Application for the MGH Fellowship Program in Rural Health Leadership

Thank you for your interest in the MGH RHL Fellowship.

Applications are currently being accepted for the two-year fellowship beginning July 1, 2027. The Fellowship Training Committee will review all applications. The fellowship director may conduct a telephone interview before extending an invitation for an interview. Virtual interviews will be scheduled for November 2026.

How to Apply

Application deadline: October 31, 2026

The application requires:

A completed survey application (this form)
A CV (uploaded within this form)
Three letters of recommendation, electronic or scanned, two of which are from current or past clinical supervisors (emailed by letter writers to ruralmedicine@mgh.harvard.edu).

As incomplete surveys cannot be saved or edited after submission, we recommend copy/pasting your responses into the survey when you are ready to submit.

It is the ethos of the Rural Health Leadership program that we will tailor the fellowship experience to each fellow's interests and career needs. We believe in partnership with our fellows as much as with the communities in which we work and aspire to create an atmosphere of co-ownership and co-leadership. Given the fellowship's focus, the program encourages applications from individuals from underrepresented minority groups and/or who hail from rural areas. Massachusetts General Hospital is an equal opportunity employer.

We welcome questions about the program and application process at any time. Please direct questions to Fellowship Director Stephanie Sun at swsun@mgh.harvard.edu or Fellowship Coordinator Laura Ricci at lricci@mgh.harvard.edu.

Last Name

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First Name

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Email Address

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Mailing Address

Telephone Number

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Date of Birth

Last Four Digits of SSN

Emergency Contact Name

Emergency Contact Number

Will you have completed a US medical residency program in Internal Medicine, Family Medicine, or Medicine/Pediatrics by July 1, 2026?

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Yes

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If Family Medicine: Do you have an interest in continuing to practice obstetrics?

If Combined Internal Medicine & Pediatrics: Do you have an interest in continuing to practice pediatrics?

II. Education / Licensure (* required)

Please upload an updated CV.

Please include all educational programs since high school in the CV, including dates of attendance, degrees and honors.

Please include all residency training including hospital, location, dates, and type of residency in the CV.

Please include all prior fellowship training programs including relevant information such as location, affiliations, and type in the CV.

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II.A) Please describe up to 5 experiences relating to rural health or health care for underserved/vulnerable groups.

Please use 40 words or less to name and describe each experience.

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II.B) Have your privileges at any hospital or other facility ever been denied, limited, suspended, revoked, or not renewed? And/or have you ever been denied membership or a renewal therein or been subjected to disciplinary proceedings in any hospital or medical organization?

If yes, please give full details in Appendix A.

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Yes

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II.C) Has your license to practice medicine in any jurisdiction ever been limited, suspended, or revoked?

If yes, please give full details in Appendix A.

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Yes

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II.D) Have you ever voluntarily relinquished your license?

If yes, please give full details in Appendix A.

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Yes

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II.E) Board Certification/Eligibility Questions

*Yes/No: Have you failed any USMLE or board examinations or have you not yet taken Step 3?
If yes, please list exams and dates here:

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II.F) Board Certifications/Eligibilities, if any:

*Please list all current and past state medical licenses:

III. References

Please list the name, title, and email address or phone number of your three letter writers.

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IV. Statement of Interests and Goals

Please write a ≤ 250-word statement describing your professional interests in rural medicine. Consider addressing interests working with underserved or vulnerable communities, clinical care, health systems, social justice, education or research, along with corresponding project ideas, career goals or personal experiences. This is intended to be a brief summary of your career/personal interests and not comprehensive.

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V. Define leadership

Please write a ≤ 100-word statement describing what leadership means to you.

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VI. Attestation

I certify that to the best of my knowledge and belief, all of my statements are true, complete, and made in good faith.

Candidate's name (serves as signature) & date:

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VII. Appendix A:

If you answered yes to any of questions II.B, II.C, or II.D, please provide full details here.

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