Physician Leadership Program

First Name

Last Name

Phone Number:

Email Address

Birthdate

Mailing Address

Country

Street

City

Region

Postal Code

Organization:

Cedars-Sinai Medical Center and affiliate sites

Other (enter institution below)

USC Keck School of Medicine

Affiliated hospital/organization:

Department:

Division/Section Unit:

Are you currently in a leadership role?

Yes

No

What is your leadership role?

Are you a nominated candidate for a leadership position?

Yes

No

Please identify your anticipated leadership role:

You must be a current or nominated candidate for a leadership position within a healthcare setting.

Attach an essay of no more than 1,000 words that answers the following two questions:

What are your leadership development goals?
How do you think the Physician Leadership Program will support your leadership development?

Attach your resume or CV

The total tuition for the Physician Leadership Program is $3,000 for the 10-month program. To secure your space, a $500 non-refundable deposit is required upon acceptance to the program. The remaining $2,500 balance must be paid in full before the program starts.

Participants from Cedars-Sinai, its affiliates, and the Keck School of Medicine are eligible for a discounted rate. Additional information on this rate is available when you select your affiliation within the application process or by contacting Dr. Jennifer Phillips, Program Co-Director, at jlp62386@usc.edu for further details.

The standard tuition rate for the Physician Leadership Program is $3,000 for the 10-month program.

Participants from Cedars-Sinai, its affiliates, and the Keck School of Medicine receive a discounted tuition rate of $1,000 for the 10-month program.

To secure your space, a $500 non-refundable deposit is required upon acceptance to the program. The remaining balance must be paid in full before the program starts.

If you have questions about whether a discounted rate is applicable given your affiliation, please contact Dr. Jennifer Phillips, Program Co-Director, at jlp62386@usc.edu.

At the time of application, you will be charged a $25 application fee. You will be redirected to a payment page once you click 'Submit' below. Your application will not be reviewed until you have paid this fee.

Amount Due: