Visiting Professor Program

MDS Visiting Professor Program Application

Thank you for your interest in The Movement Disorder Society's Visiting Professor Program. The Visiting Professor Program is intended to provide an excellent educational opportunity in Movement Disorders education to regions of the world not adequately served by the resources within that region.

If you would like to invite an MDS Visiting Professor to implement an educational program in your country, please complete and submit this application to the MDS International Secretariat.

Applications will be reviewed by the MDS Education Committee and selected based on the clarity and completeness of the program proposed, how well the program addresses the educational objectives indicated and how effectively the target audience need is explained.

By submitting an application, the host organization is recognizing its responsibility to provide comfortable lodging and meals for one to two visiting professors teaching for three days in the host country. By awarding a host country, MDS is recognizing its commitment to provide airfare and a per diem honorarium to the visiting professor(s) in support of this valuable program.

Please complete the following:

Required fields are marked with an *

Applicant Contact Information










Proposed Visiting Professor Information

Based on the identified need(s), please list three learning objectives, in terms of outcomes that will result from participation in this course.

At the conclusion of this course, participants should be able to:

Describe/List/Discuss/Indicate/Explain/Define/Identify/Recognize (choose the most appropriate verb)

1. *


2. *


3. *


Please provide a detailed description and timeline of each day of the Visiting Professor Program you envision to achieve the educational objectives listed above:

When addressing each day of the program, include proposed times for each educational activity, the educational topics, and suggested teaching formats.

Day 1. *


Day 2. *


Day 3.


Please provide three program dates (3-days) that would be compatible with the program you are proposing:




Yes    No

File Uploads

Please include the following with your application:


Program Audience Information

* Please identify the target audience of the Visiting Professor Program you are proposing:

General Neurologists    Primary Care Physicians    Post-Doctoral Fellows    Physicians in Training

Researchers    Nurses/Ancillary Health Care Workers    Other:   



Yes    No

Yes    No


Visiting Professor Information

If you would you like to recommend an MDS member ideally suited to address the educational needs of your proposed program in the preferred language of the target audience, you may do so here. This recommendation will be evaluated among other potential candidates.







I have read the guidelines regarding The Movement Disorder Society's Visiting Professor Program, and acknowledge the following:

* The host is responsible for providing comfortable lodging accommodations, meals, local transportation and ensuring the safety of the Visiting Professors at the cost of the Host, while in the host country.

* MDS will provide airfare and honorarium for the Visiting Professors in support of the program.

* Following the event, the Host must ensure that program evaluations are completed by participants, and submitted to the MDS International Secretariat.

* I agree to adhere to the policies/guidelines that have been outlined with regards to the Visiting Professor Program I am proposing.