MSRD 2022 Judges Sign-Up Form

Office of Student Research655 West Baltimore StreetBressler Research Building, Suite M-019Baltimore, MD 21201410 706 3026 StudentResearch@som.umaryland.edu http://medschool.umaryland.edu/osr

Medical Student Research Day

Wednesay, November 16, 2022, 12:00–6:00pm
Judges Sign-Up Form
Deadline Extended: November 13, 2022
We welcome UM SOM faculty, postdoctoral and research fellows, residents, research associates, research staff, and AOA medical student members to be judges for this year's MSRD.

If you are interested in judging the oral or poster sessions, please complete an entry through this formto let us know a little about you and your availability for MSRD.
MSRD Judge*

I would like to be a Medical Student Research Day 2022 Judge!
First Name:*
Last Name:*
Email:*
Department of (Primary Appointment):
Specify Other Department:
Division of (if applicable):
Group*

FacultyPostdoctoral Fellow or Research FellowResidentResearch AssociateResearch StaffAOA Medical Student MemberOther
Degree(s)
Number of years as a fellow, resident, research associate, or research staff
Primary Research Type (select all that apply)*

Basic ResearchTranslational ResearchClinical ResearchPopulation ScienceOther
I would prefer to judge:*

Poster presentationsOral presentationsNo preference
Available to judge more than one presentation session

YesNo

Availability during MSRD for Presentation Sessions (plan for 5-15 minutes after a session to complete judging materials)

	Available	Not Available
Thursday, 11/12, 2:15 - 3:35 pm
Thursday, 11/12, 4:05 - 5:25 pm
Friday, 11/13, 1 - 2:20 pm

Availability during MSRD for Presentation Sessions. The listed block times are approximate. The final session times may be adjusted. (Plan for arriving 5-10 minutes prior to the session to check in and for 5-15 minutes after a session to complete judging materials)

	Available	Not Available
1:30 - 2:30 pm
2:35 - 3:35 pm
3:40 - 4:40pm

Preference to judge oral or poster presentations

Prefer oral presentationsPrefer poster presentationsNo preference
Available to judge more than one presentation session

YesNo
Past Medical Student Research Day (check all that apply)

I have been a MSRD judge in a prior year.I have attended MSRD in a prior year.A medical student I worked with presented at MSRD in a prior year.
Comments:
Thank you for volunteering to be a judge for MSRD!
Should be Empty: