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���� 1. Terzano MG, Parrino L, Sherieri A, et al. Atlas, rules, and recording techniques for

the scoring of cyclic alternating pattern (CAP) in human sleep. Sleep Med 2001;2(6):537-53.

2. American Academy of Sleep Medicine (AASM) released Version 2.2 of the AASM Manual for the Scoring of Sleep and Associated Events, the definitive reference for standardized sleep monitoring and scoring.

3. Della Marca G, Vollono C, Rubino M, et al. Dysfunction of arousal systems in sleep-related migraine without aura. Cephalalgia 2006;26(7):857-64.

4. Nayak C, Sinha S, Nagappa M, et al. Study of sleep microstructure in patients of migraine without aura. Sleep Breath 2016;20(1):263-9.

5. Ong JC, Park M. Chronic headaches and insomnia: working toward a biobehavioral model. Cephalalgia 2012;32(14):1059-70.

1

IHS FELLOWSHIP AWARD 2017 INFORMATION AND APPLICATION FORM

Information for Applicants TheIHSfellowshipawardaimssupportinnovativeandimpactfulresearchfromyounginvestigators,promotethe

careerofyounginvestigatorsinthefieldofheadache,andincreasetheknowledgebaseofheadachedisorders.

Applicationsforbasicorclinicalheadacheresearch,oracombinationofbasicandclinicalresearch,willbe

considered.

Thedeadlineforapplicationsis15May2017;applicantswillbenotifiedwithin2monthsofthedeadline.The

fellowshipshouldcommencewithin6monthsofacceptance.

Applications received by the IHS Administrative Office will be evaluated to ensure they fulfil all the required

eligibility criteria. Incomplete or incorrect applications will not be considered further. Complete and accurate

applicationswillbesubmittedforevaluationtotheIHSFellowshipReviewCommittee.Applicantswillbeinformed

ofadefinitivedecisionbyemailassoonaspractical.

Lengthoftenure:Fundingisprovidedfor1-and2-yearfellowshipsValue:Theaward is designed toprovide funding to cover the fellow’s salary costs basedon the local economic

contextofwherethefellowshipistakingplace.ThemaximumamountofthetotalyearlygrantisGBP50,000(12

months).

Awardsaretobereceivedbythehostinstitution–noadministrativeexpensesshouldbedeductedfromthegrant

award. In exceptional circumstances (such as in the case that the host institutions will withhold administrative

expenses)awardsmaybepaiddirectly to the fellow inportionsdependingonprogress reportsapprovedby the

mentor.

Fundingtransparency:TheapplicantmustdeclareinadvancetoIHSifhe/shewillbenefitfromanyothersourceof

financingtocompletethefellowship.

Essentialcriteria:Applicantsmustmeetthefollowingcriteriatobeconsideredforafellowshipaward:

● TheapplicantandmentormustbemembersofIHS

• The applicant and mentor must be professionally involved in the treatment, research or management of

headachedisorders

● Theapplicantshouldbewithin7yearsofcompletingtraining(MD,PhD,specialtytraining,whateverwaslast)

notincludingnon-professionalperiods

● TheapplicantshouldnothavepreviouslyreceivedanIHSfellowshipaward

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● The hosting institutionmust be different from the home institution and preferably, but not necessarily, in

anothercountry.

● The applicant should not currently beworkingwith the futurementor. In special cases applications on this

basiswillbeacceptedifthecurrentworkingperiodhasbeenforlessthan12months

● Nogeographicalrestrictiononthehostinstitutionshallbeapplied

Application:Eachapplicationmustinclude:

● Updatedcurriculumvitaeoftheapplicant(toincludepersonaldata,qualifications,languageability,academic

training,clinicalexperience, researchexperience,honoursachieved, fullbibliographyandanyothermaterial

thoughttobeappropriate)

● FellowshipproposalfollowingthetemplateintheAimsandplansection

● Tworeferenceletters(otherthanthefellowshipmentor)

● Updatedshortcurriculumvitaeofthefellowshipmentor

● Confirmation letter of support and acceptance from the host institution or fellowship mentor (to include

where appropriate a description of the clinical programme, hours of work, type of work, time in the

office/hospital,levelofpatientcare).

Host organisation: The host organisation must ensure that the award holder is made aware of his/her

responsibilitiesduringthefellowship.Failuretocomplywiththeseconditionsmayleadtoterminationoftheaward

andthesocietyreservestherighttorecoverthefundinpartorfully.

Data protection: Tomeet the society’s obligations formember’s accountability, some details of Awardswill be

madeavailableonthesociety’swebsite,reports,documentsormailinglists.

Protection of any intellectual propertywill be fully respected.Nevertheless, andwith the consent of the award

holder,thesocietymaysharethefindingsfromtheresearchfellowshipwithitsmembersviaitswebsiteorowned

publications.

Reporting:Theawardholdermustsubmitan interimreportonthecompletionofthefirsthalfofthefellowship,

and a final report within 6months following the end of the fellowship period. All reportsmust be signed and

approvedbythementor.

All paymentsmay be recovered if the report is not receivedwithin the 6months of the end of the fellowship

period.

Datapresentation:Theawardholdermustpresenttheresultsofhis/herresearchatthenext IHScongress (IHC)

followingcompletionofthefellowship(unlessthecongressisheldlessthan1monthfollowingsubmission).

IHScontribution:Thesociety’scontributiontotheaccomplishmentofthefellowshipshouldbeacknowledgedinall

publicationsorpresentationsrelatedtotheresearch.

Insurance:Anyinsurance-relatedmattersforthedurationofthefellowshipwillbetheentireresponsibilityofthe

awardholder.

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APPLICATIONFORMThisformmustbefullycompletedwiththerequireddocumentationinordertobeeligibleforthefellowship

award.

ThefullapplicationinelectronicformmustbesenttoIHSbyemailtocarol.taylor@i-h-s.org

Applicationdeadline:15May2017Receiptofyourapplicationwillbeacknowledged.Notificationwillbesenttoyouby30June2017.

Requiredinformation1. General

Name

Nationality

Dateofbirth

Fullcontactaddress

Currentworkingaddress

Currentstatus(trainingin

headache,ifnolongertraining,

whentrainingended)

Emailaddress

Telephone

2. FellowshipLengthofthefellowship

Proposeddates (tocommencebeforeJanuary2018)

Proposedlocation

Institutionname

Institutionaddress

Mentorname*

Mentorcontactdetails

Titleofproposedstudy

*Theapplicantshouldnotbecurrentlyworkingwiththementor

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3. FinancialinformationAmountrequested

● Forremuneration&relatedcosts:

● Fortravel:

● Forsubsistence(basedonno.ofdays):

● Forotherexpenses(justifyinfull):

Totalamount:_____________________

Wouldyoubegrantedpaidleave

ofabsencetotakeupthis

fellowship?

YES/NO

IfYESpleasestatetheamount_____________________

4. ResearchdetailsReasonsforchoosingthehostinstitutionandmentor

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Aimsandplanoftheproject Pleasestructurefollowingthegiventemplate

Title:

Abstract:(<½page)

Hypothesisandobjectives:(<½page)

Background:(<1page)

Methodsandstatisticalplan:(<1page)

Relevance:(<½page)

Potentialfutureimpactofprojectontheheadachefield

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Whatdoyouexpecttogainfromthefellowship?

Futureimpactoffellowshipandprojectonyourcareer

5. Requireddocumentation(checklist)

○ Updatedcurriculumvitaeoftheapplicant(includingAcademicrecord(degree,subject,institution,year,etc.)

○ Aclearfellowshipproposal(documentationabove)

○ Tworeferenceletters(otherthanthefellowshipmentor)

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○ Updatedcurriculumvitaeofthefellowshipmentor

○ Completedmentorsection(pleaseseethelastpageofthisdocument)

○ Confirmationletterofthefellowshipacceptancefromthehostinstitutionandmentor

6. Acceptance

Ihavecarefullyreadandcompletedtheaboveapplicationformandattachedalltherequesteddocumentation.IfmyapplicationissuccessfulIagreetoabidebytherulesandregulationsforthisaward.

Signature:____________________________Date:___________________________________

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MENTORSECTIONThissectionmustbecompletedbythefellowshipmentorINCONFIDENCEANDMUSTBESENTINDEPENDENTLYfromtheremaiingfullapplicationandrelateddocumentationbyemailtocarol.taylor@i-h-s.orgby15May2017Applicant’sname

Titleofproposedstudy

Mentor’sname

Institution’sname

Mentor’scontactdetails Address:

Tel:_______________________Fax:_______________________

Email:_____________________

Applicant’sscientificabilityandsuitabilityforthisfellowship

Whyisyourinstitutionappropriatetoholdthisspecificfellowship?

Signature:____________________________Date:___________________________________

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