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OMM STUDENT-DOCTOR FELLOW APPLICATION

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OMMSTUDENT-DOCTORFELLOWAPPLICATION

ThisapplicationmaybedeliveredinpersontotheDepartmentofOsteopathicManipulativeMedicine(OMM)orthroughdirectemailtoJamesKribs,D.O.,ChairoftheDepartmentofOMM.Name: ____________________________________________________________________ Last First MiddleLUID#: ____________________________________________________________________LUEmail: ____________________________________________________________________Pleasereadeachdiscussionitembelowandinsertyourcommentsintothedocument.Eachresponseshouldbelimitedto500wordsofless.1.DiscusswhyyouareinterestedintheLUCOM-OMMundergraduatefellowshipposition.______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________2.DiscusshowyouintendtoadvancethemissionandvisionofLUCOM,ifselectedtoaLUCOM-OMMStudent-DoctorFellowposition.______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

3.Explainhowyouhopethispositionwillcontributetoyouroverallcareergoalsasanosteopathicphysician.______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________4.Indicateanyquestionsyouwouldlikeaddressedinyourinterview.______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________BelowareimportantconceptsforLUCOM-OMMStudent-DoctorFellowapplicantstoconsider:

1. ApplicantswillbeinterviewedbyLUCOM-OMMfacultywithrecommendationstotheOfficeoftheDeanforfinaleselection.

2. Participantsaregivenan$18,000stipendeachyear.3. Participantsaregivenanadditional$3,000indevelopmentfundstoattendspecificapprovedeventsand

conferences.4. Participantsareawardedaone-yeartuitionwaivertobespreadoverthefinaltwo-yearsoftheLUCOM

curriculum(doesnotincludeLibertyandLUCOMfees).5. Participantsmusthavehad>80averageoveralland>80%averageoverallforLUCOM-OMMforfirsttwo

yearsofcurriculum.6. ParticipantsmustpassCOMLEX-Ionfirstattempt(maybeselectedforprogrampriortothisrequirement

butifrequirementisnotmet,participantmuststepdown).7. Participantsmustneverhavebeenonsuspensionand/orprobation.Goodacademicstandingisrequired.8. Participantswillhave½dayperweekofOMMclinictimewithLUCOMfaculty.9. Participantswillhave½dayaweekofcontinuitycareinanassignedprimarycaremedicalclinic

throughouttheacademicyear.

Continuetofinalpage

GraduateTeachingAssistant(GTA)responsibilitiesinclude:1. AssistwithteachinginOMMLabtwoafternoonsaweek.2. AssistwithOMMexaminationsandevaluations.3. AssistinpresentationofOMMlecturesubjectmatter,smallgroups,etc.,andattendallOMMlectures,

prep,sessions,etc.4. TeachatleastoneOMMlectureoroneOMMlabpersemester.5. Mayconductapprovedresearch/publicationprojectovercourseofacademicyear.6. AssistwithmonthlyOMMlabsforOMS-IIIstudent-doctors.7. Beavailabletotutorstudent-doctorsinOMMatleastfour-hourseachweek.8. AssistwithClinicalMedicine,StandardizedPatientsandSimulationevaluationswhenneeded.9. Additionalresponsibilities/requestsasappointedbytheChairofDepartmentofOMM.

Bysigningthisdocument,you,theapplicant,arestatingthatyouhavereadandunderstandtheresponsibilitiesasoutlinedandwillendeavortouphold,aswellas,advancethemission,visionandgoalsofLibertyUniversityCollegeofOsteopathicMedicineandtheDepartmentofOsteopathicManipulativeMedicine.____________________________________________ApplicantSignature____________________________________________ApplicantName(printed)____________________________________________Date