MEDICAL ALUMNI ASSOCIATION AND CREMS

Comprehensive Research
Experience for Medical Students
MEDICAL ALUMNI ASSOCIATION AND CREMS-SPONSORED
DR. ELVA MAY ROWE FUND
INTERNATIONAL HEALTH SUMMER RESEARCH PROGRAM
2015 SUPERVISOR PROJECT INFORMATION FORM
If you wish to act as a Supervisor for a first or second year University of Toronto medical student wishing to
conduct a research project abroad between June and August 2015, please complete the below form with as
much detail as possible.
**Submit this form to [email protected] by the deadline of
Wednesday, January 14 2015.**
PART A: Supervisor and On-Site Supervisor Contact Information
UofT Researcher:
Dr. Rachel Spitzer
Email Address:
Telephone:
Mailing Address:
Department:
Degree (MD, PhD, MD/PhD):
SGS Appointment/where?:
Selected Publications (3 most recent and
relevant to the project the student will be
working on):
[email protected]
416-586-4822
Name of On-site Supervisor:
Dr. Astrid Christofferson-Deb, Julia Songok and Benjamin
Chemwolo
Location of placement (Name of
Institution/hospital; City; Country):
Email Address:
Telephone:
Degree (MD, PhD, MD/PhD):
Area of Medicine of the Research Project
(2 keywords):
Moi University School of Medicine/Moi Teaching and Referral Hospital, Eldoret,
Kenya
[email protected]
Ob/Gyn
MD, MPH
DLSPH
MD, PhD/MBChB, MMed (peds)/MBChB, MMED (OG)
Community primary health care, improving maternal outcomes
Comprehensive Research
Experience for Medical Students
PART B: PROJECT INFORMATION
Project Title (this can be modified later, but we would like to have working title from the start):
TBD
Provide background information on the project and program/institution; max 500 words:
The University of Toronto Department of Ob/Gyn has been partnered with Moi University School of Medicine and Moi Teaching and
Referral Hospital since 2007 through the larger AMPATH program/consortium, headed by Indiana University. Our department, along
with Indiana’s department of Ob/Gyn lead the reproductive health component of the collaboration. AMPATH has a tripartite mission of
clinical care, education and research. Areas of focus within the reproductive health component of the collaboration include reduction of
maternal morbidity and mortality and prevention and treatment of gynecologic malignancies.
What, if any, second language is required for the student to successfully complete this project?
Any KiSwahili would help but is not required
Is this project for 1 or 2 students to complete?
1
X2
How long have you worked with the on-site supervisor and briefly describe your working partnership:
Dr. Christoffersen-Deb has been on the ground as our field director for 4 years. We work together closely and are each other’s
counterparts in terms of trainee supervision. Drs. Songok and Chemwolo are Kenyan leads in the AMPATH primary healthcare
initiative, have worked with our program since the outset of our collaboration and have previously supervised trainees
Have you visited the city/town where the medical student will be placed? If yes, when was your last visit?
Yes – November 2012
Student’s roles/responsibilities in bullet form (Please be as specific as possible):
• TBD
Is this project for a specific student, or will you
interview and select an interested student who
would contact you directly for this opportunity?
Note: All supervisor/student applications will be
adjudicated by a panel of faculty, given a score, and
ranked based on the score given. Funding will be
based on ranking.
If human subjects are involved, has Ethics been
obtained? (Note: Written proof or an email indicating
protocol approval may be requested prior to the student’s
 For a specific student. Name of student:
 For whichever student is chosen after interview
 Yes
 No
 N/A
Comprehensive Research
Experience for Medical Students
arrival at on-site location)

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