The code block below illustrates how one might use # and // as comments in your logic and calculations.

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PRS Research Interest Form

Returning?

A A A

Thank you for your interest in doing research with the Plastic and Reconstructive Surgery department at Geisinger.

Please complete the survey below to help us better categorize your experience level, interests, and research goals. Please bear in mind that we are a small department, and our number of ongoing projects is therefore limited by the number of residents and attendings we have. We will do our best to get you involved as able!

Full name

* must provide value

Email address

* must provide value

What year are you in medical school?

* must provide value

MS1

MS2

MS3

MS4

Other (specify)

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What specialties are you interested in?

* must provide value

I have no idea - still exploring everything

Likely something surgical, but I don't know what yet

I have narrowed it down to a few specialties, one of which is plastics

I am only interested in plastic surgery

Other (specify)

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What areas of research are you interested in? (It's totally ok if the answer is "all of them" or "I have no idea".) Examples include Peds/Craniofacial, Microsurgery, General reconstruction, Aesthetics, Hand, MedEd, etc...

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Describe briefly how much time you hope to spend on plastics research and over what time frame. (E.g. "I can dedicate about 4 hrs/ week from June through August of this year, but after that I start rotations again and will be less available.")

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Are you interested in leading a project? This requires a higher-level longer-term commitment, and means you would read articles, come up with your own new idea with the help of a resident, take the lead on moving the project forward, write most of the manuscript, and earn first author status. This option may not be suited for everyone's goals.

Yes

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If you have already spoken to any resident or attending in our department about research, please put their name here.

Anything else you want us to know? (E.g. goals, interests, prior experience/skills, other comments)

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You have selected an option that triggers this survey to end right now.

To save your responses and end the survey, click the 'End Survey' button below. If you have selected the wrong option by accident and/or wish to return to the survey, click the 'Return and Edit Response' button.