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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
              
            Thomas McLoughlin
            Thomas.McLoughlin@lvhn.org
            Anatomy
            Orhan Arslan
            oarslan@health.usf.edu
            Orhan Arslan
            oarslan@health.usf.edu
            N/A
            N/A
            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
            Thomas Doherty
            Thomas_W.Doherty@lvhn.org
            Molec Pharm Physio
            Javier Cuevas
            jcuevas@health.usf.edu
            N/A
            N/A
            N/A
            N/A
            Neurology
            Tom Frontera
            afronter@health.usf.edu
              
            Jay Varrato
            Jay.Varrato@lvhn.org
            Neurosurgery
            Fernando Vale
            fvale@health.usf.edu
            Kelly Thompson
            kpthompson@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
            Hassan Mir
            hmir@floridaortho.com
            Ann Joyce
            ajoyce@health.usf.edu
              
            Otolaryngology
            Thomas McCaffrey
            tmccaffr@health.usf.edu
            Allisha Azard
            allisha@health.usf.edu
              
            Pathology
            Anne Champeaux
            achampea@health.usf.edu
            Michelle Burnham
            mburnham@health.usf.edu
              
            Pediatrics
            Nathan Brinn
            nabrinn@health.usf.edu
            Kelly Paulina
              kpaulina@health.usf.edu
            Melissa Brannen
            melissa_l.brannen@lvhn.org
            Psychiatry
            Saundra Stock
            sstock@health.usf.edu
            Kris McGill
            Pat Crump
            kmcgill@health
            pcrump@health.usf.edu
            Katherine Martin
            Katherine_B.Martin@lvhn.org
            Radiation-Oncology
            Thomas Dilling
            Thomas.Dilling@moffitt.org
            Angie Courtney
            Angie.Courtney@moffitt.org
              
            Radiology
            Todd Hazelton
            thazelto@health.usf.edu
            Tracy Colley
            tcolley@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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