Scholarship Application Form

Dr. SOEURN Visal

DDS, MSc in Prosthodontics

Education:
2013-2015	Master of Science in Dentistry (Prosthodontics), Faculty of Dentistry, Mahidol University, Thailand
2005-2012	Doctor of Dental Surgery Course, Faculty of Dentistry, University of Health Sciences, Phnom Penh, Cambodia (DDS)
Work Experience:
2018 – Present	Royal Phnom Penh Hospital, Phnom Penh Cambodia
2015-Present	Part time lecturer and clinical tutor at UP Dental Clinic
2012-2015	General dental practitioner & Prosthodontist, Master Care Dental Clinic, Phnom Penh, Cambodia

Dr. Hout Dane

DDS, MSc in Prosthodontics

Education:
2005-2012	Doctor of Dental Surgery Course, Faculty of Dentistry, University of Health Sciences, Phnom Penh, Cambodia (DDS)
2014-2016	MSc in Prosthodontics, Mahidol University, Thailand
Work Experience:
2011-2012	Imputhavy Dental Clinic
2012-2014	Bunheng Dental Clinic
2014- Present	Part time lecturer and clinical tutor at UP Dental Clinic

Dr. Bathsheba Jael Turton

Master in Community Dentistry

Education:
2004 – 2008	Bachelor of Dental Surgery with Credit, University of Otago, ZN
2011 – 2013	Master of Community Dentistry with Distinction, University of Otago, NZ
Work Experience:
2014 – Present	Dentist, Roomchang dental and aesthetic hospital
2013 – Present	Part time lecturer and clinical tutor at UP

Dr. Tort Borany

B-Ed, DDS, MSc in Dentsitry

Education:
2013-2015	Post graduated course in Master of Dentistry, School of Dentistry, Kyungpook National University, Daegu, South Korea
2005-2012	Doctor of Dental Surgery Course, Faculty of Dentistry, University of Health Sciences, Phnom Penh, Cambodia (DDS)
2006-2010	Bachelor of Education in English, Institute of Foreign Languages, Royal University of Phnom Penh, Phnom Penh, Cambodia
Work Experience:
2012-2013	Dental Practitioner
2012	Part time lecturer at American Intercon Institute
Present	UP

Dr. Try Ky

DDS, PhD in Dental Science

Education:
2013-2017	Graduate School of Dentistry, Hiroshima University, Japan
2010-2012	Institute of Foreign Languages, Teaching methodology
2005-2012	University of Health Science, Dental Faculty
Work Experience:
2018- Present	Master Care Dental Clinic, Part Time Lecturer at UP

Dr. Chea Chanbora

DDS, PhD in Dental Science

Education
2011- 2016	Hiroshima University, Graduate School of Biomedical and Health Sciences, Japan (PhD)
2003- 2008	Paññāsāstra University of Cambodia, Faculty of Education, Cambodia (B.Ed. in TESOL)
1996-2006	University of Health Sciences, Faculty of Odontostomatology, Cambodia (DDS)
2002	Pasteur Institute of Paris, France (Diploma of Bacteriology and Diploma of Inter-university)
1995- 1998	Technical School for Medical Care, Cambodia (Certificate of Medical Laboratory)
1995- 1998	10 January High School, Cambodia
Qualifications Obtained
2016	PhD in Dental Science
2008	Bachelor of Art in Teaching English (B.Ed in TESOL)
2006	Doctor of Dental Surgery (DDS)
2002	Diploma of Bacteriology and Diploma of Inter-university
1998	Certificate of Medical Laboratory
Work Experience:
2016-2018	Independent researcher (Hiroshima University)
2006- 2011	Dental practitioner (Penh Vong Dental Clinic); Community Dental Practitioner (University of Health Sciences)
2008- 2011	Teaching English to students (Pannasastra University of Cambodia) (TESOL)
1999-2002	Technician of medical laboratory in microbiology (Pasteur Institute of Cambodia)

Dr. Kung Sophannary

DDS, PhD in Dental Science from TMDU (Tokyo Medical and Dentistry University)

Education
2014 – 2018	PhD degree in Dental Science, Department of Periodontology, Tokyo Medical and Dental University (TMDU), Japan
2005 – 2012	DDS degree, Faculty of Odonto-Stomatology, University of Health Sciences (UHS), Cambodia
Work Experience
2012 – 2014	Co-founder of D-One dental clinic, Battambang.
2011 – 2012	Student coordinator, A & H Fujimoto Foundation
Present	UP, Phnom Penh, Cambodia

Dr. Kung Kalyan

B-Ed, DDS, PhD in Dental Science from TMDU (Tokyo Medical and Dentistry University)

Education:
2006:	Doctor of Dental Surgery (DDS), University of Health Sciences, Phnom Penh, Cambodia
2007	Bachelor of Education (B-Ed), Royal University of Phnom Penh, Phnom Penh, Cambodia
2011- 2012	Research student, Tokyo Medical and Dental University, Tokyo, Japan
2012-2016	Doctor of Philosophy (PhD) in Dental Sciences, Department of Cariology and Operative Dentistry, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University, Tokyo, Japan
Work Experience
2007-2011	Worked in a Private Practice, Phnom Penh, Cambodia
2012	Research assistant for woman researcher, Tokyo Medical and Dental University, Tokyo, Japan
2012- 2014	Member of Global Center of Excellence (GCOE) program, Tokyo Medical and Dental University, Tokyo, Japan
Presently	UP, Phnom Penh, Cambodia

Dr. Steven Cohn

AM, DDS, Endodontist

Dr Steven Cohn AM is a specialist endodontist in Sydney. Steve has taught undergraduate and postgraduate endodontics at the University of Sydney and Westmead Hospital since 1979 and is the former Director of Postgraduate Endodontic Education at the University of Sydney. In 1998 Steve started the first microscope training courses for endodontists in Australia. Since 2009 Steve, Dr Rick Spencer and Ms Barbara Faulkner have conducted microscope courses for general practitioners. These courses have continued annually since 1998 and 2009 respectively. Steve also does hands on microscope training on an individual basis in dentist’s rooms on request.

Dr Cohn also presents “hands on“ clinics on rubber dam utilisation with Dr Rick Spencer and Ms Barbara Faulkner emphasising rubber dam application in both endodontics and general practice. Steve has also made a rubber dam training video for the ADA (NSW Branch) CPD.

Dr Cohn has also maintained a long interest in dental radiology. He was a consultant to the Dunvale and Rinn corporations and assisted with developing both the Rinn DS and DS Endo devices. He solely designed both the Snapex (1979) and TruView (2017) radiography systems, both specifically designed to be used with all endodontic and restorative procedures carried out under rubber dam. Steve regularly conducts “hands on” radiology workshops throughout Australia. Until recently Dr Cohn was a Federal ADA Media Advisor responsible for the development and delivery of educational content for the dental profession.

Dr. Geoffrey Borlase

BSC, BDS, MDS (Pros) MRACDS (Pros) FRACDS FICD, MScMedicine (Psychotherapy)

Geoffrey is a psychotherapist working in private practice in Sydney CBD.
Psychotherapy has been a natural evolution from working in dentistry in both specialist prosthodontic and hospital based practice. Geoffrey’s shared experiences with patients who present with complex medical and dental health problems and often with deep-seated emotional issues led him to undertake a training in psychotherapy.

Initially he delved into the world of psychology and counselling studying through ACAP and then followed a placement with ASCA – which then led to commencing a training with theUniversity of Sydney Complex Trauma Unit at Westmead Hospital graduating with a Masters of Science in Medicine in Psychotherapy.

Geoffrey is enrolled in continuing professional development activities and as part of his clinical psychotherapy practice has regular supervision.

Geoffrey practices both short and long term psychotherapy informed by the Conversational Model of Psychotherapy. He has a particular interest in individuals who present with: complex trauma and psychosomatic complaints and in patients who have complex life stories who may be suffering from anxiety, depression or post-traumatic stress disorder as a result of their life experiences.

“One day – the silent past arrives and becomes the invisible present and the story has to find a way to be told and heard.” Renn 2012

Prof. Dr. Rosnah Binti Zain

BDSc (Qld), MS (Mich),
Fellow AAOMP (USA), FASc, Dean, Faculty of Dentistry, MAHSA University

The joy of changing a person’s life by creating a beautiful, healthy smile is one of the rewards of being a dentist. Dentistry is a complex field as it is both challenging and rewarding.

Dentistry is the art and science of prevention and treatment of diseases of the oral cavity and associated with maxillofacial region. A dental surgeon provides professional support to the community to achieve and maintain optimum oral health.

MAHSA’s Faculty of Dentistry is committed to mentor our students in all levels of dental science. It offers 3 different programmes, Doctor of Dental Surgery, Diploma in Dental Technology and Certificate of Dental Surgery Assistant.

Dr. Kack Kyun Kim

Education:
1971-1973	Pre-Dental Course, Art and Science College, Seoul National University, Seoul, Republic of Korea (ROK)
1973-1978	College of Dentistry, Seoul National University, Seoul, ROK
Qualifications:
1978	D.D.S., B.S. in Dentistry, College of Dentistry, Seoul National University, Seoul, ROK
1980	M.S. in Dental Pharmacology and Therapeutics, College of Dentistry, Seoul National University, Seoul, ROK
1983	Ph.D. in Medical Microbiology, College of Medicine, Seoul National University, Seoul, ROK
Work Experience
1987-1991	Full-time Instructor in Oral Microbiology, College of Dentistry, Seoul National University, ROK
1988-1990	Research Associate, Department of Microbiology and Immunology, School of Medicine, Indiana University, U.S.A.
1991-1997	Assistant Professor in Oral Microbiology, College of Dentistry, Seoul National University, ROK
1997 – 2006	Associate Professor in Oral Microbiology, College of Dentistry, Seoul National University, ROK
2006 – Present	Professor in Oral Microbiology/Immunology, School of Dentistry, Seoul National University, ROK

For the last 3 weeks Professor Kack-Kyun Kim has been visiting UP to teach oral microbiology to dental students. Professor Kim has recently retired from Seoul National University Faculty of Dentistry which is regarded as the top dental school in Korea. Cambodia sorely lacks expertise in this area and he gave a series of lectures on oral immunology and microbiology to year 2 dental students.

Professor Kim has been coming to Cambodia to teach almost every year since 2009. In recognition of Professor Kim’s significant contribution to dental education at UP, to Cambodia and to needy patients the President of UP Professor Ian Findlay has awarded Professor Kim with the title of Adjunct Professor of Oral Microbiology. UP continues to bring top international lecturers to UP to expose our students to World Leading expertise and experiences to help our students obtain a world class education

Prof. Andrew Sandham

Education:

– King Edward VI School, Lichfield, England
– King Edward VI School, Stourbridge, England
– University of Durham, England (BDS)
– University of Edinburgh, Scotland (PhD)

Qualification:

– L.D.S.R.C.S (Royal College of Surgeons, England) 1966
– B.D.S. (University of Durham) 1966
– F.D.S.R.C.S. (Royal College of Surgeons, Edinburgh) 1970
– D Orth R.C.S. (Royal College of Surgeons, England) 1971
– PhD. (University of Edinburgh) 1987
– Licenciado en Odontología (L.D.S.) 1990
– Doctor en Odontología (D.D.S.) Ministerio de Educación y Ciencia, Madrid Tandarts – The Netherlands 1991
– D.M.O. Specialist Orthodontist Diploma Nederlandse Maatschappij tot bevordering Der Tandheelkunde (NMT) (Netherlands) 1991
– F.Ac.Med (Singapore) Fellowship of the Academy of Medicine Singapore 1997
– F.I.C.D. (by nomination) Fellowship of the International College of Dentistry 1997
– Fellowship of World Federation of Orthodontists (by election) 1998
Fellow Royal Society of Medicine London UK 2012

Work Experience:

Professor of Dental Science 2007 – 2014
Head Discipline of Dentistry
James Cook University
Cairns, Australia
Director of postgraduate dental studies 2009 – 2015
Adjunct Professor 2014 – 2015
James Cook University
College of Medicine & Dentistry
Cairns, Australia
Academic Dental Consulting (CEO) 2014 – present
Advisor, Faculty of Health Sciences 2014 – present
University of Puthisasta, Phnom Penh
Research Fellow, University of Western 2016 -present
Australi

ពាក្យស្នើសុំអាហារូបករណ៍

STEP 1 : APPLICATION PROCEDURE

លក្ខខណ្ឌអាហារូបករណ៍ / ELIGIBILITY REQUIREMENT:

STEP 2 : READ THE LIST OF REQUIRED DOCUMENTS

សូមអានតម្រូវការឯកសារសម្រាប់ព័ត៌មានលម្អិតបន្ថែម។

តម្រូវការឯកសាររួមមាន / Required Documents:

STEP 3 : PERSONAL DETAILS

ជំនាញ / MAJORS *

ព័ត៌មានផ្ទាល់ខ្លួន / Personal Information

STEP 4 : FAMILY DETAILS

ព័ត៌មានគ្រួសារ / Family Details

ព័ត៌មានឪពុក / Father's Information

ព័ត៌មានម្តាយ / Mother's Information

STEP 5 : ADDITIONAL INFORMATIONS

ព័ត៌មានបន្ថែម / Additional Information

ព័ត៌មានវិទ្យាល័យ / High School Details:

STEP 6 : PERSONAL ESSAY SUBMISSION

STEP 7 : ADD REQUIRED DOCUMENTS

Make sure you attached copies of all the documents listed below in one PDF file:

ភ្ជាប់ឯកសារនៅទីនេះ / Drop files here or click to upload.

STEP 8 : DECLARATION

សេចក្តីប្រកាស / Declaration

STEP 9 : FINAL SUBMISSION

សេចក្តីសង្ខេបពាក្យស្នើសុំ / Application Summary Review