Women's Reproductive Health Research (WRHR) Program

Required Fields are marked with an asterisk *

Candidates must meet the following NIH-specified eligibility requirements:

• Physician holding the M.D. or D.O. degree;
• Completed postgraduate residency training in obstetrics-gynecology;
• If pursuing a subspecialty, must be in the final research year of postdoctoral fellowship training in obstetrics and gynecology;
• Able to devote at least 9 person months (equivalent to 75 percent) of full-time professional effort conducting research and research career development;
• Not be or have been a PD/PI on an R01, R29 or subproject of a Program Project (P01), Center (P50, P60, U54) grant, independent mentored career development (K-series) grants, or other equivalent research grant awards. Individuals who are or were PD/PIs on NIH Small Grants (i.e., R03s) or Exploratory/Developmental Grants (i.e., R21s) may be eligible providing they meet the other eligibility requirements.
• U.S. citizen or noncitizen national, or must have been lawfully admitted for permanent residence and possess a Permanent Resident Card (USCIS Form I-551) or some other verification of legal admission as a permanent citizen.

Please note: Individuals on temporary or student visas are not eligible.

After completing the online application, please remember to email your CV and Personal Statement to: ljjohnson@partners.org. The personal statement should be a short 500 words or less description of why you are interested in the WRHR Program, what makes you a good candidate for the program and what your professional goals are.

Desired Start Date*
First Name*
Middle Name
Last Name*
Present Mailing Address*
Telephone (Primary)
Telephone (Cell/Other)
Permanent Home Address*
E-Mail Address*
Birthdate*
U.S. Citizen*	Yes No
U.S. Permanent Resident*	Yes No
Place of Birth
Ethnicity	African American Alaskan Native American Indian Asian Hispanic Middle Eastern Pacific Islander White Other
Ethnicity (if other, please explain)
Gender	Male Female
Undergraduate University*
University Address*
Dates Attended (From MM/YY - MM/YY)*
Degree
Medical School*
Medical School Address*
Other Graduate Training (if applicable)
Graduate School Address
Dates Attended (From MM/YY - MM/YY)
Degree
Residency Hospital/University Department
Address
Dates Attended (From MM/YY - MM/YY)
Speciality Field
Program Director
Fellowship Hospital/University
Address
Dates Attended (From MM/YY - MM/YY)
Speciality Field
Mentor/Supervisor
If you are a graduate of a foreign medical school, have you obtained certification from the Educational Commission for Foreign Medical Graduates?	Yes No
References - Please provide the names and contact information for three references.
Name*
Institution*
Telephone*
May We Contact?
Name*
Institution*
Telephone*
May We Contact?*
Name
Institution
Telephone
May We Contact?
How did you learn of the WRHR Program?

Thank you for your interest in the Brigham and Women’s Hospital WRHR Career Development Program.