Cardiothoracic surgeons who demonstrate a financial need are eligible for a $1,000 travel scholarship to attend the 2018 STS/EACTS Latin America Cardiovascular Surgery Conference held on November 15-17, 2018 in Cartagena, Colombia.  

To apply for the 2018 TSF Latin America CT Surgery Conference Travel Scholarship, candidates must: 

1.  Submit and complete this online application by Tuesday, October 2, 2018, 11:59 p.m. Central Time.
2. E-mail resume or CV to tsf@sts.org by Tuesday, October 2, 2018, 11:59 p.m. Central Time.

Incomplete applications will not be considered. If you have questions, please contact TSF Headquarters at tsf@sts.org or (312) 202-5835.
Applicant Information:

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* 1. Applicant Information:

Gender:

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* 2. Gender:

Do you treat underserved patients? (Underserved people are defined as those who have a health disparity as defined by the CDC and lack awareness of, or access to, medically appropriate heart valve-related healthcare.) If you indicate "yes", please provide further detail about your current treatment of underserved patients in the comment box.

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* 3. Do you treat underserved patients? (Underserved people are defined as those who have a health disparity as defined by the CDC and lack awareness of, or access to, medically appropriate heart valve-related healthcare.) If you indicate "yes", please provide further detail about your current treatment of underserved patients in the comment box.

On average, how many underserved patients do you treat annually? (if applicable)

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* 4. On average, how many underserved patients do you treat annually? (if applicable)

Please describe how attending the 2018 STS/EACTS Latin America Conference will benefit you, and your treatment of underserved patients with heart valve disease.

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* 5. Please describe how attending the 2018 STS/EACTS Latin America Conference will benefit you, and your treatment of underserved patients with heart valve disease.

Will you attend the 2018 STS/EACTS Latin American Conference if your application is not approved for funding?

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* 6. Will you attend the 2018 STS/EACTS Latin American Conference if your application is not approved for funding?

Please describe your financial need for this award.

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* 7. Please describe your financial need for this award.

Please indicate the number of years you have been practicing cardiothoracic surgery after cardiothoracic residency and training.

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* 8. Please indicate the number of years you have been practicing cardiothoracic surgery after cardiothoracic residency and training.

What is the name of the medical school that you attended?

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* 9. What is the name of the medical school that you attended?

Are you a board certified cardiothoracic surgeon?

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* 10. Are you a board certified cardiothoracic surgeon?

Please list the name of the certifying body of your medical certification (if applicable).

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* 11. Please list the name of the certifying body of your medical certification (if applicable).

What is the name of the medical facility where you are currently employed?

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* 12. What is the name of the medical facility where you are currently employed?

In what country is your current medical practice located?

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* 13. In what country is your current medical practice located?

What type of medical environment do you practice in?

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* 14. What type of medical environment do you practice in?

Please indicate your areas of interest in the field of cardiothoracic surgery. Check all that apply.

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* 15. Please indicate your areas of interest in the field of cardiothoracic surgery. Check all that apply.

How did you hear about this travel award?

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* 16. How did you hear about this travel award?

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