International Medical Observer Application - The Hospital for Sick Children

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To apply for an international medical observer experience, you are required to complete the online application form in Section A. In addition, you are required to upload the following in Section B:

Your current resume/CV
A letter of recommendation from your supervisor

Once you submit your online application, you will be provided with a secure link to complete a non-refundable application fee payment of $200 CAD. Please note that completing this application form does not guarantee acceptance.

Following acceptance, you will be contacted to submit additional documentation by email including, but not limited to:

Hospital application form
Immunization record form
Visit agreement
Copy of your professional degree (officially translated in English)
Passport sized photo
Credentialing fee of $175 CAD
Proof of health/travel insurance policy

International Medical Observer Application

Section A: Online Application

Personal Information

Title: *

First Name *

Last Name *

Position/Professional Designation *

Degree and Qualifications (please list) *

Area of Practice *

Address (Street Address, City, Postal Code, & Country) *

Telephone Number *

Business Phone Number *

E-mail Address *

Emergency Contact Name *

Relationship to You *

Emergency Contact Email Address:

Emergency Contact Telephone Number *

Organization Information (Within Country of Origin)

Agency/Hospital/Institution Name *

Agency/Hospital/Institution Address (Street Address, City, Postal Code, & Country) *

Supervisor Name *

Supervisor Phone Number *

Supervisor Email Address *

Learning Experience Information

Expected Start Date (dd/mm/yyyy) *

Number of Weeks* (Please note that some departments/divisions may limit requests to a maximum of 4 weeks) * Number of Weeks* (Please note that some departments/divisions may limit requests to a maximum of 4 weeks)

Please note that a fee will be applied based on the number of weeks requested. For more information regarding fees, please contact: ilp.requests@sickkids.ca

Why do you wish to visit The Hospital for Sick Children? *

What are your learning objectives? *

What prior learning/experience have you had in relation to these objectives? *

SickKids is also available to coordinate observation experiences at one of our International Learner Program affiliated hospitals. Please advise if you are also interested in pursuing an observational experience at an affiliated:

Adult Hospital. Please provide details and your objectives

Kids Rehab Hospital. Please provide details and your objectives

Section B: Supporting

Current resume/CV*:

Please attach your most up to date resume/CV

File Upload *

Maximum file size: 516MB

Recommendation Letter*

Please attach a letter of recommendation from your supervisor

File Upload *

Maximum file size: 516MB

A non-refundable application fee of $200 CAD will be applied. Upon successful submission of your application, you will be provided with a secure link to complete the application fee payment.

Please allow 4-6 weeks for your application to be processed. You will be contacted by SickKids regarding the status of your application and the fees associated with your learning experience.

Successful applicants will be contacted to provide further documentation, including completed physician observer application, immunization record form, observation agreement, credentialing fee payment of $175 CAD, a copy of your degree (officially translated in English), and a personal photo.

It is understood that during your experience you may have access to confidential information. Checking the box below indicates that you recognize that you are in a position of trust with The Hospital for Sick Children and agree to maintain confidentiality at all times.

Terms and Conditions *

I have read and reviewed the Terms and Conditions

* Fields marked with an asterisk are required.

If you are human, leave this field blank.

Healthier Children. A Better World.^TM

International Medical Observer ApplicationInternational Learner Program

Personal Information

Organization Information (Within Country of Origin)

Learning Experience Information

Current resume/CV*:

Recommendation Letter*

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