Research Fellowship in Complementary and Alternative Medicine

Program on Integrative Medicine

University of North Carolina, Chapel Hill
Application

Please complete the following application, save and return as an email attachment (preferred method) or
by post (see mailing address on next page). Applications are accepted on an on-going basis. You are
advised to contact the Program on Integrative Medicine at (919)966-8586 prior to submitting your
application. Notification of traineeship award decisions will be made in writing.

Date: 12/02/2017

Name & Degree(s): RICHARD BONSRA FYNN, MD

Home Address: 907 WAYBOURNE WAY

LAKE MARY,FLORIDA,32746, USA

Home Telephone: ( ) Cell: (732 ) 8958758

Email: richard.fynn@dr.com

Office Address:

Office Telephone: ( ) Pager or Mobile (optional): ( )

Indicate preferred mailing address:  home office email

Citizenship: GHANA If other than U.S., type of visa: PERMANENT RESIDENCE

Applying for fellowship to begin: JUNE 2018

UNC T32 Fellowship in CAM Application Form 1

References:

Please provide below the names, addresses, titles, and telephone numbers of three individuals whom you have
asked to provide recommendations. These persons should be able to comment on the current stage of your career
and at least one previous stage. Letters of recommendation may be submitted electronically but should also be
followed by a signed hard copy version. Application and correspondence should be addressed to:

Kelly Eason, Fellowship Coordinator

Program on Integrative Medicine
Department of Physical Medicine & Rehabilitation
Campus Box 7200, 1148 Memorial Hospital
Chapel Hill, North Carolina 27500
(919) 966-8586

Letters of Recommendation will be sent from:

1) Dr. Solomon Gumanga

Consultant, Obstetrics and Gynecology
Tamale Teaching Hospital
P.O. Box TL 16, Tamale.
Tel : +233244167264

2) Dr. William Arhin Thompson

Medical Director
Agogo Presbyterian Hospital
P.O. Box 27 ,Agogo
Tel : +233243320552

3) Dr. Odalys Rivera

Head of Department, Internal Medicine
Tamale Teaching Hospital
P.O. Box TL 16, Tamale.
Tel : +233546624145

Please indicate the graduate and undergraduate institutions from which you have received
degrees. Begin with most recent:

Degree Institution Location Dates (Mo./Yr.) attended Major/GPA

MD OSH STATE UNIVERSITY, KYRGYZ REPUBLIC SEP 2009 to JUNE 2011 MEDICINE

N/A PEOPLE'S FRIENDSHIP, KYRGYZ REPUBLIC OCT 2005 to AUG 2009 MEDICINE
UNIVERSITY

UNC T32 Fellowship in CAM Application Form 2

Date doctorate degree received/expected: JUNE 17, 2011
Doctorate degree must be awarded prior to the date applicant would begin this post-doctoral fellowship program.

Have you ever received any NRSA stipends? NO

If so, please describe the program briefly and provide dates of your involvement:

How did you learn about this UNC Fellowship program?

GOOGLE SEARCH

1. Personal Statement: Please provide a typewritten statement that includes the following (single
spaced, 11 or 12 point font, not to exceed four pages):

a. Indications of your commitment to pursue research in integrative medicine. Please include

information about any past experience that may show this commitment,
b. The training and research experience you hope to obtain, and your career goals. Be as specific as
possible.
2. If you have identified one or more faculty members with whom you would like to work, please
list name(s) here:

Susan A.Gaylord,PhD Douglas Drossman MD

WilliamWhitehead,PhD Michael Fried, MD

3. Curriculum Vita: Please append a recent CV that provides at least the following information:

• Undergraduate colleges attended, including institution name, location, inclusive dates attended,
major and minor discipline(s) studied, and degree received.
• Graduate or professional schools attended, including institution name, location, years attended, major
discipline(s) studied, and degree received.
• Postgraduate training, including institution name, location, years attended, major discipline(s)
studied, and degree received.
• Honors and awards, including scholarships.
• Publications and papers presented at professional meetings.
• Previous employment, including job title, years worked in the position, and type of work performed.

4. If you wish, please attach ONE published article that reflects a project in which you have
participated.

UNC T32 Fellowship in CAM Application Form 3

5. Racial/ethnic identity. Providing the following information is voluntary. There is no penalty
for leaving this item blank.

Please indicate your racial and/or ethnic identity: BLACK

The Program on Integrative Medicine is committed to recruitment goals that enhance diversity. Please let us
know if you are an individual who falls into any of the following categories: member of an underrepresented
racial and ethnic group, individual with disabilities, individual from socially, culturally, economically, or
educationally disadvantaged background.

UNC T32 Fellowship in CAM Application Form 4