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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.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 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
Veronica_M.Brohm@lvhn.org
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
Kris McGill
jgordon@health kmcgill@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
Atheer Naif
kfreer@health anaif1@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
Courtney Johns
mereyes@health cjohns2@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
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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