Default Page School of Medicine Students /Resident Application Name This field is required This field needs to be a valid value Address This field is required This field needs to be a valid value City This field is required This field needs to be a valid value State Choose One Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Maryland Massachusetts Michigan Minnesota Mississippi Missouri Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming This field is required Zip This field is required This field needs to be a valid value Phone Number This field is required This field needs to be a valid value Email Address This field is required This field needs to be a valid value School Name This field is required This field needs to be a valid value School Address This field is required This field needs to be a valid value School City This field is required This field needs to be a valid value School State Choose One Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Maryland Massachusetts Michigan Minnesota Mississippi Missouri Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming This field is required School Zip This field is required This field needs to be a valid value Program Director This field is required This field needs to be a valid value Program Director's Phone Number This field is required This field needs to be a valid value Program Director's Email Address This field is required This field needs to be a valid value Department and/or Physician Requested This field is required This field needs to be a valid value Type of placement you are interested in Observership: Is a structured and supervised clinical rotation without direct patient contact. An observer will be able to observe the healthcare staff in the clinical setting. You will be always accompanied by an attending physician or healthcare staff when observing patients. Residency Rotation: Is a hands-on clinical experience including patient-focused clinical exposure for those that have completed medical school and received a degree. This may include recording patient histories, examining patients, presenting cases, and giving differential diagnoses to the supervising physician. Residents are given directives by the supervising physician. Select a type of placement Select One Observership Residency Rotation Other This field is required Other type of placement? This field is required This field needs to be a valid value Write a brief description of what you hope to achieve during your time at Christie Clinic This field is required Nice try spambot Availability Expected Start Date This field is required Expected End Date This field is required Expected Frequency including days of the week and hours This field is required This field needs to be a valid value Chronological summary of educational experience This field is required Nice try spambot
