Fellows at CARVE Application

Application details

A maximum of 25 fellows and/or residents will be invited to participate in the Fellows at CARVE (see agenda). Interested vascular surgery, interventional radiology and cardiology fellows, and senior-level residents are invited to submit an application to be considered for attendance.

1. Statement of Interest

Reason(s) you would like to attend Fellows at CARVE
Summary of experience and devices used to date
Topics of interest
Other information you deem important

2. Curriculum Vitae (CV)

3. Case report

Submit one case report in abstract format.
Invited attendees must submit Final (8-12 page)Powerpoint presentations by January 21, 2025.
Invited attendees will present their cases on February 18, 2025. Please note that a presentation is required for travel and lodging reimbursement.

Please complete the application below, attaching all required documents

Fellows Application

Name*
First Last
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Phone*
Personal Email*
Institution*
Program Director*
Type*
Specialty*
PGY*
How did you hear about Fellows at CARVE?*
Future Career Plans*
- Academic
- Private Practice
- Community Practice
To support the educational grant reporting requirements: NPI#*
Medical License State*
Institution Employer ID # (EIN)*
Professional Phone #*
Professional Email*
UPLOAD FILES HERE (maximum file size of 50mb)
Drop files here or

Max. file size: 50 MB.
If you have technical issues, please contact Chris Anderson canderson@mplsrad.com or 763-398-2212.