Sentient Fellowship Application

Surname* :

Middle Name* :

First Name* :

Passport Number* :

Email* :

Phone Number* :

Date of Birth* :

Age/Sex* :

Full Address* :

Academic Qualifications:

Degree*

College*

University*

Year*

Professional Qualifications:

Post*

Institute*

From -To*

Distinctions / Awards in Academic Training* :

Achievements in cardiology* :

Awards in cardiology* :

Publications* :

Oral Presentations* :

Poster Presentations* :

Reason for applying for this fellowship (not more than 250 words) *:

Plans how this fellowship will help the candidate & patients (not more than 250 words)* :

The Candidate must fulfill the following essential criteria :

A citizen of India.
Age 40 or less than 40 years at the day of application deadline (31st October 2022)
Has completed training in interventional cardiology
Has completed atleast 1 year in practice-post cardiology training (DM/DNB) and has demonstrated competency in coronary interventions, femoral access and echocardiography.
Has to provide 2 letters of support from a supervisor or a senior colleague from current institution.

Expectation of the fellowship:

The successful candidate will take part in the daily running and management of the department.
Be available for frequent appraisal and feedback from supervisor.
On completion of the fellowship, will complete a written summary of the time away, to include in detail - the volume and types of cases completed.
Agree to share experience at a future Sentient meeting.