Timothy Stephens Orthopaedics Fellowship Application

The Timothy L. Stephens Jr., MD, Orthopaedic Fellowship program at University Hospitals Case Medical Center prepares highly qualified candidates for competitive orthopaedic residency programs and musculoskeletal scientist faculty appointments.

In addition to this completed application, candidates for the program are required to submit the following for consideration:

  1. Official undergraduate & graduate school transcripts
  2. A letter of recommendation from the dean of the applicant's medical school
  3. A letter of recommendation from the chair of the applicant's medical school's department of orthopaedics
  4. One additional letter of recommendation from a faculty member of the applicant's medical school
  5. Résumé or CV
  6. Personal statement

Personal Information


Résumé or CV

File Size: 1000KB Maximum
File Types: .docx .doc .pdf .txt .zip . html .htm
Last Name*
First Name*
Middle Initial
Citizenship Status*
Social Security Number*
Date of Birth*
Race/Ethnicity*
If "Other," please specify:
Gender
Current Address*
City*
State*
ZIP/Postal Code*
Phone*
E-mail Address*
Permanent Address
City
City
ZIP/Postal Code

Medical School Information


Graduate Transcripts

File Size: 1000KB Maximum
File Types: .docx .doc .pdf .zip
Medical School
Dates of Attendance – From
Dates of Attendance – To
Degree
Date Expected
USMLE Step 1 Scores
Please list your research experience and attach copies of any published material.
Project
Institution
Dates: From
To
Project
Institution
Dates: From
To
Project
Institution
Dates: From
To

Undergraduate Information


Undergraduate Transcripts

File Size: 1000KB Maximum
File Types: .docx .doc .pdf .txt .zip
Institution
Dates: From
To
Degree
Major
Date Granted/Expected
Major is considered
Overall GPA
Science GPA
Please indicate which of the following courses you have taken. Check all that apply.



If you have taken the following standardized tests, please enter your best scores.
SAT
ACT
GRE Verbal
Quantitative
Analytical

References


Please list contact information for the dean of your medical school and the chair of your medical school’s department of orthopaedics as well as the one additional faculty member providing a letter of recommendation.
Full Name
E-mail Address
Phone
Title
Letter of Recommendation

File Size: 1000KB Maximum
File Types: .docx .doc .pdf .zip
Full Name
E-mail Address
Phone
Title
Letter of Recommendation 2

File Size: 1000KB Maximum
File Types: .docx .doc .pdf .zip
Full Name
E-mail Address
Phone
Title
Letter of Recommendation 3

File Size: 1000KB Maximum
File Types: .docx .doc .pdf .zip

Personal Statement


In a separate attachment, please provide a personal statement including the following information:
  • Why did you apply for the Timothy L. Stephens Jr., MD, Orthopaedic Fellowship program?
  • What are your long-term goals?
  • How have you overcome the challenges you have faced in pursuing your academic and career goals?
Personal Statement

File Size: 1000KB Maximum
File Types: .docx .doc .pdf .txt .xml .zip . html .htm
Submit
*Required