Application Form
The American Psychosomatic Society
Sponsorship of Psychosomatic Medicine Interest Groups
Fax: 703-556-8729; Email: info@psychosomatic.org
 
Name of medical school:
Faculty Sponsor
Address:
Phone:
Fax:
Email:
Proposed PMIG goals, target trainees, meeting plan, use of funds, and growth potential
(200 words or less):
 
The APS Past Leaders Committee is working with the Strategic Growth Subcommittee of APS and all schools receiving funding will be assigned a Past Leader to serve as a liaison. Please indicate your preferences for Past Leaders you would like to liaison with your interest group, should you be awarded funding:
 
First Choice:
Second Choice:
Third Choice:
 
Robert Ader, PhD, MD - Rochester, NY, USA
Arthur J.Barsky, MD – Boston, MA, USA
James A. Blumenthal, PhD - Durham , NC, USA
Dana H. Bovbjerg, PhD - New York, NY, USA
Oliver G. Cameron, MD, PhD - Ann Arbor, MI. USA
Edwin H. Cassem, MD - Boston, MA, USA
Stephanie Von Ammon Cavanaugh, MD – Chicago, IL, USA
Margaret A. Chesney, PhD – Bethesda, MD, USA
Steven Cole, MD - Stony Brook, NY, USA
Joel E. Dimsdale, MD - La Jolla, CA, USA
Douglas A. Drossman, MD - Chapel Hill, NC, USA
Jean Endicott, PhD – Riverdale, NY, USA
Bernard T. Engel, PhD – Raleigh, NC, USA
Susan Everson-Rose, PhD – Chicago, IL, USA
Ann Maxwell Eward, PhD – Niantic, CT, USA
Nancy Frasure-Smith, PhD - Montreal, Quebec, Canada
Stanford B. Friedman, MD – Hansville, WA, USA
Donna B. Greenberg, MD – Winchester, MA, USA
Sidney Hart, MD - Cos Cob, CT, USA
Christoph Herrmann-Lingen, MD – Marburg, Germany
Jules Hirsch, MD - New York, NY, USA
Myron A. Hofer, MD - New York, NY, USA
Gail Ironson, MD, PhD - Coral Gables, FL, USA
Jane Irvine, PhD - Toronto, Ontario, Canada
Michael R. Irwin, MD - Los Angeles, CA, USA
Alan M. Jacobson, MD – Boston, MA, USA
C. David Jenkins, PhD - Chapel Hill, NC, USA
J. Richard Jennings, PhD – Pittsburgh, PA, USA
Wayne Jay Katon, MD – Seattle, WA, USA
Francis Keefe, PhD – Durham, NC, USA,
Donald S. Kornfeld, MD - New York, NY, USA
David S. Krantz, PhD – Bethesda, MD, USA
David J. Kupfer, MD – Pittsburgh, PA, USA
Richard D. Lane, MD, PhD – Tucson, AZ, USA
Francois Lespιrance, MD - Montreal, Quebec, Canada
Susan B. Levenstein, MD – Rome, Italy
Norman B. Levy, MD – Brooklyn, NY, USA
Kathleen C. Light, PhD - Chapel Hill, NC, USA
Don R. Lipsitt, MD – Brookline, MA, USA
Steven E. Locke, MD – Wayland, MA, USA
William R. Lovallo, PhD - Oklahoma City, OK, USA
Mark A. Lumley, PhD – Detroit, MI, USA
Susan K. Lutgendorf – PhD, Iowa City, IA, USA
John W. Mason, MD – Woodbridge, CT, USA
Karen A. Matthews, PhD – Pittsburgh, PA, USA
Matthew F. Muldoon, MD, MPH – Pittsburgh, PA, USA
Dennis H. Novack, MD – Philadelphia, PA, USA
Herbert N. Ochitill, MD - San Francisco, CA, USA
Donald Oken, MD - Bala Cynwyd, PA, USA
Kristina Orth-Gomιr, MD – Stockholm, Sweden
Thomas G. Pickering, DPHIL, MD - New York, NY, USA
Michael K. Popkin, MD - Long Lake, MN, USA
Lynda H. Powell, PhD – Chicago, IL , USA
Richard H. Rahe, MD – Olympia, WA, USA
Morton F. Reiser, MD – Hamden, CT, USA
Julius B. Richmond, MD – Boston, MA, USA
Robert M. Rose, MD – Galveston, TX, USA
Carolyn E. Schwartz, ScD – Concord, MA, USA
Peter A. Shapiro, MD - New York, NY, USA
Peter M. Silberfarb, MD – Lebanon, NH, USA
Richard P. Sloan, PhD - New York, NY, USA
Timothy W. Smith, PhD - Salt Lake City, UT, USA
Marvin Stein, MD – Riverdale, NY, USA
Arthur A. Stone, PhD - Stony Brook, NY, USA
Albert J. Stunkard, MD – Philadelphia, PA, USA
Julian F. Thayer, PhD – Columbus, OH, USA
Shari R. Waldstein, PhD – Baltimore, MD, USA
Redford B. Williams, MD – Durham, NC, USA
Thomas N. Wise, MD - Falls Church,VA, USA
Michael Ziegler, MD – San Diego, CA, USA