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

First Name:

Last Name:

Email:

Department of (Primary Appointment):

Specify Other Department:

Division of (if applicable):

Group

Degree(s)

Number of years as a fellow, resident, research associate, or research staff

Primary Research Type (select all that apply)

I would prefer to judge:

Available to judge more than one presentation session

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

Rows	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)

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

Preference to judge oral or poster presentations

Available to judge more than one presentation session

Past Medical Student Research Day (check all that apply)

Comments:

Thank you for volunteering to be a judge for MSRD!