Host center application form

Welcome to the online AO Trauma Fellowship Host Center application form.

Please enter your details in the form by completing each of the upcoming four steps. Fields with a red asterisk (*) are mandatory and therefore must be completed. Some fields have an associated hint which can be made visible by moving your cursor over the icon. To move backward and forward through the form, use the step bar.

Within 24 hours of submitting the form, you will receive an e-mail confirming the submission of your application.

If you have any questions, please contact us at trauma@fellows.aofoundation.org

Department information
Number of cases per year
Subspecialties available to the fellow

Number of cases per year.

Please add additional subspecialties as necessary by adding a title and the number of cases per year for each.

  
Other activities
Scrub in

Is there an opportunity for the AO Fellows to scrub in? * 

After-hours duties

Will the fellow be called in for after-hours emergencies? * 

Language
0 Level of proficiency
0 Level of proficiency

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