Fillable Form
Number:
For office use only
Application for Post-Doctoral Training Paste recent
colored passport-
Faculty of Medicine, Office of the Dean, size photograph
American University of Beirut,
P.O. Box 11-0236, Riad El-Solh, Beirut 1107 2020
Lebanon
Tel: 961 1 350000, 340460 ext: 4706
Fax: 961 1 744 489
E-mail: gme@aub.edu.lb
Each applicant is entitled to make three different choices. Indicate the preference of your choice by writing 1, 2 & 3 in the blank boxes under the level of training
adjacent to each program.
List of available training programs
Program Level of Training Eligibility to apply Fellowship training
Anesthesiology* First Postgraduate Year (PGY I)
Dermatology* Second Post Graduate Year (PGY II) Applicant must have completed one year of internship (PGYI) at 1
AUB in any discipline
Diagnostic Radiology* Second Post Graduate Year (PGY II) Applicant must have completed one year of internship (PGYI) in 2
any discipline
Family Medicine First Postgraduate Year (PGY I)
3
Internal Medicine First Postgraduate Year (PGY I)
Laboratory Medicine First Postgraduate Year (PGY I)
Obstetrics & Gynecology First Postgraduate Year (PGY I)
Applicant must have completed one year of internship (PGYI) in
Ophthalmology* Second Postgraduate Year (PGY II)
Internal Medicine at AUB
Orthodontics First Postgraduate Year (PGY I) Applicant must have a dental degree
Applicant must have completed one year of internship (PGYI) in
Otolaryngology* Second Postgraduate Year (PGY II)
Surgery at AUB
Pathology First Postgraduate Year (PGY I)
Pediatrics First Postgraduate Year (PGY I)
Surgery First Postgraduate Year (PGY I)
PERSONAL INFORMATION
1. Name (print full name in accordance with identity card or passport)
In English Last First Middle
In Arabic Last First Middle
2. Maiden name
3. Mother’s full maiden name
In English In Arabic
4. Gender Female Male
5. Citizenship Lebanese other
* Applicants must have completed one year of internship (PGYI) before applying to these departments. Anesthesiology & Diagnostic Radiology: PGYI unspecified,
Dermatology and Ophthalmology: PGYI Medicine or Surgery, Otolaryngology: PGYI Surgery.
6. Marital Status Single Married
7. Name of Spouse Nationality
8. Date and place of birth (according to identity card or passport)
/ / (e.g. 27-JUN-1975) /
Day Month Year City Country
9. Passport information (for non-Lebanese) Passport No. Expiration date
10. Current mailing address (the address you provide under this item will be used to communicate to you the decision of the Selection Committee)
Bldg. Street City Country
Cell phone Fax e-mail
11. Permanent mailing address (complete this item only if different from address in No.10)
Bldg. Street City Country
Telephone Fax e-mail
12. Name of dependent children
Name Date of birth Place of birth
________________________________________ /__________________________________ /_________________________________
________________________________________ /__________________________________ /_________________________________
________________________________________ /__________________________________ /_________________________________
________________________________________ /__________________________________ /_________________________________
EDUCATION
13. List all Medical colleges/universities attended with the dates of attendance (provide documents)
Name of college/university Location (City and Country) From Mo/Yr To Mo/Yr Date of graduation &
degree received
_________________________ /____________________ /__________________ /__________________ /____________________________
_________________________ /____________________ /__________________ /__________________ /____________________________
_________________________ /____________________ /__________________ /__________________ /____________________________
14. List any graduate education or post-doctoral training already accomplished (provide documents)
Internship From To Hospital/Medical School
_____________________________ ____________________________ /__________________________________________________
Residency
_____________________________ ____________________________ /__________________________________________________
Research
_____________________________ ____________________________ /__________________________________________________
15. Did you take the following international exam? If yes, indicate grade next to each field (provide documents)
USMLE step I_______________ USMLE step II_________________ TOEFL__________________ EEE__________________
16. Are you licensed to practice? If yes, indicate Country____________________
17. Language proficiency
Writing Reading Speaking
Excellent Good Fair Excellent Good Fair Excellent Good Fair
a. English
b. Arabic
c. French
d.
18. Where you previously registered at AUB? Yes No
If yes:
Faculty /Academic Year ID Number Degree obtained & data of graduation
19. Do you have any physical disability? If yes, describe (information requested only to enable the University to better serve applicant )
REFERENCES (write below addresses of three persons who can testify to your personal and professional qualities)
1) ________________________________________________ / _____________________________________________________________
Name Occupation
___________________________________________ / ____________________________ / ______________________________________
Phone No. Fax No. e-mail
2) ________________________________________________ / _____________________________________________________________
Name Occupation
___________________________________________ / ____________________________ / ______________________________________
Phone No. Fax No. e-mail
3) ________________________________________________ / _____________________________________________________________
Name Occupation
___________________________________________ / ____________________________ / ______________________________________
Phone No. Fax No. e-mail
I certify that the information provided is, to the best of my knowledge, complete and accurate. I further understand that
Before any appointment becomes valid, I must pass a physical examination at the University Health Services.
Date________________________ Signature in English____________________
APPLICATION FOR THE POST - DOCTORAL TRAINING PROGRAM
INSTRUCTIONS following divisions: Cardiology, Endocrinology and Metabo-
lism, Gastroenterology, Hematology-Oncology, Infectious
1. It is preferable that all items be typed. If handwritten, please Diseases, Nephrology, Neurology, Pulmonary and Critical
use block letters. Care Medicine, and Rheumatology, and in the Department of
Pediatrics in the following divisions: Hematology-Oncology,
2. The applicant’s name exactly as it appears in item 1, will be Neonatology, and Neurology.
used on all documents issued by the Faculty of Medicine
such as diplomas and certificates. QUALIFYING EXAMINATIONS
3. The information which is requested in Arabic (in items 1 Applicants are required to take a medical examination and a
and 3) is requested only from Arabic speaking applicants. proficiency examination in the use of English language. The
examination in medical sciences includes the following sub-
4. The application must be completed by the applicant him- jects: Family Medicine, Internal Medicine, Pediatrics, Psychi-
self or herself and must reach the Dean’s Office (Student atry, Obstetrics and Gynecology, Surgery. Concepts relating
and Academic Affairs section) of the Faculty of Medicine no to other basic and clinical disciplines may be incorporated
later than January 15, 2008 in questions pertaining to the listed disciplines. The English
examination is a standard English Entrance Examination
5. All applications should include the following documents: (1) (EEE) sponsored by the Office of Institutional Research and
certified copy of the MD (2) certified copy of the transcript Assessment (OIRA) of the University and administered to all
of record and (3) at least three letters of recommendation. applicants planning to join University programs.
6. An application will not be processed if it does not include the DATES EXAMINATIONS
following: a) a recent, passport size, colored photograph of
the applicant pasted on the application, b) a photocopy of English Entrance Examination:
the applicant’s identity card or passport, c) an application Thursday January 31, 2008, 10:00 a.m. - 1:30 p.m. Nicely
fee of L.L 75,000 or 50 US Dollars (the application fee is Building, room 500, 3rd floor.
not refundable), d) documents mentioned in item 5.
Examination in the Medical Sciences:
GENERAL INFORMATION Friday February 1, 2008, 8:00 a.m. - 12:00 noon & 1:00 p.m.
-5:00 p.m. Nicely Building room 500, 3rd floor.
Non-AUB medical graduates are eligible to join the post-
doctoral training program of the Faculty of Medicine and the EXEMPTION FROM EXAMINATION
Medical Center at the level of Internship Program (Post grad-
uate year I, PGYI). Applicants to the departments of Fam- Graduates who have passed the USMLE step II with competi-
ily Medicine, Internal Medicine, Obstetrics and Gynecology, tive score, and TOEFL (minimum score of 573, 230, or 88 on
Pediatrics and Surgery have to take the PGY I year again PBT, CBT, or IBT respectively) will be exempted from AUB
even if they have already completed a year of internship at medical sciences examination and EEE respectively. Exemp-
another institution. tion from examination does not imply that the applications will
not pass through the regular selection process.
Applicants to the departments of Diagnostic Radiology, Der-
matology, Ophthalmology and Otolaryngology must have EXAMINATION FEES
completed one year of internship (PGYI) before applying to
these departments. The PGY I is unspecified for Diagnostic Examination in the Medical Sciences: L.L 120,000.00 (US $
Radiology, whereas for Dermatology and Ophthalmology the 80), including application fee.
PGY I must be completed either in Internal Medicine or in
Surgery. For Otolaryngology the PGY I must be completed English Entrance Examination: LL 120,000.00 (US $ 80) in-
in Surgery. cluding application fee.
Dental graduates are eligible to join the Orthodontics and REGISTRATION & PAYMENT OF FEES
Dentofacial Orthopedics residency program. This advanced
education program is designed to carry clinical activities in Applications are accepted in the Dean’s Office. Registration
a scholarly environment where basic science and clinical and payment of fees for examinations take place in the Office
orthodontics are integrated. For more information about the of the Dean – Office of Graduate Medical Education, from
dates of the qualifying examinations, please contact us by November 15, 2007 to January 15, 2008. A recent passport-
e-mail. size photograph is required. The attention of the applicant is
drawn to the fact that selection is on a highly competitive ba-
FELLOWSHIP PROGRAMS sis. The total number of applicants accepted is determined by
the availability of positions.
Non-AUB graduates who have completed their residency
training at another institution are eligible to join the fellow-
ship program in the Department of Internal Medicine in the
Office Hours: Monday through Friday 8:00 a.m. – 1:00 p.m., 2:00 p.m. – 5:00 p.m.
Tel: +9611350000 ext: 4706 Fax +9611744489 Email: gme@aub.edu.lb
