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Please
return to:
Paul S. Mueller, MD, MPH
Secretary-Treasurer
The American Osler Society
Division of General Internal Medicine
Mayo Clinic
200 First Street SW
Rochester, MN 55905 USA
FAX: 1-507-284-5889
ALL NOMINATIONS MUST BE IN THE OFFICE OF THE
SECRETARY-TREASURER NO LATER THAN THE FIRST DAY OF FEBRUARY OF THE CURRENT YEAR IN ORDER
TO BE CONSIDERED AT THE ANNUAL MEETING
(click link to view dates of upcoming meeting).
Please include the following:
- Completed and signed Membership Proposal Form must be
signed by two sponsors.
- List significant publications which pertain to 1)
William Osler, 2) other medical historical topics, 3) other
publications.
- A list of all the nominee's publications
should be included separately from the one-page list of significant
publications noted above. This should include complete papers
(whether published or accepted for publication). Use the Index
Medicus bibliographic form. Please do not send an extensive
curriculum vitae.
- Statement from Nominee as to why he/she is interested
in membership in the American Osler Society, and what the nominee
would hope to contribute to the Society.
- Letter of recommendation from member proposing
nominee.
- Letter of recommendation from member seconding the
nominee.
- Two (2) copies of each of the candidate's five (5)
most significant publications pertaining to William Osler and/or the
history of medicine.
- If, between the time that the nomination form is
submitted, and the time of the Spring AOS Board of Governor's Meeting,
the nominee has a significant publication appear, please submit
supporting materials indicating such information to this office.
- Photograph. 2 copies 4 x 5", black and
white of head and shoulders.
Download Application |
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