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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
        Barbara Pearce
        bpearce@health.usf.edu
        Charles Worrilow
        Charles.Worrilow@lvhn.org
        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
        Barbara Pearce
        bpearce@health.usf.edu
        James Ross
        James.Ross@lvhn.org
        Neurology
        Clifton Gooch
        cgooch@health.usf.edu
        Kris McGill
        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
        Atheer Naif
        anaif1@health.usf.edu
        Christina Black
        christina_m.black@lvhn.org
        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
        Courtney Johns
        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
        Kunkle
        cpietri1@health
        ckunkle1@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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