What institution, department, and if applicable, residency program are you affiliated with? *
Choose
Anesthesiology
Biomedical Sciences
Emergency Medicine
ENT
Family Medicine & Pathology
General Surgery
Internal Medicine
Medical Humanities
Neurosurgery
OB/GYN
Ophthalmology
Orthopedic Surgery
Osteopathic Neuromusculoskeletal Medicine
Pediatrics
Psychology
Radiology
Other
Project Category *
Choose
Basic and Translational Research (Laboratory based, "Bench work", etc.
Clinical Research
Project Description *
Your answer
Study Start Date *
MM
/
DD
/
YYYY
Study End Date *
MM
/
DD
/
YYYY
How many students are you interested in including in your research study *
Choose
1
2
3
4
5
How many hours per week will the student need to be working on this study?
Choose
5-10 Hours
10-20 Hours
20-30 Hours
30+ Hours
Does this study involve human subjects? *
Required
Has the research project been approved by the IRB? *
Required
Are there any skills you would like your medical student to have prior to starting? (Prior research experience, proficient at excel, IRB drafting, datamining and/or entry, etc.) *
Your answer
Will this study provide compensation for the student involved?
Choose
Yes
No
Maybe
Unsure
Where will the student be working? Please indicate if the student may work remotely. *