Global Surgery Rotations (Residents)
If you or your program participates in any aspect of Global Surgery endeavors, please let us know by completing the survey.
Email *
Name of Program
1. Does your program allow for any elective time within residency?
1a. If yes, how much elective time exists during residency at your institution?
Clear selection
1b. If yes, what clinical years do residents have elective time? (Check all that apply)
1c. If yes, does your program allow residents to participate in INTERNATIONAL electives during residency?
Clear selection
1d. If yes, does your program allow residents to participate in UNDERSERVED DOMESTIC electives during residency?
Clear selection
1f. If yes, what support does your program provided for elective resident rotations at outside facilities (domestic and/or international)? (Check all that apply)
Clear selection
Are the rotations solely clinical, or are there opportunities to do research, advocacy/policy work?
Yes
No
Clinical
Research
Advocacy/Policy
Clear selection
Is your partnership open to accepting applicant residents from other programs?
Clear selection
Does your program provide funding for residents to rotate at your affiliate facility?
Clear selection
If not, then how are residents funded?
Please list the people in your department involved in global surgical activities.
Please indicate the name & contact information of your administrative staff whom we may contact for follow up information.
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy