GLOBE Nurse Application

Pediatrics Global Oncology and Blood Disorders Education (GLOBE) Program
GLOBE Nurse Scholar Application
The Pediatric Global Oncology and Blood Disorders Education (GLOBE) Program hosts visiting pediatricians and nurses from developing and underdeveloped countries, as a part of the Dana-Farber/Boston Children's Cancer and Blood Disorders Center's (DF/BC) Global Health Initiative (GHI). The GLOBE Program is an observership experience in which participants attend patient rounds and other clinical activities, as well as participate in teaching conferences under the supervision of a DF/BC staff physician or nurse.

During the GLOBE Nursing Program, participants learn how pediatric hematology and oncology care is delivered in our institution, observe how our medical and nursing teams and departments are structured and interact, and learn how to provide evidence competency based care to patients and families. The GLOBE Scholars are also encouraged to share their own experience and expertise with our trainees and staff.
Deadlines
GLOBE Fall 2020

Monday, October 19, 2020 - Friday, November 13, 2020

APPLICATION DEADLINE:

Friday, November 29, 2019 at midnight (EST)

PUBLICATION OF RESULTS:

Friday, January 31, 2020 (or earlier)

APPLICATIONS RECEIVED AFTER THE DEADLINE

WILL NOT BE CONSIDERED
GLOBE Nursing Requirements
Required experience and qualifications

Candidates must:
- Have Bachelor (or higher) degree in Nursing
- Have at least two years of documented working experience in nursing
- Have at least two years of documented working experience in pediatrics or oncology or pediatric oncology
- Work at a public or non-profit hospital in a low- or middle-income country
Language

Verbal and written English proficiency is mandatory for participation in the GLOBE Program. Proof of language proficiency, medical terminology, and a Skype interview are required.

Visa

All international observers, who are not permanent residents or citizens of the U.S., must be in the U.S. on a tourist visa. Our Program does not sponsor anyone for the sole purpose of participating in the GLOBE Program or provide advice regarding visa status or requirements, which are determined by the U.S. State Department. We are able to provide a letter of acceptance to the GLOBE Program to help with the visa application process. Please note we do not assist or sponsor any part of the immigration process. For any questions or additional information about visas, please visit: travel.state.gov/content/visas/en.html

Travel and Accommodations

Scholars are responsible for all personal, travel, lodging, and transportation expenses that result from participation. We will provide a list of resources collected from past participants, but the list provided is neither exclusive nor exhaustive.

Fees and costs
- $600 – Approximate living expenses per week (housing, meals, and transportation)
Timeframe and deadlines
- The GLOBE Nurse Scholar Program has a duration of four weeks. The program runs twice a year – in the spring and autumn.
Due to government regulations, international visitors at Dana-Farber Cancer Institute or Boston Children’s Hospital may only participate in clinical activities as observers. These regulations prevent Nurse Scholars from having direct patient care responsibilities. Despite this, Scholars may observe clinical interactions fully and participate in bedside didactic teaching and help other team members with tasks that, though part of patient care, are not considered direct care (for example, literature searches regarding a clinical problem, and protocol review). All GLOBE Scholars must comply with the Dana-Farber Cancer Institute and Boston Children’s Observership Policies at all times.

Finally, it is important for applicants to realize that the GLOBE Program is an informal educational experience. It does not represent a formal subspecialty or fellowship training. Therefore, the GLOBE Scholars will receive a certificate of attendance describing their participation dates and activities, but will not receive any form of licensing or academic credit from Dana-Farber Cancer Institute or Boston Children’s Hospital.
Application Instructions
If you have any questions, please email: globe@dfci.harvard.edu

Each applicant is responsible for ensuring that the application is complete. All returning applicants are required to submit a complete new application. The Selection Committee will not consider any additional changes once an application has been submitted.

GHI reserves the right to request additional information or verification of information and/or documents submitted. If an applicant is unable to do so, GHI reserves the right to withdraw consideration of the application and may withdraw acceptance.

Applicants must assume all costs involved with the application submission.

We cannot guarantee that the submission of an application will result in acceptance.

We only host 2 nurses each period.

Diversity is a source of strength for the Institute and we provide fair and equitable consideration of applicants for the Pediatrics GLOBE Program without regard to race, color, religion, ancestry, age, national origin, place of birth, gender, gender identity or expression, sexual orientation, disability, genetic information, or any other category protected by federal, state, or local law.

Application Materials
- GLOBE Program Application Form
- Updated Curriculum Vitae
- Letter of Support from home institution
- Copy of nursing degree
- Picture in jpeg format
If available, we encourage you to submit the following with your application:
- Proof of English Proficiency (TOEFL or IELTS)
- Copy of Passport
- Copy of US Visa
Submission Instructions
- All information must be completed in English;
- All documents must be e-mailed back as PDF files* (any other format is not acceptable);
- If a form consists of more than one page, upload as a single document;
- Name each file starting with your last name (for example: Smith_CV, Smith_Application, etc.);
- When a signature is required, include original signature and not electronic signature.
*To convert or create PDF files, you could use http://www.freepdfconvert.com/

Upon acceptance to the program, Scholars are required to comply with DF/BC Immunization and Screening requirements. For more detailed information, please refer to the “After you apply”, and “Immunization and Screening requirements” sections.

Failure to comply with proofs of immunization, tuberculosis screen, and health insurance status will result in withdrawal of application and/or acceptance.

Scholars must attend a DFCI orientation on the first day of the GLOBE program

GHI staff is available to help international candidates with the application and on boarding process. Please do not hesitate to contact us during with questions or concerns to: globe@dfci.harvard.edu
After you Apply
Once we have received your complete application and supporting materials, the selection committee will review the application and one member will contact you to schedule an interview.

Upon acceptance to the Pediatrics GLOBE Program, the following materials will be required:
1. Completed Observership Program Agreement form, signed by both observer and sponsor
2. Proof of federally mandated health insurance for the duration of the stay in the US.
3. A copy of the observer's visa
4. Observer's Health Requirements: Observers are required to submit proof of the following immunizations (record must be translated into English, if applicable ):
- Vaccinations of the following: two Varicella (chicken pox), two MMR or two Measles and Mumps, and one Rubella; or titers (blood tests) of all showing immunity.
- Tuberculosis Information: two PPD skin test within the year or a two-step PPD skin test if no other prior TB skin testing is available. If the ppd skin test is positive, must provide a copy of a negative chest x- ray report taken after the positive PPD result. Will also accept a negative T-spot or Q-gold blood test for TB.
- Proof of three hepatitis B vaccinations or a titer indicating immunity; or provide a declination if not receiving the vaccine.
- Proof of influenza vaccine (during the Influenza season).
- Middle Eastern Respiratory Syndrome (MERS) Screening for applicants coming from the Arabian Peninsula or neighboring countries, including Bahrain, Gaza Strip, Iraq, Iran, Israel, Jordan, Kuwait, Lebanon, Oman, Qatar, Saudi Arabia, Syria, the United Arab Emirates, the West Bank, and Yemen
Upon approval of the Pediatrics GLOBE Program, Human Resources requires that you submit the following materials:
- Signed Dana-Farber confidentiality statement and other on-boarding agreements (HR will provide)
- Signed criminal background check form (If a background-check attestation can be obtained from the home institution in advance it should be submitted with the application. Otherwise background check paperwork will be completed upon arrival to DFCI)
Immunization and Screening Requirements

All staff (funded, sponsored, temporary), volunteers, and students are required to have a pre-placement screening, based on DFCI infection control standards. A health clearance screening is required annually for those working directly with patients or researchers working with Mycobacterium Tuberculosis.

Tuberculosis Screening

One of the following is required:
1. Documentation of two TB skin tests within the year or one TB skin test within the year with documentation of precious serial (consecutive) negative TB skin tests. Will also accept a negative T-Spot or Q-Gold blood test within one year of starting date.
2. If the TB skin test is over one year, and documentation is not available, a blood-test for TB: T-Spot blood test will be done in lieu of a 2-step TB skin test.
3. Students must provide documentation of a TB skin test or a blood test for TB: T-Spot or Q-Gold blood test with the date of testing and results.
4. For individuals known to be TB skin test positive or have a positive blood test for TB: T-Spot or Q-Gold blood test, written documentation of this along with a chest x-ray report ruling out active tuberculosis is required.
Measles, Mumps, and Rubella Immunity Required

One of the following is required:
1. Documentation of two measles vaccines, two mumps vaccine, and one rubella vaccine or documentation of two MMR vaccines.
2. Proof of immunity to measles, mumps and rubella by titer (blood test).
Hepatitis B Vaccine

One of the following is required for individuals who may be exposed to blood or body fluids:
1. Documentation of the hepatitis B series.
2. Positive antibody test by titer (blood test) for hepatitis B.
3. An individual may decline the vaccine series, but will be required to sign a declination form.
Chicken Pox Immunity Required

One of the following is required:
1. Proof of immunity to chicken pox by titer (blood test).
2. Documentation of two varicella vaccinations.
3. Documentation of varicella (chicken pox) disease from the diagnosing provider/PCP.
Tetanus, Diptheria and Pertussis

It is recommended that all should have 1 dose of Tdap to replace a Td booster.
1. All health care providers should receive a 1-time dose of Tdap regardless of age.
2. There is no minimum interval between Tdap and a previous dose of Td.
3. All adults (who have completed the primary series of a tetanus/diphtheria containing product) should continue to have a booster every 10 years.
Influenza Vaccination

All staff (funded, sponsored, temporary), volunteers, and students are required to follow the Institute’s universal annual Influenza Vaccine Policy. If there is a medical contraindication, supporting documentation from a health care provider must be provided to Occupational Health.

Middle Eastern Respiratory Syndrome (MERS) Screening

Middle Eastern Respiratory Syndrome (MERS) Screening for applicants coming from the Arabian Peninsula or neighboring countries, including Bahrain, Gaza Strip, Iraq, Iran, Israel, Jordan, Kuwait, Lebanon, Oman, Qatar, Saudi Arabia, Syria, the United Arab Emirates, the West Bank, and Yemen.
Applicant Information
First Name
Last Name
Gender *

Male Female
Date of Birth *

Month Day Year
Citizenship *
Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code Country
E-mail *
Phone Number *

Area Code Phone Number
Emergency Contact Information

Please provide the information of a relative or a close friend we can contact in the event of an emergency.
Full Name *

First Name Last Name
Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code Country
E-mail *
Phone Number *

Area Code Phone Number
Education

Please provide your education in chronological order, beginning with the current or most recent.
1. Degree *
Name of Institution *
Date when degree was obtained *

Month Day Year
Location: city, state, and country *
2. Degree
Name of Institution
Date when degree was obtained

Month Day Year
Location: city, state, and country
3. Degree
Name of Institution
Date when degree was obtained

Month Day Year
Location: city, state, and country
Training and Employment

Please provide your training and employment in chronological order, beginning with the current or most recent.
1. Name of Institution *
Position *
Start date of employment or training *

Month Day Year
End date of employment or training *

Month Day Year
Location: city, state, and country *
2. Name of Institution
Position
Start date of employment or training

Month Day Year
End date of employment or training

Month Day Year
Location: city, state, and country
3. Name of Institution
Position
Start date of employment or training

Month Day Year
End date of employment or training

Month Day Year
Location: city, state, and country
Your Experience
1. Describe your experience as a nurse educator *

Please write a minimum of 100 and a maximum of 200 words. 0/200
2. Describe your experience as a nurse leader *

Please write a minimum of 100 and a maximum of 200 words. 0/200
3. How did you her about the GLOBE Program?

0/50
4. Have you ever participated in an international observership program in the past? If yes, please indicate the name of the institution, length and dates of stay *

Please write a minimum of 100 and a maximum of 200 words. 0/200
5. Are you applying as a physician and nurse team?

Yes No
If yes, please provide name of physician team applicant.
6. Has a past GLOBE Scholar (nurse or physician) referred you to our program?

Yes No
If yes, please explain (50 words or less)
Your Institution
1. How many beds does your oncology unit have? *
2. How many new cases of oncology patients do you see a year at your hospital? *
3. How many full-time oncologists work on your unit? *
4. How many full time nurses work on your unit....
A. During the day: *
B. During the night: *
C. During weekends: *
Training:
When you started working in oncology, did you receive dedicated and specialized training? *

Yes No
If yes, did the training include: (check all that apply) *

A formal orientation Clinical Knowledge and skills to care for the oncology patient Clinical knowledge and skills on infectious disease prevention None of the above
Work Flow
1. Describe a typical day at your unit (types of activities, time you spend on each activity, etc.) *
Please write a minimum of 100 and a maximum of 200 words.
2. What are the daily challenges in providing nursing care at your unit? *
Please write a minimum of 100 and a maximum of 200 words.
3. Who measures the vital signs? *
Who prepares the chemotherapy? *
Questions about your application
1. Please describe three learning objectives that you aim to accomplish during your visit as a GLOBE Nurse Scholar *
Please write a minimum of 100 and a maximum of 200 words.
2. Please give three topics for a research project you would like to develop during your observership. *
Please write a minimum of 100 and a maximum of 200 words.
Why do you think you should be selected as a GLOBE Nurse Scholar? *
Please write a minimum of 100 and a maximum of 200 words.
Application Materials

Please upload the materials listed below. All information must be completed in English. All documents must be upload as PDF files* (any other format is not acceptable). Name each file starting with your last name (for example: Smith_CV, Smith_Application, etc.).
Updated Curriculum Vitae *
Letter of Support from Home Institution *
Picture in jpeg format *
Copy of Nursing degree *
If available, please provide the following:
Proof of English Proficiency (TOEFL or IELTS)
If available
Copy of Passport
If available
Copy of US Visa
If available
GLOBE Scholarship

We offer scholarships which will cover some or all of the cost of the Observership Fee and expenses to applicants from low- and middle-income countries (as defined by the World Bank Classification System) who present a strong application and demonstrate financial hardship.
Would you like to be considered for a GLOBE Scholarship?

Yes No
Scholarship Statement

Please state the reasons you should be considered for a GLOBE Scholarship. Be specific about how you believe this experience will benefit you as an individual, your career as a health professional, and your home institution program.
Please write a minimum of 250 and a maximum of 500 words
Acknowledgments

By clicking submit you agree to the following statements:
- I have reviewed the program overview, eligibility criteria, and requirements and plan to provide all supporting documentation by the established deadline.
- I acknowledge the GLOBE Program is an informal educational experience and I will therefore not receive any form of licensing or academic credit from Dana-Farber Cancer Institute, Boston Children's Hospital, or Harvard Medical school.
- I acknowledge that failure to provide proofs of immunization, tuberculosis screen, and health insurance status by the stated deadline will result in withdrawal of my application and/or acceptance.
- I am proficient** in conversational English Language. My English comprehension includes good listening, speaking, reading, and writing skills. I acknowledge that failure to meet this requirement will annul my acceptance into the program, may result in early termination of my participation, and that any paid fees will not be refunded.
- My role will be as an observer ONLY; I will NOT be permitted to actively participate in patient care research, or administrative activities, give medical advice or provide any medical care while at Dana-Farber Cancer Institute.
- The GLOBE Program is not an offer of employment and I release Dana-Farber Cancer Institute from any claims for compensation, reimbursement or remuneration for my participation in the DanaFarber Cancer Institute Observership Program.
- I understand that Scholars are not eligible for employee benefits or Worker’s Compensation.
- I understand that I am not covered by Dana-Farber Cancer Institute’s liability insurance and I am fully responsible for any loss or damage that I inflict upon a person or Dana-Farber Cancer Institute during my participation in the Observership Program.
- I understand that Dana-Farber Cancer Institute will conduct a criminal background investigation, and that this information will be used in determining my eligibility for an observership in accordance with state and federal laws.
- To the best of my knowledge I am free of any communicable illness.
- I may be exposed to communicable diseases during my observership and I assume all risks and responsibilities associated with my participation in the Observership Program. Furthermore, I hereby agree to release and hold harmless Dana-Farber Cancer Institute, including its officers, directors, agents, successors, heirs and assigns from and against any losses, expenses, claims, actions, liabilities and judgments (including attorneys’ fees) that I, my dependents, assigns, personal representatives, heirs or next of kin may sustain or suffer as a result of or arising out of my contact with airborne pathogens or communicable diseases.
- In consideration of my participation in the GLOBE Program, I hereby agree to release and hold harmless Dana-Farber Cancer Institute, including its officers, directors, agents, successors, heirs and assigns from and against any losses, expenses, claims, actions, liabilities and judgments (including attorneys’ fees) that I, my dependents, assigns, personal representatives, heirs or next of kin may sustain or suffer as a result of or arising out of my participation in the Observership Program, whether caused by the negligence, action or inaction of Dana-Farber Cancer Institute, persons acting on its behalf or otherwise.
- I will sign the Dana-Farber Cancer Institute Confidentiality Agreement and will abide by its requirements.
- I must adhere to the privacy and security standards pertaining to the protection of patient information as set forth in the Health Insurance Portability and Accountability Act of 1996, as amended, and the regulations promulgated thereunder (“HIPAA”) and in all relevant Dana-Farber Cancer Institute policies. I understand that the unauthorized use or disclosure of patient information may result in adverse action against me, including but not limited to the termination of my observership by Dana-Farber Cancer Institute.
- I understand that, if I am awarded a scholarship, I will need to comply with regulations regarding receipt of the funds.
- This acknowledgement is intended to be broad and inclusive as permitted under the laws of the Commonwealth of Massachusetts.
**What is meant by English proficiency?: Participants are expected to have adequate language skills for day-to-day communication. Occasional structural and lexical errors, some difficulty with idiomatic expressions and words with multiple meanings, and difficulty with complex structures and abstract academic concepts may still occur. However, the person is able to communicate independently in English in new or unfamiliar settings. People at this level read and write in English independently for personal and academic purposes. Structures, vocabulary and overall organization approximate the writing of native speakers at their level.
I have read and understood all terms of this Agreement and I voluntarily sign this document of my own accord and as a condition of being allowed to participate in the GLOBE Program.
Type your full name to electornically sign this form. *
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Pediatrics Global Oncology and Blood Disorders Education (GLOBE) Program

GLOBE Nurse Scholar Application

Deadlines

GLOBE Nursing Requirements

Application Instructions

After you Apply

Applicant Information

Emergency Contact Information

Education

Training and Employment

Your Experience

Your Institution

Training:

Work Flow

Questions about your application

Application Materials

GLOBE Scholarship

Scholarship Statement

Acknowledgments