ESCP Fellowship/Observership Host Centre Information

Please complete this form by filling in the information to specify the characteristics of your Host Centre to receive our fellows for a 2-week Observership and/or 3-month/6-month Fellowship.

The maximum file size that can be uploaded is 2MB. Upload formats: jpg, jpeg, png
The maximum file size that can be uploaded is 2MB. Upload formats: jpg, jpeg, png
The maximum file size that can be uploaded is 2MB. Upload formats: jpg, jpeg, png

Please provide full contact details should we need to contact your further:

Do you comply with the following requirements to be a 6-months Robotic Surgery Host Centre?

As our future education programmes, we would like to ask if lead clinicians/ senior surgeons would like to offer:

This is mainly to have informal advice from a senior surgeon or expert in the field about a difficult case. Virtual reality technology might allow in future for experts to provide remote proctorship. The idea of this question is to provide contact info to members rather implementing the technology.

Reports of previous fellow -1-

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Reports of previous fellow -2-

The maximum file size that can be uploaded is 1MB. Upload formats: jpg, jpeg.

Reports of previous fellow -3-

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ESCP Affiliates