GSSA Residents/Trainees General Membership Form

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We have exciting plans to create a database of ongoing research projects and to create more opportunities for resident and trainee involvement in global surgery throughout their training. Please fill out this form if you are interested, and we will be following up shortly with more information. Also, please pass this along to fellow trainees across your institution and around the country.

Some parts of this form are optional. However, the Global Surgery Student Alliance is very much hoping to expand and improve our support for residents and trainees. Filling out the full questionnaire will help us do so.

Even if you have already been receiving our emails, we are revamping our system and need everyone to sign up here in order to continue being on the listserv.

Thank you for your interest in the Global Surgery Student Alliance! We look forward to having more residents and trainees involved.

Warmly,
GSSA VPs of Residents/Trainees
Andrew Giles, PGY5
Adriana Ramirez, PGY3
Na Eun Kim, PGY3
Ambar Mehta, PGY1

First Name *

Last Name *

Your Email *

Your School/Institution *

Program *

Residency

Fellowship

Other

Year of Training *

PGY1, PGY2, PGY3, research year, etc.

What specialties are you training for and/or doing research in? *

General Surgery

OB/Gyn

Anesthesia

Orthopedic Surgery

Trauma Surgery

Plastic Surgery

Thoracic Surgery

Cardiac Surgery

Surgical Oncology

Oral & Maxillofacial Surgery

Pediatric Surgery

Neurosurgery

ENT

Ophthalmology

Other:

Required

How can we better serve resident/trainee interest in global surgery?

Is there anything that you feel would help you engage more in global surgery work with your colleagues?

Do you have interest in learning collaborations and educational opportunities both domestically and internationally?

i.e. Journal clubs, case discussions, etc.

Yes

Clear selection

What topics or types of collaborations are you interested in?

Research support

Journal clubs

Academic presentations

Careers/experience presentations

Clinical case discussions

Morbidity & Mortality discussions

Physician wellness

Other:

If you have experience in learning collaborations, what has worked well or not worked? Any lessons learned?

Which countries have you collaborated with?

What communication platforms have you used that worked well?

Skype

FaceTime

Zoom

Conference Call

Blue Jeans

GoToMeeting

Other:

Any platforms that worked poorly? Why?

Any other thoughts or questions?

You can also email us at globalsurgerystudents@gmail.com and visit our website at globalsurgerystudents.org.

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