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Read This Before Beginning Application

Fellowship Requirements

  • Fellows must have completed their basic training, either AP or AP/CP, with at least two years of AP training in an accredited program in an accredited program in the US or Canada.
  • All fellows must be eligible to obtain a New York State license or limited permit.

About This Application

  • This application has 24 sections with a total of 92 questions.
  • Estimated Time to Complete: 1 hour.
  • This application does not allow you to save and continue at a later time. If this is of concern to you, please see information in the sidebar on this page about free, third-party software that can perform this function.
  • You will have the opportunity to preview your application before submitting. Use this opportunity to make your text as readable as possible, ie, fix line breaks, etc.

What You Will Need

  • Curriculum Vitae
  • Personal Statement (of no more than 750 words)
  • Names of 3 References
  • Citations from your published journal articles, abstracts, poster presentations, and chapters
  • Telephone number of your current residency program if you are still in training
  • USMLE Scores

You will need to "cut and paste" from these documents into our application. Text that exceeds stated limits will be truncated. We advise that you convert your CV and personal statment to ASCII text format before cutting and pasting. This will help insure that we receive your application in the most readable format. Do not "hit" refresh while completing this form. Your data will be lost.

If you have questions, e-mail orestes@mskcc.org.

* indicates required information
Applying To

You may apply to our core fellowship, Oncologic Surgical Pathology, and/or subspecialty fellowships. Preference for the Surgical Subspecialty and Molecular Diagnostics Fellowships will be given to those who have completed the Oncologic Surgical Pathology Fellowship at Memorial Sloan-Kettering or those who have had an analogous experience in a similar institution.

* Fellowships:

* Starting:
General Information
* First Name:
* Last Name:
  Middle Name:
* Sex:
* Date of Birth:
* Place of Birth:

Contact Information
* Daytime Phone:
Ex. 999-999-9999
* Evening Phone:
Ex. 999-999-9999
* Pathology Residency Office Telephone:
Ex. 999-999-9999
  Pager:
* E-mail:
* Confirm E-mail:
Current Address
* Address:
* City:
* State/Province:
* Country:
* Zip/Country Code:
Permanent Address
  Same as above:

* Address:
* City:
* State/Province:
* Country:
* Zip/Country Code:
Work & Visa Information
* Are you authorized to work in the United States of America?

* Do you require a visa?

USMLE Test Scores
Please provide your test scores below.
* USMLE 1:
* USMLE 2:
  USMLE 3:

If you have not taken the USMLE 3 exam, please provide an explanation.
Degrees & License
* Select Degree(s)
Board Eligibility
* Board Status:

* In what area(s) are you, or will you be board eligible?
Current/Most Recent Pathology Training Program
* Program Name:
(Primary Hospital)
* City:
* State/Province:
* Country:
* Post Graduate Year:
* Specialty:
* Program Director Name:
* Start Date:

* Did you successfully complete this training program?

* End Date:
Actual or Expected End Date
Additional Pathology Training Program
  Program Name:
(Primary Hospital)
  City:
  State:
  Country:
  Specialty:
  Director Name:
  Start Date:

Did you successfully complete this training program?

  End Date:
Actual or Expected End Date
Medical School
* Name of School:
* Country:
* Start Date:
* Degree Awarded:
* Date Degree Awarded:
Graduate School
  Graduate School:
  Start Date:
  Field of Study:
  Degree Awarded:
  Date Degree Awarded:
Undergraduate School
* Undergraduate School:
European candidates, please indicate a N/A in this field.
* Start Date:
* Field of Study:
* Degree Awarded:
* Date Degree Awarded:
Additional Education Information
If there is anything else that you think we should know about your education, include it here.
Employment Information

List all other employment or scholarly activities that you participated in after your medical school graduation.

Use this area to explain any gaps of time from the date of your medical school graduation to the present, if these gaps have not been explained in the Education and Training Programs sections of this application. If you are not currently a resident or fellow, please list your current position here.

Include the following points of information:

Position (Title)
Institution
City, State, Country
Dates of Affiliation: (mm/yy) - (mm/yy)

Research Experiences
List in chronological order with start and end dates.
Honors & Awards
Include dates of awards and honors.
Publications
Example of Required Format:
Smith RJ, Jones GK, Calloway AL. Therapeutic implications of the new biology. N Engl J Med. 2004 Aug 5;351(6):575-84.
Abstracts/Poster Presentations, Etc.
Other Activities & Interests
Language Skills
Personal Statement
Letters of Recommendation

Three (3) letters of recommendation in support of your application must also submitted. Please submit three letters of recommendation for each fellowship that you apply for. One letter must be from your residency program director. You will receive mailing instructions after you submit this online application. List here the names of the 3 people who will be providing you with these letters.

* First Letter From:
(last name, first name)
* Second Letter From:
* Third Letter From:

Please Answer the Following Questions

If you answer "yes" to any of the following questions, you will be contacted for further information.

* 1. Have you ever had any disciplinary/remedial action or investigation taken against you by any state/regulatory agency, administrative body/professional organization.

This refers to actions/investigations in connection with your practice of medicine or participation in a health profession's training program.

This includes any such actions or investigations currently pending and any previous or currently pending charges to professional licensure or registration, (e.g., state or district; Drug Enforcement Administration).


* 2. Have you ever been involved as a witness or named as a party in any medical malpractice actions?

* 3. Do you have pending against you any medical malpractice actions or are you currently a witness or scheduled to be a witness in any medical malpractice actions?

* 4. Have you ever been convicted of committing an act constituting a crime, including driving under the influence (DUI), or driving while intoxicated (DWI)?

This includes any criminal misdemeanor convictions.


* 5. Have you ever voluntarily or involuntarily relinquished your license, registration or certification to practice medicine?

This includes any relinquishment of license, registration or certification that occurred during an investigation or under threat of official or institutional proceedings.


* 6. Have you ever voluntarily or involuntarily left, been separated from, or resigned from a training program or medical staff position?

This includes any circumstances in which your participation in a multi-year program or position was ended prior to the end of the complete program or position.


* 7. Have you ever voluntarily or involuntarily agreed to a limitation or reduction of your clinical privileges at another hospital, health care facility or in relation to a health professions training program?

* 8. Have you ever voluntarily or involuntarily left or resigned, been terminated from or been disciplined at, a job or training position because of inadequate performance, unprofessional conduct or any disruptive or violent behavior?

* 9. Are you currently in the practice of engaging in the unlawful use of drugs or the abuse of alcohol?

* 10. Has your use of prescription drugs, alcohol or other substances ever impaired or limited, or is it currently impairing or limiting, your ability to practice medicine with reasonable skill and safety?

* 11. Do you have any physical or mental condition that prevents you from practicing medicine with reasonable skill and safety?

Note

If you are using Robo Form, now is a good time to save your completed application.

Mail your documents to:

Sophia Oreste
Department of Pathology
Memorial Sloan-Kettering Cancer Center
1275 York Avenue
New York, NY 10065
Telephone: 212-639-6336
Fax: 212-717-3203
E-mail: orestes@mskcc.org

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Fellowship Details
Program details of the pathology fellowships.
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