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https://globalsurgery.org/wp-content/uploads/2023/06/Screen-Shot-2023-06-26-at-11.26.54-AM-3rw5ej-1280x489.png 1280w, https://globalsurgery.org/wp-content/uploads/2023/06/Screen-Shot-2023-06-26-at-11.26.54-AM-3rw5ej-1024x391.png 1024w, https://globalsurgery.org/wp-content/uploads/2023/06/Screen-Shot-2023-06-26-at-11.26.54-AM-3rw5ej-768x294.png 768w, https://globalsurgery.org/wp-content/uploads/2023/06/Screen-Shot-2023-06-26-at-11.26.54-AM-3rw5ej-480x183.png 480w, https://globalsurgery.org/wp-content/uploads/2023/06/Screen-Shot-2023-06-26-at-11.26.54-AM-3rw5ej-340x130.png 340w, https://globalsurgery.org/wp-content/uploads/2023/06/Screen-Shot-2023-06-26-at-11.26.54-AM-3rw5ej-240x92.png 240w, " sizes="100vw"> </picture> </div> </div> <div class="image-wrapper "> <div class="asset" style="padding-bottom: 81.640625%"> <picture class="lazy-load-item" data-alt="Screen-Shot-2023-06-26-at-11.26.54-AM-3rw5ej" 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title="PROGRAM DETAILS & BENEFITS" class="" data-anchor="Benefits">PROGRAM DETAILS & BENEFITS</a> <a href="https://globalsurgery.org/fellowships/the-chesa-fellowship/#Eligibility and Requirements" title="ELIGIBILITY " class="" data-anchor="Eligibility and Requirements">ELIGIBILITY </a> <a href="https://globalsurgery.org/fellowships/the-chesa-fellowship/#Apply" title="APPLY" class="" data-anchor="Apply">APPLY</a> <a href="https://globalsurgery.org/fellowships/the-chesa-fellowship/#FAQ" title=" FREQUENTLY ASKED QUESTIONS" class="" data-anchor="FAQ"> FREQUENTLY ASKED QUESTIONS</a> </div> </div> <section class="About__title row About--whiteSection "> <div class="StandardHeading" data-jsmodule="StandardHeading"> <h1 class="StandardHeading__title"> </h1> </div> </section> <section id="About-CHESA-Fellowship" class="About__article row About--whiteSection About__scrollamaSection "> <h2 class="article__heading">ABOUT</h2> <div class="article__content"><p><span style="font-weight: 400;">At CHESA, we believe workforce capacity strengthening is one of the most critical levers for change in advancing equity in perioperative care. Investing in people is core to our mission. Our flagship initiative is the CHESA Fellowship Program, which leverages UCSF resources and expertise to foster the next generation of global surgery and anesthesia leaders.</span></p> <p><span style="font-weight: 400;">The CHESA Fellowship is a 12-month, part-time, non-ACGME fellowship for individuals who are committed to building careers focused on advancing health equity in perioperative care. It is open to physicians, nurses and advanced practice providers from UCSF and collaborating institutions worldwide, including scholars at risk, who have completed, or are currently enrolled in, a health professional training program. The program is flexible – Fellows may participate completely remotely or in-person/hybrid at UCSF (if applicable/eligible), alongside ongoing training, employment, and clinical service.</span></p> <p><span style="font-weight: 400;">To date, we have had 55 Fellows (current and alumni) based in 13 countries worldwide, including Haiti, Liberia, Nigeria, Uganda, Rwanda, Burundi, Mozambique, Tanzania, Kenya, Ethiopia, Jordan, Romania, and the United States. Our Fellows represent 10 specialities including Anesthesia, General Surgery, Pediatric Surgery, Ophthalmology, Plastic and Reconstructive Surgery, Urology, Otolaryngology, Colorectal Surgery, Trauma Surgery, and Other (MD/Researcher). Our Fellows have produced over 81 publications since 2022.</span></p> <p><span style="font-weight: 400;">To learn about our current and previous CHESA Fellows, click About Us and scroll down to Meet the Team >> Fellows & Trainees.</span></p> <p><span style="font-weight: 400;">Please check back for more information on the CHESA Fellowship Information Session for the 2026-2027 application cycle. </span></p> <p><span style="font-weight: 400;"><em>“Mentorship from UCSF faculty and other CHESA Fellows has been the best part.” Dr. Godfrey Sama Phillipo, 2022-23 Fellow, Tanzania, MD Researcher</em></span></p> <p><span style="font-weight: 400;"><em>“It’s been an eye opening experience…to know that there are many other avenues where I could pursue [global health].” Dr. Ava Yap, 2022-23 Fellow, United States, UCSF Surgery Resident</em></span></p> </div> </section> <section id="Benefits" class="About__article row About--whiteSection About__scrollamaSection "> <h2 class="article__heading">PROGRAM DETAILS & BENEFITS</h2> <div class="article__content"><p><span style="font-weight: 400;">CHESA Fellows benefit from multiple interconnected program offerings: </span></p> <ul> <li style="font-weight: 400;" aria-level="1"><span style="font-weight: 400;">CHESA faculty mentorship, including UCSF subspeciality mentorship (if applicable)</span></li> <li style="font-weight: 400;" aria-level="1"><span style="font-weight: 400;">Structured global health equity curriculum</span></li> <li style="font-weight: 400;" aria-level="1"><span style="font-weight: 400;">Associate/Scholar status at UCSF with access to academic productivity tools</span></li> <li style="font-weight: 400;" aria-level="1"><span style="font-weight: 400;">Customized career development support</span></li> <li style="font-weight: 400;" aria-level="1"><span style="font-weight: 400;">Highly diverse and global learning community, including a yearly cohort of ~25 fellows across all perioperative disciplines.</span></li> <li style="font-weight: 400;" aria-level="1"><span style="font-weight: 400;">Catalytic project funding support for eligible Fellows from Low- and Middle- Income Countries </span></li> <li style="font-weight: 400;" aria-level="1"><span style="font-weight: 400;">Professional development and travel support for eligible Fellow from Low- and Middle-Income Countries</span></li> <li style="font-weight: 400;" aria-level="1"><span style="font-weight: 400;">Opportunities to engage across CHESA community to accelerate learning and impact</span></li> <li style="font-weight: 400;" aria-level="1"><span style="font-weight: 400;">Visibility engagements to promote work</span></li> <li style="font-weight: 400;" aria-level="1"><span style="font-weight: 400;">Flexibility, as Fellows participate part-time and completely remotely or in-person/hybrid at UCSF, alongside ongoing training, employment, and clinical service</span></li> <li style="font-weight: 400;" aria-level="1"><span style="font-weight: 400;">Annual global in-person Fellowship gathering at an international site TBD</span></li> <li style="font-weight: 400;" aria-level="1"><span style="font-weight: 400;">Continued engagement in CHESA Fellowship and CHESA global network beyond their fellowship year</span></li> </ul> <p><b>Overall program goal:</b> <span style="font-weight: 400;">Recruit and train emerging and future leaders in global surgery, anesthesia and nursing who use research, education, and advocacy to improve equity in perioperative care</span></p> <p><span style="font-weight: 400;">The fellowship aims to advance the following objectives:</span></p> <ul> <li style="font-weight: 400;" aria-level="1"><span style="font-weight: 400;">Career & Leadership Development</span></li> <li style="font-weight: 400;" aria-level="1"><span style="font-weight: 400;">Education & Teaching</span></li> <li style="font-weight: 400;" aria-level="1"><span style="font-weight: 400;">Scholarship & Research </span></li> <li style="font-weight: 400;" aria-level="1"><span style="font-weight: 400;">Mentorship & Community</span></li> </ul> </div> </section> <section id="Eligibility and Requirements" class="About__article row About--whiteSection About__scrollamaSection "> <h2 class="article__heading">ELIGIBILITY </h2> <div class="article__content"><ul> <li style="font-weight: 400;" aria-level="1"><span style="font-weight: 400;">Have completed or are enrolled in a health professional training program</span> <ul> <li style="font-weight: 400;" aria-level="2"><span style="font-weight: 400;">For most selected Fellows, this means having completed or current enrollment in post-graduate training (ex. Residency). Medical students are not eligible.</span></li> <li style="font-weight: 400;" aria-level="2"><span style="font-weight: 400;">Nurse and APP applicants: At least 2 years of experience caring for surgical patients during surgery or post operatively. BSN or Bachelor’s degree recommended. </span></li> </ul> </li> <li style="font-weight: 400;" aria-level="1"><span style="font-weight: 400;">Open to applicants worldwide</span></li> <li style="font-weight: 400;" aria-level="1"><span style="font-weight: 400;">English language proficiency</span></li> </ul> <p><span style="font-weight: 400;">Additional criteria apply by specialty if also seeking clinical appointment at UCSF while participating in the CHESA Fellowship. </span><span style="font-weight: 400;">Only available for </span><a href="https://globalsurgery.org/other-training-opportunities#urology"><span style="font-weight: 400;">Urology,</span></a> <a href="https://ohns.ucsf.edu/education/fellowships/CHESA"><span style="font-weight: 400;">OHNS</span></a><span style="font-weight: 400;"> and </span><a href="https://globalsurgery.org/other-training-opportunities#anesthesia"><span style="font-weight: 400;">Anesthesia</span></a> <span style="font-weight: 400;">applicants who have completed specialty training and are eligible for a California Medical License – click these links for full eligibility criteria).</span></p> </div> </section> <section class="About__article row About--whiteSection "> <h2 class="article__heading">REQUIREMENTS</h2> <div class="article__content"><p><span style="font-weight: 400;">The responsibilities and expectations of a CHESA Fellow are to:</span></p> <ul> <li style="font-weight: 400;" aria-level="1"><b>Represent CHESA</b><span style="font-weight: 400;"> mission to advance health equity in surgery and anesthesia</span></li> <li style="font-weight: 400;" aria-level="1"><span style="font-weight: 400;">Enhance skills and experience in </span><b>working in underserved areas and/or with underserved populations</b><span style="font-weight: 400;"> through educational initiatives, service and/or other scholarly project work.</span></li> <li style="font-weight: 400;" aria-level="1"><span style="font-weight: 400;">Complete the self guided </span><b>CHESA Fellows Curriculum</b></li> <li style="font-weight: 400;" aria-level="1"><b>Develop and lead a scholarly health equity project.</b><span style="font-weight: 400;"> The goal is to complete this project during the Fellowship period. Fellows should be able to dedicate ~10 hours per month on scholarly projects (averaged throughout the year). Available financial support varies and only eligible Fellows from Low- and Middle-Income countries who do not have other existing support may apply. Fellows receiving financial aid must adhere to additional requirements as communicated by CHESA administrators.</span></li> <li style="font-weight: 400;" aria-level="1"><b>Participate in >75% of the Fellowship sessions</b><span style="font-weight: 400;"> held via Zoom twice monthly.</span></li> <li style="font-weight: 400;" aria-level="1"><span style="font-weight: 400;">Participate in the </span><b>Global Fellows Gathering</b><span style="font-weight: 400;"> in-person at an international site TBD. This annual retreat will strengthen connections between Fellows and mentors, discuss project progress, and support well-being.</span></li> <li style="font-weight: 400;" aria-level="1"><span style="font-weight: 400;">Deliver a </span><b>Work in Progress presentation</b><span style="font-weight: 400;"> on Fellowship project to the fellowship cohort or larger CHESA community.</span></li> <li style="font-weight: 400;" aria-level="1"><b>Meet with specific project mentor/s</b><span style="font-weight: 400;"> at least once monthly.</span></li> <li style="font-weight: 400;" aria-level="1"><span style="font-weight: 400;">Participate in </span><b>community pods</b><span style="font-weight: 400;"> monthly. Pods are organized by specialty and/or geography. The purpose of the pods is to provide a space and opportunity to chat amongst peers, troubleshoot the curriculum or projects, and build relationships.</span></li> <li style="font-weight: 400;" aria-level="1"><span style="font-weight: 400;">Participate in organization or presentation of </span><b>at least one Fellow-led Global Health Equity Journal Club</b><span style="font-weight: 400;">.</span></li> <li style="font-weight: 400;" aria-level="1"><span style="font-weight: 400;">Develop skills necessary for research project conceptualization and study design, project implementation, grant writing, fundraising, literature review and IRB submissions.</span></li> <li style="font-weight: 400;" aria-level="1"><span style="font-weight: 400;">Mentorship: Post-graduate Fellows are expected to </span><b>mentor at least 2 medical students, interns, nurses or other perioperative specialists</b><span style="font-weight: 400;"> during the Fellowship year to transfer training and skills acquired</span></li> <li style="font-weight: 400;" aria-level="1"><span style="font-weight: 400;">Complete blog commitment: </span><b>1 blog </b><span style="font-weight: 400;">on the CHESA website discussing their project work or other topic of their choosing</span></li> <li style="font-weight: 400;" aria-level="1"><b>Submit at least 1 application for a funding opportunity</b><span style="font-weight: 400;"> internal or external to CHESA/UCSF</span></li> </ul> <p><span style="font-weight: 400;">Fellows are expected to </span><b>produce and disseminate scholarly work</b><span style="font-weight: 400;"> through abstracts, publications, presentations at conferences or other appropriate mechanisms. Fellows are expected to attend and present an abstract for at least one conference per year.</span></p> </div> </section> <section class="About__article row About--whiteSection "> <h2 class="article__heading">SCHEDULE</h2> <div class="article__content"><p><span style="font-weight: 400;">Fellows are expected to actively participate in the following meetings and community forums:</span></p> <ul> <li aria-level="1"><span style="font-weight: 400;">Fellow Friday Seminars: Twice monthly, 1st and 3rd Fridays of the month at 7:30AM PST (with some variation) featuring guest speakers, career building and mentorship workshops, project development workshops and work-in-progress presentations, and community building</span></li> </ul> <ul> <li aria-level="1"><span style="font-weight: 400;">Monthly 1:1 Mentor Check-ins: To discuss career development and project progress</span></li> </ul> <ul> <li aria-level="1"><span style="font-weight: 400;">Monthly community pod meetings: Smaller peer groups organized by speciality and/or geography</span></li> </ul> <ul> <li aria-level="1"><span style="font-weight: 400;">Journal Clubs: Quarterly sessions developed and led by Fellows during Fellow Friday seminars</span></li> </ul> <ul> <li style="list-style-type: none;"> <ul> <li style="font-weight: 400;" aria-level="1"><span style="font-weight: 400;">Annual in-person Global Fellows Gathering: Date TBD</span></li> </ul> </li> </ul> <ul> <li aria-level="1"><span style="font-weight: 400;">CHESA-Wide Work-in-Progress Meetings: 1st Friday 12pm PST (optional) </span></li> <li aria-level="1"><span style="font-weight: 400;">Quarterly Institute for Global Health Science Grand Rounds and other specialty Grand Rounds: Varies and TBD (optional)</span></li> </ul> </div> </section> <section id="Apply" class="About__article row About--whiteSection About__scrollamaSection "> <h2 class="article__heading">APPLY</h2> <div class="article__content"><p><span style="font-weight: 400;">Thank you for your interest in applying to the CHESA Fellowship.</span></p> <p><span style="font-weight: 400;">The application cycle for the 2024-25 CHESA Fellowship cohort is currently closed. Applications for the 2026-27 cohort will open next year.</span></p> <p><b>Evaluation Criteria</b></p> <ul> <li style="font-weight: 400;" aria-level="1"><span style="font-weight: 400;">A commitment to the field of perioperative health equity and match between the applicant’s learning objectives and research interests and what CHESA can offer.</span></li> <li style="font-weight: 400;" aria-level="1"><span style="font-weight: 400;">The potential impact of the CHESA Fellowship experience on the applicant’s career.</span></li> <li style="font-weight: 400;" aria-level="1"><span style="font-weight: 400;">Professional qualifications and prior achievements.</span></li> <li style="font-weight: 400;" aria-level="1"><span style="font-weight: 400;">Interpersonal and communication skills.</span></li> <li style="font-weight: 400;" aria-level="1"><span style="font-weight: 400;">Feasibility and potential impact of scholarly project </span></li> </ul> <p><b>Application Materials</b></p> <p><span style="font-weight: 400;">We recomme</span><span style="font-weight: 400;">nd that you complete an offline version of the </span><a href="https://docs.google.com/document/d/1WCITySX0HCDk_Lt_h3ANZalLq0aO-8UXcowU3tZxV1I/edit"><span style="font-weight: 400;">CHESA Fellowship application worksheet</span></a><span style="font-weight: 400;"> before copying and pasting your responses to the online application link. </span></p> <p><span style="font-weight: 400;">The application includes short answer responses to following</span> <span style="font-weight: 400;">questions:</span></p> <ul> <li style="font-weight: 400;" aria-level="1"><span style="font-weight: 400;">Please briefly describe any scholarly activities including research, educational and policy experience, especially those relevant to global health. </span></li> <li style="font-weight: 400;" aria-level="1"><span style="font-weight: 400;">How would the CHESA Fellowship program at UCSF help to further your career goals.</span></li> <li style="font-weight: 400;" aria-level="1"><span style="font-weight: 400;">Describe your relationship to the community you work with and how/if they are involved in your fellowship project strategy and decision-making.</span></li> </ul> <p><span style="font-weight: 400;">There is a dedicated section on your </span><i><span style="font-weight: 400;">Proposed Fellowship Project Plan</span></i><span style="font-weight: 400;">, including required short answer questions and workplan, and optional budget for eligible applicants from and based in low- and middle-income countries applying for project funding support.</span></p> <p><span style="font-weight: 400;">If you do not currently have a UCSF or CHESA affiliate to support your project, you may browse and connect with the relevant CHESA faculty leadership (</span><a href="https://globalsurgery.org/about-us/"><span style="font-weight: 400;">About Us</span></a><span style="font-weight: 400;"> >> Meet Team >> Leadership Committee) or reach out through the </span><a href="https://directory.ucsf.edu/"><span style="font-weight: 400;">UCSF Directory</span></a><span style="font-weight: 400;">. Each CHESA Fellow project is highly encouraged to be supported by a UCSF or CHESA network affiliate, whether they are a mentor or researcher. <i>If you are applying from outside the United States, we suggest one of your mentors to be local to you.</i></span></p> <p><span style="font-weight: 400;">The application will require you to upload the following supporting documents:</span></p> <ul> <li style="font-weight: 400;" aria-level="1"><a href="https://docs.google.com/spreadsheets/d/16omCz--cxK8N_HUw0jI_3MV0UVZdPR9h/edit?usp=sharing&ouid=116156490093546237334&rtpof=true&sd=true"><span style="font-weight: 400;">Project Workplan</span></a></li> <li style="font-weight: 400;" aria-level="1"><a href="https://docs.google.com/spreadsheets/d/1bVZJ77KpEcb_JOUhdILPCj5uE2mvuexO0lbrsh7uceA/edit?usp=drive_link"><span style="font-weight: 400;">Proposed Project Budget</span></a><span style="font-weight: 400;"> (OPTIONAL – only for eligible Fellows from and based in Low- and Middle Income Fellows requesting project support and without existing funding support)</span></li> <li style="font-weight: 400;" aria-level="1"><span style="font-weight: 400;">Resumé/Curriculum Vitae (CV)</span></li> <li style="font-weight: 400;" aria-level="1"><span style="font-weight: 400;">Headshot and Short Bio</span></li> <li style="font-weight: 400;" aria-level="1"><span style="font-weight: 400;">Video Essay responding to two prompts: 1) Please introduce yourself and why you are choosing to pursue a fellowship in global health equity in perioperative care. 2) Summarize your proposed project during the fellowship. What is the problem your project will address? What led you to focus on this challenge? How will your project help improve surgical access or outcomes in your community?</span></li> </ul> <p><span style="font-weight: 400;">In addition, an </span><a href="https://drive.google.com/file/d/1hOz8YnyHfgh7NyQH_GNx1aEbuYK7lIji/view?usp=sharing"><b>Employer Support Form</b></a><span style="font-weight: 400;"> and </span><b>two professional letters of reference</b><span style="font-weight: 400;"> must be </span><b>emailed directly</b><span style="font-weight: 400;"> to </span><span style="font-weight: 400;">global.surgery@ucsf.edu</span><span style="font-weight: 400;">. If these are not submitted on time, your application will be considered incomplete and will not be reviewed.</span></p> <p><span style="font-weight: 400;">We will only accept applications electronically through the application link. Applicants are limited to one submission. </span></p> <p><span style="font-weight: 400;">If you are also applying for a clinical position in San Francisco, application deadlines may vary. See </span><a href="https://globalsurgery.org/other-training-opportunities/"><span style="font-weight: 400;">CHESA Urology Fellowship</span></a><span style="font-weight: 400;">, </span><a href="https://globalsurgery.org/other-training-opportunities/"><span style="font-weight: 400;">CHESA Anesthesia Fellowship</span></a><span style="font-weight: 400;">, </span><a href="https://ohns.ucsf.edu/education/fellowships/CHESA"><span style="font-weight: 400;">CHESA Otolaryngology Fellowship</span></a><span style="font-weight: 400;"> for more details.</span></p> <p><span style="font-weight: 400;">Have questions? Review the FAQs or send us a message at </span><a href="mailto:global.surgery@ucsf.edu"><span style="font-weight: 400;">global.surgery@ucsf.edu</span></a><span style="font-weight: 400;">.</span></p> </div> </section> <section id="FAQ" class="About__article row About--whiteSection About__scrollamaSection "> <h2 class="article__heading"> FREQUENTLY ASKED QUESTIONS</h2> <div class="article__content"><p><b>Program FAQs</b></p> <p><em><span style="font-weight: 400;">Why was the CHESA Perioperative Health Equity Fellowship program created?</span></em></p> <p><span style="font-weight: 400;">To recruit and train emerging and future leaders in global surgery, anesthesia and nursing who use research, education, and advocacy to improve equity in perioperative care.</span></p> <p><span style="font-weight: 400;">The program was developed with inputs from CHESA faculty leadership and partners. It is based on a record of success. The program model is the result of learnings from more than 15 years of UCSF experience with the Global Partners in Anesthesia and Surgery program in Uganda, which was created and led by CHESA leadership before CHESA launched in 2020. Over the last 10 years, we have supported 34 scholars, 42 years of faculty time, and achieved 95% in-country retention. Over 55% of scholars are women who have advanced to senior leadership roles in the public and private sectors. This collaborative effort produced the country’s first female cardiothoracic surgeon; 8 pediatric surgeons, including the first pediatric oncologic surgeon; and the first two pediatric anesthesiologists.</span></p> <p> </p> <p><em><span style="font-weight: 400;">How many Fellows have you had? Who are they and where are they from? </span></em></p> <p><span style="font-weight: 400;">To date, we have had 55 Fellows (current and alumni) based in 13 countries worldwide, including Haiti, Liberia, Nigeria, Uganda, Rwanda, Burundi, Mozambique, Tanzania, Kenya, Ethiopia, Jordan, Romania, and the United States. Our Fellows represent 10 specialities including Anesthesia, General Surgery, Pediatric Surgery, Ophthalmology, Plastic and Reconstructive Surgery, Urology, Otolaryngology, Colorectal Surgery, Trauma Surgery, and Other (MD/Researcher). Our Fellows have produced over 81 publications since 2022. 45% of Fellows are female and 64% are from Low- and Middle-Income Countries. 87% of Fellows are early-career.</span></p> <p> </p> <p><em><span style="font-weight: 400;">What is required of a CHESA Fellow?</span></em></p> <p><span style="font-weight: 400;">This is a one-year fellowship. There are virtual one-hour meetings twice per month with Fellows and CHESA program faculty. These Fellow Friday seminars feature guest speakers, career building and mentorship workshops, project development workshops and Fellow work-in-progress presentations, and community building. Fellows are required to complete a scholarly project during their fellowship year, with support from a UCSF / CHESA faculty mentor. Fellows are expected to check-in with their mentors at least once per month to discuss career development and fellowship project progress. Fellows meet monthly with their community pods for peer consulting and community building within their speciality and/or geography. There is an additional time commitment for self-directed learning to complete the global health equity curriculum including program readings and videos. The program will be piloting an annual Global Fellows Gathering starting with the 2024-25 cohort, which may include Alumni Fellows. </span></p> <p><span style="font-weight: 400;">Attendance and participation for both in-person and online curriculum and virtual meetings is required for successful completion of the program. </span></p> <p> </p> <p><em><span style="font-weight: 400;">What types of projects have Fellows undertaken during their fellowship year? </span></em></p> <p><span style="font-weight: 400;">CHESA supports Fellows to undertake groundbreaking initiatives to improve training, access and/or quality of surgical care in their communities. Examples of Fellow projects:</span></p> <ul> <li style="font-weight: 400;" aria-level="1"><span style="font-weight: 400;">Developing the first pediatric surgery service in Burundi</span></li> <li style="font-weight: 400;" aria-level="1"><span style="font-weight: 400;">Conducting preschool and elementary school vision screenings to detect reversible causes of vision loss in children in Haiti</span></li> <li style="font-weight: 400;" aria-level="1"><span style="font-weight: 400;">Scaling advanced trauma training to healthcare providers across Uganda</span></li> <li style="font-weight: 400;" aria-level="1"><span style="font-weight: 400;">Establishing a laparoscopic simulation lab in Tanzania</span></li> <li style="font-weight: 400;" aria-level="1"><span style="font-weight: 400;">Reusing personal protective equipment and surgical instruments and bringing minimal waste solutions from Low- and Middle-Income Countries (LMICs) to a High-Income Country setting</span></li> </ul> <p> </p> <p><em><span style="font-weight: 400;">Does the CHESA Fellowship provide clinical training?</span><b> </b></em></p> <p><span style="font-weight: 400;">At present, the CHESA Fellowship does not provide clinical training. The focus of the fellowship is training, mentorship, and support for education, research and advocacy and policy projects. </span></p> <p> </p> <p><em><span style="font-weight: 400;">What does it mean to be a member of the CHESA Fellow community?</span></em></p> <p><span style="font-weight: 400;">Fellows are members of CHESA and have continued access, engagement and collaboration with mentors, peers, and CHESA partners and affiliates beyond the completion of the program – joining a global network of leaders committed to addressing perioperative health disparities in their communities. Fellows are invited to participate in CHESA working groups, meetings, seminars and conferences, as well as collaborate with other Fellows on projects and may apply for CHESA seed award and professional development support opportunities open to all members. </span></p> <p> </p> <p><em><span style="font-weight: 400;">Does the fellowship include a stipend? Is there a fee to participate in the program? </span></em></p> <p><span style="font-weight: 400;">Fellows do not receive a stipend and are expected to continue with ongoing employment, education and clinical service throughout the fellowship so that learnings from participating in the problem are applied in their work. </span></p> <p><span style="font-weight: 400;">We do not charge a fee to participate in the program. We offer limited project funding and professional development support to our Fellows who are from and based in an LMIC for the duration of their fellowship. Travel expenses related to participation in any in-person convenings will be covered by CHESA by those who require support.</span></p> <p> </p> <p><em><span style="font-weight: 400;">Who manages and supports the CHESA Fellowship program? </span></em></p> <p><span style="font-weight: 400;">The Fellowship is co-directed by an all-female leadership who are outstanding global health leaders and role models for our Fellows, including Lia Jacobson, UCSF pediatric otolaryngologist, Cathy Kilyewala, Makerere University breast and endocrine surgeon, and Sriranjani Padmanabhan, UCSF ophthalmologist. Program management, administrative, and communications support to the fellowship is provided by Zayna Tommalieh, CHESA Program Coordinator, and Patti Orozco, CHESA Deputy Director. The Fellowship team is supported by CHESA faculty leadership (</span><a href="https://globalsurgery.org/about-us/"><span style="font-weight: 400;">see About Us >> Meet the Team + Leadership Committee</span></a><span style="font-weight: 400;">) who serve as mentors and collaborators to our Fellows. It truly takes a village to support our Fellows!</span></p> <p> </p> <p><em><span style="font-weight: 400;">Do I have to move to San Francisco, California to be a CHESA Fellow?</span></em></p> <p><span style="font-weight: 400;">No. Most CHESA Fellows do not live in San Francisco and are not in San Francisco during their fellowship. Our program is flexible, enabling Fellows to participate completely remotely or hybrid/in-person at UCSF, if eligible/applicable. </span></p> <p> </p> <p><i><span style="font-weight: 400;">How can I find out more information about the fellowship?</span></i></p> <p><span style="font-weight: 400;">Visit </span><a href="https://globalsurgery.org/fellowships/the-chesa-fellowship/"><span style="font-weight: 400;">https://globalsurgery.org/fellowships/the-chesa-fellowship/</span></a><span style="font-weight: 400;"> to learn more.</span></p> <p> </p> <p><b>Application FAQs</b></p> <p><em><span style="font-weight: 400;">What are the application requirements to become a CHESA Fellow?</span></em></p> <ul> <li style="font-weight: 400;" aria-level="1"><span style="font-weight: 400;">Short written and video essay responses addressing why you want to become a CHESA fellow</span></li> <li style="font-weight: 400;" aria-level="1"><span style="font-weight: 400;">Project proposal describing the project would like to complete during your fellowship hear</span></li> <li style="font-weight: 400;" aria-level="1"><span style="font-weight: 400;">Optional proposal budget for eligible Fellows from and based in LMICs for the duration of the program who are requesting project funding support</span></li> <li style="font-weight: 400;" aria-level="1"><span style="font-weight: 400;">Your curriculum vitae (CV) or resume</span></li> <li style="font-weight: 400;" aria-level="1"><span style="font-weight: 400;">Two letters of recommendation</span></li> <li style="font-weight: 400;" aria-level="1"><span style="font-weight: 400;"><a href="https://drive.google.com/file/d/1hOz8YnyHfgh7NyQH_GNx1aEbuYK7lIji/view?usp=sharing">Employer support form</a> completed by someone in a direct supervisory role acknowledge support for your participation in the program</span></li> </ul> <p><span style="font-weight: 400;">More details found here: </span><a href="https://globalsurgery.org/fellowships/the-chesa-fellowship/"><span style="font-weight: 400;">https://globalsurgery.org/fellowships/the-chesa-fellowship/</span></a><span style="font-weight: 400;"> </span></p> <p> </p> <p><em><span style="font-weight: 400;">Do I need to be a U.S. citizen to apply to this Fellowship?</span></em></p> <p><span style="font-weight: 400;">The CHESA Fellowship is open to applicants worldwide, including non-US citizens.</span></p> <p> </p> <p><em><span style="font-weight: 400;">Is the CHESA Fellowship available to non-UCSF trainees?</span></em></p> <p><span style="font-weight: 400;">Yes! Individuals who have completed or are enrolled in a health professional training program and are committed to developing a career focused on health equity in the perioperative space. </span></p> <p> </p> <p><em><span style="font-weight: 400;">Are there minimum educational or degree requirements?</span></em></p> <p><span style="font-weight: 400;">Fellow applications should have completed or are enrolled in a health professional training program. For most selected Fellows, this means having completed or current enrollment in post-graduate training (ex. Residency). For nurse and APP applicants, we recommend at least 2 years of experience caring for surgical patients during surgery or post operatively and BSN or Bachelor’s degree.</span></p> <p><span style="font-weight: 400;">We require English language proficiency to participate in the program. </span></p> <p><span style="font-weight: 400;">Additional criteria apply by specialty if an applicant is also seeking clinical appointment at UCSF while participating in the CHESA Fellowship. </span><span style="font-weight: 400;">Only available for </span><a href="https://globalsurgery.org/other-training-opportunities#urology"><span style="font-weight: 400;">Urology,</span></a> <a href="https://ohns.ucsf.edu/education/fellowships/CHESA"><span style="font-weight: 400;">OHNS</span></a><span style="font-weight: 400;"> and </span><a href="https://globalsurgery.org/other-training-opportunities#anesthesia"><span style="font-weight: 400;">Anesthesia</span></a> <span style="font-weight: 400;">applicants who have completed specialty training and are eligible for a California Medical License. Click these links for full eligibility criteria and more information. </span></p> <p> </p> <p><em><span style="font-weight: 400;">Do I need to have completed residency training to apply?</span><b> </b></em></p> <p><span style="font-weight: 400;">No. You may apply for the CHESA Fellowship during your residency (e.g. during dedicated research years) or before residency. A prerequisite is that fellows have adequate time per week to devote to the Fellowship curriculum and their scholarly project (usually ~2 days per week). </span></p> <p> </p> <p><em><span style="font-weight: 400;">Can I apply if I am a medical student?</span></em></p> <p><span style="font-weight: 400;">Medical students are not eligible for the fellowship. </span></p> <p> </p> <p><em><span style="font-weight: 400;">What are the requirements for CHESA Fellows who may seek clinical appointment at UCSF while participating in the program?</span></em></p> <p><a href="https://healinitiative.org/fellowship-overview/"><span style="font-weight: 400;">HEAL Fellows </span></a><span style="font-weight: 400;">and </span><a href="https://globalsurgery.org/other-training-opportunities#anesthesia"><span style="font-weight: 400;">CHESA Anesthesia Fellows</span></a><span style="font-weight: 400;">, </span><a href="https://globalsurgery.org/other-training-opportunities#urology"><span style="font-weight: 400;">CHESA Urology</span></a><span style="font-weight: 400;"> and </span><a href="https://ohns.ucsf.edu/education/fellowships/CHESA"><span style="font-weight: 400;">CHESA OHNS</span></a><span style="font-weight: 400;"> Fellows who wish to join the CHESA Fellowship program and be based clinically at UCSF or San Francisco General Hospital, must have or be eligible for a California Medical License prior to the start date of the fellowship. Applicants must be able to obtain a CA medical license (2113 licenses may be considered) and a US Visa (e.g. H1b, E3 etc) that allows for clinical practice. </span><span style="font-weight: 400;">T</span><span style="font-weight: 400;">he requirements and process will be different depending on your country of origin and training. </span></p> <p> </p> <p><em><span style="font-weight: 400;">How many Fellows are accepted each year? </span></em></p> <p><span style="font-weight: 400;">It varies by year. The CHESA Fellowship program accepts up to 25 per year. </span></p> <p> </p> <p><em><span style="font-weight: 400;">I don’t have a UCSF or CHESA affiliate mentor. Do I need one to apply? </span></em></p> <p><span style="font-weight: 400;">No. CHESA Fellow projects are highly suggested to be supported by a UCSF or CHESA network affiliate, whether they are a mentor or researcher. If you do not currently have a UCSF or CHESA affiliate to support your project, please browse and connect with our CHESA faculty leadership (</span><a href="https://globalsurgery.org/about-us/"><span style="font-weight: 400;">About Us</span></a><span style="font-weight: 400;"> >> Meet Team >> Leadership Committee) and through the </span><a href="https://directory.ucsf.edu/"><span style="font-weight: 400;">UCSF Directory</span></a><span style="font-weight: 400;">. If you are applying from outside the United States, we suggest one of your mentors to be local to you.</span></p> <p> </p> <p><em><span style="font-weight: 400;">How do I apply?</span></em></p> <p><span style="font-weight: 400;">For application instructions for the CHESA Fellowship, visit the CHESA Fellowship page:</span> <a href="https://globalsurgery.org/fellowships/the-chesa-fellowship/"><span style="font-weight: 400;">https://globalsurgery.org/fellowships/the-chesa-fellowship/</span></a></p> </div> </section> </main> <section class="MobileMenu" data-jsmodule="MobileMenu"> <div class="MobileMenu__content"> <form class="content__search" method="GET" action="https://globalsurgery.org"> <input type="text" aria-label="Search people, places, ideas" name="s" value="" placeholder="Search people, places, ideas"> <button aria-label="Search"><img src="https://globalsurgery.org/wp-content/themes/global-surgery/assets/svg/search.svg" alt="search"/></button> </form> <ul id="nav_mobile_menu" 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