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  1. Independent Study Application
    These forms are available on the Forms page. The student must complete all requested information in Part I, complete Part II with the help of their faculty supervisor and obtain signatures from their faculty supervisor, the department director (below) and the Associate Dean for Undergraduate Medical Education and submit the form to the Registrar's Office for approval.

  2. Independent studies are typically completed entirely on campus. Should the independent study project take you out of the country for any length of time, you must contact USF Medicine International (http://health.usf.edu/medicine/ia/travel_guidelines.htm) and are required to complete the international travel registration process and purchase the University’s travel medical and evacuation insurance.

    Note
    Form Due: 6 weeks before the start of the rotation

     

    1. Independent Study Self-Assessment and Evaluation: All independent studies require a written evaluation of the student's performance at the conclusion of such elective periods. This evaluation must be submitted to the Registrar's Office for processing.  It is the student's responsibility to initiate the evaluation process and ensure that the Registrar's Office receives an evaluation form.

       

      Department
      Signatory (Dept Director)
      Email
      Coordinator
      Email
      Signatory LVHN
      Email
      Anesthesiology
      UME Dean/Stu Aff Dean
      kzwygart@health.usf.edu
      Meghan Connery
      mconner1@health.usf.edu
      Thomas McLoughlin
      Thomas.McLoughlin@lvhn.org
      Anatomy
      Orhan Arslan
      oarslan@health.usf.edu
      Orhan Arslan
      oarslan@health.usf.edu
        
      Dermatology
      Nishit Patel
      npatel1@health.usf.edu
      Kandi Smith
      ksmith3@health.usf.edu
        
      Emergency Medicine
      Kevin O'Brien
      kobrien@health.usf.edu
      Matel Galloway
      mgallowa@health.usf.edu
      Charles Worrilow
       
      Family Medicine
      Eduardo Gonzalez
      egonzale@health.usf.edu
      Linda Giordano
      lgiordan@health.usf.edu
      Veronica Brohm
       
      Internal Medicine
      Kevin O'Brien
      kobrien@health.usf.edu
      Matel Galloway
      mgallowa@health.usf.edu
      James Ross
      James.Ross@lvhn.org
      Neurology
      Clifton Gooch
      cgooch@health.usf.edu
      Julie Gordon
      jgordon@health.usf.edu
      Jay Varrato
      Jay.Varrato@lvhn.org
      Neurosurgery
      Fernando Vale
      fvale@health.usf.edu
      Twyla Sumpter
      tsumpter@health.usf.edu
        
      ObGyn
      James Mayer
      jmayer@health.usf.edu
      Kimberly Freer
      kfreer@health.usf.edu
      Christina Black
       
      Ophthalmology
      Carla Bourne
      cbourne@health.usf.edu
      Stacy DeRaps
      sparkerd@health.usf.edu
        
      Orthopaedics
      David Leffers
      dleffers@health.usf.edu
      Ann Joyce
      ajoyce@health.usf.edu
        
      Otolaryngology
      Thomas McCaffrey
      tmccaffr@health.usf.edu
      Michelle Burnham
      mburnham@health.usf.edu
        
      Pathology
      Anne Champeaux
      achampea@health.usf.edu
      Sally Lamar
      slamar@health.usf.edu
        
      Pediatrics
      Ronald Sutsko
      rsutsko@health.usf.edu
      Meaghan Reyes
      mereyes@health.usf.edu
      Melissa Brannen
      melissa_l.brannen@lvhn.org
      Psychiatry
      Saundra Stock
      sstock@health.usf.edu
      Kris McGill
      kmcgill@health.usf.edu
      Edward Norris
      Edward.Norris@lvhn.org
      Radiation-Oncology
      Thomas Dilling
      Thomas.Dilling@moffitt.org
      Angie Courtney
      Angie.Courtney@moffitt.org
        
      Radiology
      Todd Hazelton
      thazelto@health.usf.edu
      Candace
      Candice Pietri
      cpietri1@health.usf.edu
        
      Surgery 
      Ashley Hodes
      ahodes@health.usf.edu
      Heather Borgman
      hborgman@health.usf.edu
      Joseph Stirparo
      Joseph_J.Stirparo@lvhn.org

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