Dr Rubin's Mini Medical School for High School Students - Application For Class of 2020
Dr. Rubin's Mini Medical School for High School Students is a program designed to encourage high school juniors, seniors and advanced sophomores to pursue a career in medicine and surgery. Details of our programs can be found on our website: www.minimedicalschool.com

Our winter program is 20 hours long divided over 6 sessions. We are offering the program twice. One class will meet on Saturday afternoons ( Jan 11, Jan 25, Feb 1, Feb 8 and Feb 22 ) from 2:30 PM to 6 PM and the second class will be held on Sunday afternoons ( Jan 12, Jan 26, Feb 2, Feb 9 and Feb 23) from 1:30 PM to 5 PM at the Edward - Plainfield ER Conference Rooms located at 24600 W 127th St Building A, Plainfield, IL 60585. Graduation will be held on March 8, 2020 for both classes at the Edward Hospital Education Center 3rd floor conference rooms and auditorium located at 801 S. Washington St. Naperville IL 60540. Parents are invited to attend graduation. The Saturday class graduation will be from 1 to 3 PM and the Sunday class graduation will be from 4 to 6 PM. Students are not permitted to switch between classes. Please check your calendar for any conflicts with school and personal activities.

It is important to note that students need to attend all sessions to fully benefit from the program. Do not apply if you have a conflict and can not resolve it.

This application has 4 parts:
1. This online form which includes a short essay
2. A parent consent form.
3. A counselor form
4. A teacher recommendation from a science or math teacher. * Best to use your teacher from last year.

We need all 4 parts to consider you for the program. Once all forms are received and complete we will invite students who we believe will best benefit from our program for an interview. The deadline for us to receive this form is October 31, 2019. The deadline for us to receive all other forms - parent consent, teacher recommendation and counselor form - is November 8th.
Please note that we will evaluate applications on a rolling basis, so the earlier your application is complete, the better are you chances of being accepted.

Here are our instructions:

1. Fill out and submit this form online. The form will only submit if all required (RED) fields are filled out. You will get a computer generated message once the submit button is pressed. Follow the message and download the next part.

2. Download the file containing the parent consent, teacher recommendation and school counselor forms. Print the forms and complete the information. Write clearly or use your computer to complete the form.

3. Remember to ask your parent to sign the parent consent form and counselor form. Send the parent form back to us via email or fax.

4. Ask your school counselor to complete the counselor form online or send it by email or fax.

5. Ask a math or science teacher to complete the teacher recommendation form either online or send it by email or fax. You only need one recommendation. If you send in 2, we will only process the first one received. It is best to have this recommendation from a teacher you had last year. If that is not possible, ask your current teacher.

6. A notice of completion will be sent via email once we have all forms.

7. After reviewing complete applications, we will offer selected students an interview. There is no cost incurred by applying, however, we will collect the program fee of $400 at the time students are interviewed. Checks will be held and only deposited after students are offered and accept a spot in the program. There is no other fee to attend this program.

During the program, all students experience many advance medical and surgical procedures. Here is a partial list:
1. organ dissections including eye, brain, heart and kidney.
2. measure vital signs: temp, pulse, respiratory rate and temperature
3. examination of the eye
4. examination of ears
5. examination of the nose and mouth
6. use the stethoscope to hear heart and lung sounds
7. examination of the abdomen
8. checking central and peripheral nerves
10. how to read x-rays
11. how to interpret an EKG
12. Cast a broken bone
13. Splint an injured finger
14. Make a plaster slipper.
15. knot tying
16 suture a laceration
17 deliver a normal baby
18. Intubate the larynx
19 start an IV line
20. perform injections
21. laparoscopic basic procedures

Checks from students interviewed and not accepted are destroyed. Students who accept and then cancel by December 30, 2018 will be refunded $300. Students who cancel after Dec 30 will not be entitled to a refund.
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