Ìð¹ÏÊÓƵ

1. Select the area(s) of interest that you have experience or related activities with (please check all that apply).  For each selected area, please list your experience and/or activities; completed, current or planned.  There is a 150-word limit for each selected area:

• Practice in an underserved area and/or work with an underserved population
• Rural/Border health
• Medical Research/Academics
• Primary Care
• Other (please describe below)

 

1. Have you experienced any road bumps in your academic career? (low academic performance, dropping, retaking, or failing courses, etc.)

1.1 If yes, please explain your circumstance. (250 words or less)

2. Please share any lessons learned during your academic journey. For example, a time a goal of yours was deterred and maybe even halted, how did you handle that situation? (250 words or less)

3. If you are applying to a dual degree program, please rank them in order of preference. 

4. Are you applying to our MD & E program?

4.1 Describe your motivation to pursue this program at Ìð¹ÏÊÓƵ, be sure to include how you expect to benefit from our program.

4.2 How do you anticipate this program making you a more efficient caregiver?

4.3 Please list the highest-level math/chemistry/physics course you have taken or are currently taking.

4.4 What projects have you been involved in that require programming and or machine languages?  What languages do you prefer? 

5. Are you applying to FMAT?

5.1. What motivates you to participate in the FMAT program? (200 words or less)

5.2. What experiences have you had that would prepare you for this intensive program? (200 words or less)

5.3. What, in your opinion, distinguishes Family Medicine from other medical specialties? (200 words or less)

6. Have you experienced any hardship or adversity; personally or professionally?

6.1 If yes, please share your experience with us. (200 words or less)

7. Please tell us about your favorite recreational/leisure activities. (100 words or less)

8. Please share with us your ideal practice. For example: Where would you practice? Who would your patients be? What would your specialty be? (100 words or less)

9. Do you consider yourself from West Texas or as having West Texas ties?

9.1 If yes, what town or county did you reside in, or what other factors would you cite? (100 words or less)

10. Do you consider yourself to be first generation? (Some examples include: Both of your parents are born outside of the USA, both of your parents have education or a degree outside of the USA, both of your parents do not have an education higher than high school)

       10.1 If yes, please explain your reasoning. (100 words or less)

11. Have you ever participated in any Ìð¹ÏÊÓƵ special programs? Check all that apply.