GSSA General Membership Form
This form will allow you to join our national listserv as a GSSA General Member (including students, residents/trainees*, faculty, and more). We will send out a quarterly newsletter with global surgery events, research opportunities, conferences, updates from different student groups, etc.
*Residents/Trainees, please fill out the form specific to residents/trainees on our website.
If you would like to start a global surgery group at your school or are unsure whether there already is a group at your school, please contact us at
globalsurgerystudents@gmail.com
. We have a toolkit for students who want to start global surgery groups or who are already running groups at their schools.
IMPORTANT NOTE: By signing up to be on the listserv here, you'll be added to a google group, and will get a separate notification of that occurrence.
* Required
Your Full Name
*
Your answer
Your Email
*
Your answer
School/Institution
*
Your answer
Degree Program
*
Choose
MD
DO
DDS/DMD
MPH
PhD
Resident/Trainee
Faculty
Undergraduate
Other
N/A
Expected Graduation Year
*
Write N/A if you are not a student/trainee.
Your answer
Is there a GSSA chapter or global surgery group at your school?
*
Yes
No
N/A
Are you a member of that GSSA chapter or global surgery group?
*
Yes
No
N/A
What medical/surgical specialties are you interested in, training for, or working in?
*
Any specialty is relevant to global surgery. We have listed a few here, but if your interest isn't listed, please feel free to specify it in the "other" category. We want to be able to send tailored resources and opportunities to students interested in particular fields.
General Surgery
Orthopedic Surgery
Trauma Surgery
Cardiothoracic Surgery
Surgical Oncology
Plastic Surgery
Oral and Maxillofacial Surgery
Pediatric Surgery
Ophthalmology
ENT
Neurosurgery
OB/Gyn
Anesthesia
Other:
Required
How can we better serve students and residents/trainees interested in global surgery? What resources would you like to see made available?
*
Your answer
How did you hear about GSSA?
*
From the global surgery group at your school
From another student
From a faculty member
From our website:
globalsurgerystudents.org
From Twitter
Other:
Required
Any questions, comments, or concerns? Any ideas or plans?
Your answer
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