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Physician Scientist Development Office Heersink School of Medicine

PSDO 630 Application

Greetings, and thank you for your interest in PSDO 630, the Physician Experience. This course is intended to ...

You will notice the application is not short. Part of this is to get a better idea of the applicant and whether they are qualified, but much of this is being collected to better understand who participates in the class and where they go in the future. Those of us administering this class, and UAB as an undergraduate and medical institution are vested in understanding how best to facilitate our learners’ success. We appreciate your patience and efforts completing the application below.

One component of the application is a personal statement. Anything that does not fit onto 1 single-spaced, 1 inch margin, Arial font 11 page will not be read. Please tell us: Who you are, What you think you want to do in life, and How this class would help you get there.

Finally, a reference form will be sent to your professional reference based on your information submitted on the application. This document is a brief form to be filled out on your behalf by course faculty, research mentor or extracurricular advisor, someone that can speak to your aptitude and/or commitment towards science and medicine. You will need to have at least 1 document submitted, we will not accept more than 2.

Applications will be reviewed and course participants will be determined at the discretion of the course administrator(s). Again, we thank you for your interest.

Questions:
Nathaniel Erdmann, MD, PhD
Associate Professor, Associate Clinical Director for PSDO
University of Alabama at Birmingham
Med-Infectious Diseases
Email to: nerdmann@uab.edu

 

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Citizenship Status(*)
Citizenship Status
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Gender(*)
Gender
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Date of Birth(*)
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Ethnic Category(*)
Ethnic Category
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Disadvantaged Background - 

  1. Environmentally Disadvantaged: A person’s environment inhibited them from obtaining the knowledge, skills, and abilities required to enroll in and graduate from a health professions school. 
  2. Economically Disadvantaged - A person from a family with an annual income below a level based on low-income thresholds, according to family* size established by the U.S. Census Bureau, adjusted annually for changes in the Consumer Price Index, and adjusted by the Secretary of the U.S. Department of Health and Human Services, for use in all health professions programs. *A family is a group of two or more people. 
  3. Educationally Disadvantaged - A person who comes from a social, cultural, or educational environment that has demonstrably and directly inhibited the person from obtaining the knowledge, skills, and abilities necessary to develop and participate in a health professions education or training program.
Do you identify as coming from a disadvantaged background?(*)
Do you identify as coming from a disadvantaged background?
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Do you have prior research experience?(*)
Do you have prior research experience?
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What are your future career intentions?(*)
What are your future career intentions?
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Letter(s) of Recommendation
Have at least one (up to two) Reference letters submitted via the website on your behalf. Please list who will be submitting your reference(s) here.
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Checking this box certifies that the information you have submitted is true and accurate
Checking this box certifies that the information you have submitted is true and accurate
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