Fellow Training Report

A Training Report is required within 30 days of completion of your Fellowship. Report will be transmitted to Bjoern Martinoff, President of CMCF Board of Trustees and Directors at Bjoern@cmcf.org. Fellowship Reports will be posted on the CMCF website. Upload your digital images either personal and/or picture(s) from the training site. Digital images received may be used on the CMCF Website. Please fill out the “Fellow Training Report” form below.

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Fellow Name*

Specialty*

Work Location and Country*

Training Location*

Department Head*

Date Report Submitted

Training Period Start Date*

Training Period End Date*

Describe in detail your experience as a CMCF Fellow both professionally and personally*

Describe how your training met your professional objectives*

What aspect of the training will you be able to implement at your hospital to improve the quality of pediatric care*

List seminars and lectures attended.*

Upload certificate(s) if applicable:

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International Medical Bridges: How will you continue the professional relationship between your current medical institution and the institution where you received training?*

Your Feedback*

CMCF seeks to continually improve its pediatric Fellowship programs. We welcome your feedback on what you liked and/or if there is an area of the fellowship application process and program that could be improved.

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Fellow Training Report

Fellow Training Report

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