LHU OBSERVERSHIP APPLICATION FORM
E-Posta
First (Personel) Name
Last (Family) Name
Gender
Date of Birth
Primary Language
Languages Spoken
Country
Current Home Address
Primary Telephone Number
Passport Number
Current Employer
Degree Earned
MD
MBBS
PhD
Please choose one of the departments below.
Interventional Radiology
Urology
Gastroenterology
Intensive Care Unit
Ophthalmology
Anaesthesia
Neurology
Internal Medicine
Gynecology and Obstetrics
Cardiac Surgery
Cardiology
Otorhinolaryngology
Neurosurgery
Microbiology
General Surgery
Orthopedics and Traumatology
Anatomy
Biochemistry
New Born Unit
Infections Diseases
Radiology
Biochemistry
Physical Medicane and Rehabilitaion
Endocrine and Metabolism
If you want a Structured Observership Program, please choose the options bellow. Otherwise, tick the no option.
Lütfen Seçiniz
Advanced Laparoscopic Surgery Course
Cardiology Course
No
Choose Your Rotation Period (Fellowship activity cannot be longer than 3 months. Please create your future dates according to this rule)
Requested Starting Date
Requested Ending Date
References
If you have a note you want to add
Gönder
Thank You