Application for Associate Fellow Appointment

Eligibility: Trainees affiliated with the University of Pennsylvania or Children’s Hospital of Pennsylvania, who are actively involved with health economics and/or health services research. To be considered, you must be a (a) postdoctoral fellow, (b) PhD student, or (c) clinical fellow who is enrolled in a research degree program, e.g., MSHP. Instructors, research associates, and/or affiliates who have completed a research degree are eligible to apply if their appointment is three years or less. Residents are not eligible to apply to the Associate Fellows program.

Acceptance into the Associate Fellows program depends on the applicant’s research activities and alignment with LDI’s mission. Applications are reviewed on an ongoing basis. If accepted, Associate Fellows are appointed for the duration of their education or training program and are expected to actively participate in LDI and within the Associate Fellow community.

Basic Information:

First name*

Preferred First Name*

Middle Name

Last name*

Credentials

Email*

Title*

Please note that Residents are not eligible for the LDI Associate Fellow program.

Clinical Fellow

PhD Student

Postdoctoral Fellow

Other (please list under "Primary Department" below)

Primary School*

Primary Department / Center / Research Degree Program*

Secondary School

Secondary Department / Center / Research Degree Program

Expected Completion Date of Education or Training Program*

Year/Month/Day

Webpage*

If none, write N/A

Google Scholar Page*

If none, write N/A

Link to CV

Or upload CV here:

If you have an LDI Senior Fellow mentor, please list their name below:*

If none, write N/A. If you are interested in identifying a Senior Fellow to serve as a mentor, please contact Tali (truskin@wharton.upenn.edu) and Molly (molly.candon@pennmedicine.upenn.edu)

Additional Information:

Briefly describe your research agenda:*

Please share with us your motivation for becoming an LDI Associate Fellow:*

What are your plans following your education or training program?*

Please use this space to submit any comments or questions you may have.

Agreement with Appointment Requirements:

I agree to actively engage with LDI and recognize that a lack of engagement can result in the loss of Associate Fellow appointment.*

Please initial

I agree to use my LDI affiliation on all manuscripts and presentations related to LDI's mission.*

Please initial

I agree to provide LDI with regular updates on my health policy/health systems research, and other policy and educational activities.*

Please initial