2012 SRCA Student Application

Please fill out this form to submit your application. (Note: Open to UW Med 1 and Med 2 students.)

Contact Information

Medical School Year Completed by May 2012

Please include the name, address, and phone number.

Please include the name, address, and phone number.

Projects

Below, place the number 1 next to the project in which you are most interested; place the number 2 next to the project in which you have the second highest interest; and so on. Use each number only once. If you have no interest in a particular project, leave the line blank. ( See full project descriptions here » )

Approach to non-responsive pneumonia diagnosed in the primary care office

Difficult patients: exploring the patient perspective

Virtual reality home visit- teaching home safety

Parental knowledge of their children’s vaccination status

Pedometer walking program with farmers in Shawano County

Nasal Irrigation for chronic rhinosinusitis and fatigue in patients with Gulf War Illness

Patients’ experience of PCMH transformation in an urban family medicine clinic

Using EMR Data to Evaluate Obesity Prevalence in Pregnancy

Mammograms for women in their 40s: Developing clinical guidelines from the evidence

Cover Letter

IMPORTANT: Include with this application a very brief cover letter that describes your interest in family medicine, the reasons for your interest in this program and particular projects, and your previous experience with research and computers. Don't worry if your experience is minimal; this program is intended as a learning experience.