2026 Jacobson Promising Investigator Award Application

Please contact jacobsonpia@facs.org with any questions.

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* 1. Biographical Information

Full Name:

Credentials:

Position Title:

Institution:

Email:

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* 2. Please Upload Your Biographical Sketch

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* 3. Personal Statement

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* 4. Are you a Fellow or an Associate Fellow of the American College of Surgeons?

Yes

ACS ID:

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* 5. Are you board-certified in a surgical specialty?

Yes

Surgical Specialty

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* 6. Have you completed surgical training, including fellowship, in the last six years? Please provide the year of completion.

Yes

Year completed:

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* 7. Do you hold a faculty appointment at a research-based academic medical center?

Yes

Institution:

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* 8. Do you hold a military service position?

Yes

Branch:

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* 9. Have you received peer-reviewed funding such as a K-series award from the National Institutes of Health (NIH), Veterans Administration, National Science Foundation, or U.S. Department of Defense merit review to support your research?

Please Note: Surgeon-scientists who are well established (for example, recipients of NIH R01 grants or equivalent grants from other agencies) are NOT eligible.

Yes

Award Received From:

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* 10. Are you a well-established surgeon-scientist who has received NIH R01 and Veterans Affairs Merit grants, or equivalent grants from other agencies?

Yes

Award Name

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* 11. Do you have ongoing research support?

Yes

Example:

Date:07/01/2007-ongoing

K08HS017765 Agency for Healthcare Research and Quality (AHRQ) Composite measures of surgical performance Role: PI Award amount: $150,000 The candidate proposes to develop composite measures of surgical morbidity that overcome many of the limitations of existing approaches. This proposal will facilitate his development into an independent scientist focused on optimizing surgical quality measurement.

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* 12. Total Number of Peer-Reviewed Publications:

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* 13. Please Upload an NIH Other Support Document

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* 14. Publications List

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* 15. Number of Publications since your first Faculty appointment:

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* 16. Please upload PDFs of the three most significant publications from your current faculty position.

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* 17. Publication #2

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* 18. Publication #3

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* 19. Letters of Recommendation:

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* 20. Letter of Recommendation #1

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* 21. Letter of Recommendation #2

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* 22. Letter of Recommendation #3

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* 23. Each recipient of the Jacobson Promising Investigator Award is asked to provide a 10-year reflection on their award. Recipients are asked to submit an academic piece for the Journal of the American College of Surgeons, reflecting upon their accomplishments and what the award has meant to their career (up to 10 pages in length).

Should you receive the award, are you able to provide a 10-year reflection article?

Yes

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* 24.
Thank you for applying for the Jacobson Promising Investigator Award!

Applications will be reviewed by members of the Surgical Research Committee.

A decision will be made in May 2026. Please contact jacobsonpia@facs.org with any questions.

Please review all the information you have submitted and make any changes before completion.

Once the application is submitted, no additional changes can be made.

I have read and understood all the requirements and eligibility criteria.

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