HIV Medicine Fellowship - How to Apply

2023-2024 Fellowship Applications are now open!

Application Deadline: November 1, 2022

Tentative Interviews: Mid-November, 2022

Eligibility and Application

Interested candidates should meet the following requirements:

Completed clinical training in internal medicine or family medicine
Board certified or board eligible
Demonstrate a special interest in HIV medicine and HIV prevention with a long-term career goal to practice HIV primary care

To apply, candidates must:

Complete the application fields below
Submit a curriculum vitae
Provide three (3) letters of recommendation, including one from residency director
If selected, candidates will be contacted about the interview process.
For questions, please contact Mitchell Luu, MD

HIV Medicine Fellowship Application

Applicant Information
Name*
First Middle Last
Other Names Used
Date of Birth*
Primary Phone*
Cell Phone*
Current Address*
Street Address City State / Province / Region ZIP / Postal Code
Email*
Citizenship*
If not US citizen, current visa:
Have you ever participated at any Kaiser Permanente facility as a medical student, volunteer, fellow, per diem physician, or staff member?*
- Yes
- No
If yes, please note the following:
Role Dates Department NUID (if applicable)
Education History
Residency/Fellowship Experience
Specialty*
Institution*
Residency Dates*
Start Date End Date
Program Director
First Name Last Name Phone Email
Address*
Street Address City State / Province / Region ZIP / Postal Code Country
Specialty
Institution
Residency Dates
Start Date End Date
Program Director
First Name Last Name Phone Email
Address
Street Address City State / Province / Region ZIP / Postal Code Country
Specialty
Institution
Residency Dates
Start Date End Date
Program Director
First Name Last Name Phone Email
Address
Street Address City State / Province / Region ZIP / Postal Code Country
Education History
Medical School Education, Graduate School Education, Undergraduate Education
Medical Education: Institution*
Medical School Dates*
Start Date End Date
Address
Street Address City State / Province / Region ZIP / Postal Code Country
For International Medical Graduates: ECFMG #
Please attach copy of ECFMG certificate, if applicable:
Max. file size: 50 MB.
Graduate Education: Institution*
*
Major Degree
Grad School Dates*
Start Date End Date
Address
Street Address City State / Province / Region ZIP / Postal Code Country
Graduate Education: Institution
Major Degree
Grad School Dates
Start Date End Date
Address
Street Address City State / Province / Region ZIP / Postal Code Country
Undergraduate Education: Institution*
Undergrad Dates*
Start Date End Date
*
Major Degree
Address
Street Address City State / Province / Region ZIP / Postal Code Country
Undergraduate Education: Institution
Undergrad Dates
Start Date End Date
Major Degree
Address
Street Address City State / Province / Region ZIP / Postal Code Country
Examinations
List the scores for the examinations you have completed:*
USMLE Step 1: USMLE Step 2: USMLE Step 3: COMLEX Level 1: COMLEX Level 2: COMLEX Level 3:
Do any of these scores above reflect multiple examination attempts:
- Yes
- No
Board certification:*
- Passed the board exam
- Currently eligible for Board Certification
- Not eligible
- Will be eligible as of: (enter date below)
Eligibility date for board exam (if box checked above):
Licenses
Do you have a California Medical License?*
- Yes
- No
List any states in which you are licensed to practice medicine:
State: License #: Date Issued: Expiration:
Do you have DEA registration?*
- Yes
- No
References
List 3 references who will be submitting letters (one must be your residency program director):
Reference 1: Name
First Last
Title
Email
Phone
Reference 2: Name
First Last
Title
Email
Phone
Reference 3: Name
First Last
Title
Email
Phone
Additional Information
Please describe previous meaningful experiences caring for people living with HIV.*
Please describe what you hope to accomplish by completing a fellowship in HIV Medicine. (In answering this item, you may wish to include your career goals and/or your HIV medicine interests such as clinical, advocacy, policy, QI, or research interests). Clinically, what are your specific HIV medicine interests and your current research interests? (1-2 paragraphs)*
Please describe your ideal career position after completing the HIV medicine fellowship. (1-2 paragraphs)*
Additional Documents
Please attach the following documents to your application: • Curriculum Vitae • One (1) letter of recommendation from your Residency Program Director • Two (2) additional professional letters of recommendation. If letter(s) will be sent separately to Mitchell.N.Luu@kp.org, please submit a placeholder document(s). • USMLE / COMLEX Transcript • Medical School Transcript • MSPE (Dean’s Letter)
Curriculum Vitae*
Max. file size: 50 MB.
One (1) letter of recommendation from your Residency Program Director.*
Max. file size: 50 MB.
Two (2) additional professional letters of recommendation. [If letter(s) will be sent separately to Mitchell.N.Luu@kp.org, please submit a placeholder document(s).]*
Drop files here or

Max. file size: 50 MB.
USMLE / COMLEX Transcript*
Max. file size: 50 MB.
Medical School Transcript*
Max. file size: 50 MB.
MSPE (Dean’s Letter)*
Max. file size: 50 MB.
Attestation*
I certify that the information provided in the application as well as submitted materials are truthful and accurate to the best of my knowledge. I understand that any false or missing information may disqualify me for this position. I further declare that by submitting this application, I authorize Kaiser Permanente and its representatives to contact persons associated with hospitals or institutions at which I have studied or trained as well as individuals whose names I have submitted in connection with this application. I hereby release from any liability all representatives of the hospital and its professional staff for information provided in connection with evaluating my application, suitability for employment or training, and credentials.
- By clicking this box, I certify that the information provided, as specified above, is true and correct to the best of my knowledge.
Email
This field is for validation purposes and should be left unchanged.

HIV Medicine Fellowship - How to Apply

HIV Fellowship

2023-2024 Fellowship Applications are now open!

Eligibility and Application

HIV Medicine Fellowship Application

Applicant Information

Education History

Education History

Examinations

Licenses

References

Additional Information

Additional Documents

HIV Fellowship

More Information

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