Global Surgery Rotations (Residents)
Email address *
Name of Program
Your answer
1. Does your program allow for any elective time within residency?
1a. If yes, how much elective time exists during residency at your institution?
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?
1d. If yes, does your program allow residents to participate in UNDERSERVED DOMESTIC electives during residency?
1f. If yes, what support does your program provided for elective resident rotations at outside facilities (domestic and/or international)? (Check all that apply)
Are the rotations solely clinical, or are there opportunities to do research, advocacy/policy work?
Yes
No
Clinical
Research
Advocacy/Policy
Is your partnership open to accepting applicant residents from other programs?
Does your program provide funding for residents to rotate at your affiliate facility?
If not, then how are residents funded?
Your answer
Please list the people in your department involved in global surgical activities.
Your answer
Please indicate the name & contact information of your administrative staff whom we may contact for follow up information.
Your answer
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