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Global Surgery Perioperative Health Symposium Poster Session Interest Form
Thank you for filling out this form to let us know your interest in participating in the student/resident poster session for our 2021 Virtual Global Surgery Symposium! We look forward to hearing from you and working with you!
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Full Name
Your answer
Email
Your answer
Role (Are you a resident, medical student, nursing student, public health student, etc)?
Resident
Medical Student
Nursing Student
Public Health Student
Other:
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PGY or Student Year
Your answer
Anticipated category of presentation
Case presentation
Research project
Education-related project
Out-of-the-box
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Anticipated title (or short description of your project)
Your answer
Project mentor / faculty advisor
Your answer
City/country location of project
Your answer
Global health partner (if applicable)
Your answer
Questions or comments you would like for the organizers to address?
Your answer
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