NIHgrant progress report (PHS 2590, pages 11-14) a written summary of the research accomplished, the analyzedand tabulated data, and the conclusions and possible implications. Publications resulting from the projectshould be submitted. The report should be sent to the PIDS office.

Acknowledgement: The recipient of the Fellowship Award must acknowledge the Pharmaceutical Company in

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any publication(s) that results from the research enabled by the award. Acknowledgement should state that therecipient is supported by a Pediatric Infectious Diseases Society Fellowship Award sponsored by the specificcompany.

Review Criteria: The Fellowship Awards Committee will address and consider each of the following criteriain assigning the application’s overall score, weighing them equally for each application.

• Applicant

• Mentor/Environment

• Research Plan

• Potential for success as a clinical investigator in the field of pediatric infectious disease

Applicant

• Quality of the applicant’s academic and clinical record

• Educational and training background

• Honors and awards

• Research experience

• Commitment to becoming an independent pediatric infectious disease investigator

• Letters of reference

Mentor/ Environment

• Appropriateness of the mentor’s research qualifications in the area of the proposed research

• History of research productivity and peer-reviewed support

• Quality and extent of the mentor’s previous experience in fostering the development of independentinvestigators

• Quality and extent of proposed role(s) in providing guidance and advice to the applicant

• Clear commitment to ensure that a minimum of 75% of the applicant’s effort will be devoted directly tothe research project

• Adequacy of research facilities and training opportunities

• Quality and relevance of the environment for the scientific and professional development of the

candidate

Research Plan

• Significance

• Originality/ innovation

• Design

• Appropriate use of laboratory technique and/or patient population

Potential for Success as a Pediatric Infectious Disease Investigator

• Likelihood that the applicant will become a successful pediatric infectious disease investigator and

contribute to training of the future generation

NOTE: Reviewers are asked to score the applications based on these criteria. There will be only a brief comment available on each application.

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FELLOWSHIP APPLICATION

Name:

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Address for Correspondence:

Telephone Number: Work ( ) Home ( )

E-mail Address:

Birth Place: Date: Citizenship:

Academic History: List all educational institutions attended after secondary school. Include

current employment.

Name of Institution andLocation (List

Chronologically)

Dates (Mo & Yr)

From ToMajor Field

of StudyDegree,

Diplomas

DateReceived or

Expected

Honors:

_________________________________________________________________

_________________________________________________________________

_________________________________________________________________

Board Certification or Eligibility:

Please attach an NIH-format biosketch (no longer than 4 pages).

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CAREER PLANS

• Please provide a statement on career plans upon completion of fellowship (no more than

1 page)

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OTHER SUPPORT FOR FELLOWSHIP

Applicants are required to disclose all Federal, non-Federal, private, association, or

institutional grants and contract support that they are currently received. Please state the

anticipated adjustment if PIDS award is to be made. The Society does not allow duplicate

fellowship salary support.

Present Support:

Grant Provider (Do not abbreviate):

Type of Organization (Federal, Private, etc.):

Principal Investigator:

Inclusive Dates:

Annual Award Amounts to Applicant:

Adjustment to be made if receiving PIDS award:

Pending Support:

Grant Provider (Do not abbreviate):

Type of Organization (Federal, Private, etc.):

Principal Investigator:

Inclusive Dates:

Annual Award Amounts to Applicant:

Adjustment to be made if receiving PIDS award:

Documents

2009_PIDS_Trad_App.10.31.08