Pain Fellowship Application

Download Pain Fellowship Application (PDF)

General Instructions for Completion Of this Application

• All applicants must have completed an ACGME accredited Residency training program.
• Each section must be complete and legible or your application will be deemed incomplete and returned to you. This pertains to any attachment you include with the application; e.g., CV, copies of licenses, certificates, etc.
• The verification process on your education, training, and experience will not begin until a completed application has been received.
• Do not refer to an enclosed curriculum vitae in lieu of completing a section. A CV does not usually contain all the information needed (e.g., complete dates, addresses, names, etc).
• If a section does not apply to you, write/type in “N/A.” Do not leave any block blank.
• All chronology must be accounted for from the completion of your medical/professional degree, to the present. Gaps of one month or more will cause the verification process to be delayed until you provide an explanation. Delays can also be caused by incomplete names and addresses – please provide complete information in all sections.
• If additional space is needed, attach additional pages (make reference to the question being answered) or, copy the blank application page as often as necessary to provide complete information. Keep these additional pages in sequence with corresponding application pages.
• Fill out the form on-line and print out the completed form.
• Mail the completed form to:

Paul J. Christo, M.D., M.B.A.
Assistant Professor
Director, Multidisciplinary Pain Fellowship
Department of Anesthesiology & Critical Care Medicine
Division of Pain Medicine
The Johns Hopkins University School of Medicine
550 N. Broadway, Suite 301
Baltimore, Maryland 21205
Phone: 410-955-1818
Fax: 410-502-6730