Office of Student Research
655 West Baltimore Street
Bressler Research Building, Suite M-019
Baltimore, MD 21201
410 706 3026
StudentResearch@som.umaryland.edu
http://medschool.umaryland.edu/osr
Medical Student Research Day
Tuesday, November 19, 2019
Noon – 6:45 pm
Health Sciences and Research Facility III (HSRF III) and Medical School Teaching Facility (MSTF)
Judges Availability Form
Extended Deadline: November 15, 2019
MSRD Judge
*
I would like to be a Medical Student Research Day 2019 Judge!
First Name:
*
Last Name:
*
Email:
*
Department of (Primary Appointment):
Please Select
Anatomy and Neurobiology
Anesthesiology
Biochemistry and Molecular Biology
Dermatology
Diagnostic Radiology and Nuclear Medicine
Emergency Medicine
Epidemiology and Public Health
Family and Community Medicine
Medical and Research Technology
Medicine
Microbiology and Immunology
Neurology
Neurosurgery
Obstetrics, Gynecology and Reproductive Sciences
Ophthalmology and Visual Sciences
Orthopaedics
Otorhinolaryngology - Head and Neck Surgery
Pathology
Pediatrics
Pharmacology
Physical Therapy and Rehabilitation Science
Physiology
Psychiatry
Radiation Oncology
Surgery
Other
Specify Other Department:
Division of (if applicable):
Group
*
Faculty
Staff
Postdoctoral Fellow or Research Fellow
Resident
Research Associate
AOA Medical Student Member
Other
Degree(s)
Number of years as a fellow, resident, or research associate
Primary Research Type (select all that apply)
*
Basic Research
Translational Research
Clinical Research
Population Science
Other
I would prefer to judge:
*
Poster presentations
Oral presentations
No preference
Available to judge more than one presentation session
Yes
No
Availability on MSRD for Oral Presentation Sessions
Available
Not Available
1:30 - 2:45 pm
Availability on MSRD for Poster Presentation Sessions
Available
Not Available
2:55 - 3:55 pm
4:25 - 5:25 pm
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!
Submit
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