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Required format:

h84k2VJhZXyUv5e6tSVjDjfqZc9rdotNQzm6hdawhs

IUSM MedSTAR Program

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The goal of MedSTAR is to provide a wide array of clinical and translational research opportunities available to medical students to strengthen and increase the cohort of physician-scientist. The one year research will allow IUSM student who wants to be immersed in research support for one year of full-time mentored training. The program will accept up to 4 medical students from IUSM who are enrolled and in good standing who have a proven interest in and commitment to biomedical research as evidenced by previous laboratory experience such as the IMPRS Program.

In order to be eligible for the MedSTAR program, you must do the following:

1. Fill out the RedCap Application

2. Submit your current CV/resume

3. Submit the research plan

4. Submit the following letters: Letter of Good Standing from the IUSM Administration; Letter of Reference; Letter of Affirmation from mentor

Application and requested documents are due by DECEMBER 31.

Student First Name

* must provide value

Student Last Name

* must provide value

Date of Birth

Y-M-D

Age (years)

View equation

Ethnicity (Note: This data is collected for informational purposes only as required for NIH reporting. It will not be used as part of the application review process.)

* must provide value

Hispanic or Latino NOT Hispanic or Latino Unknown / Not Reported

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Race (Note: This data is collected for informational purposes only as required for NIH reporting. It will not be used as part of the application review process.)

* must provide value

Gender (Note: This data is collected for informational purposes only as required for NIH reporting. It will not be used as part of the application review process.)

* must provide value

Female

Male

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Street Address

City

State

Zip Code

Contact Telephone Number (Area Code-###-####)

What is your home campus?

* must provide value

BL-Bloomington

EV-Evansville

FW-Fort Wayne

IN-Indianapolis

WL-West Lafayette

MU-Muncie

NW-Northwest

SB-South Bend

TH-Terre Haute

Current/School E-mail Address

* must provide value

Permanent E-mail Address

* must provide value

From what institution did you receive your undergraduate degree?

* must provide value

What was your undergraduate cumulative GPA?

* must provide value

If applicable, from what institution did you receive your graduate degree (MS or MA)?

If applicable, what was your graduate cumulative GPA?

Resume or CV (required)

* must provide value

Upload file

What is your general field of interest?

ORCID

How many cumulative hours did you spend conducting laboratory or clinical research prior to matriculation into medical school ? (For example, 18 weeks for 15 hours per week = 270 hours)

Did you participate in the IUSM IMPRS Program? (AKA SRPinAM prior to 2017)

* must provide value

Yes

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If you did not participate in the IUSM IMPRS Program, provide the name of the summer research program.

If you participated in IMPRS, when and who was you mentor?

Describe any prior research experience, including your role on research projects. Include any previous abstracts or publications. Maximum 300 words.

* must provide value

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If you have an abstract from your past research experience, please upload.

Upload file

If you have a research poster pdf file, please upload.

Upload file

Personal Statement: Please explain your goals in pursuing a 12-month research program at IUSM and indicate your current thoughts about long-term career plans and goals. Maximum 500 words.

* must provide value

Expand

Research Plan (Project Title, Abstract and Research Project Plan; the Research Plan is limited to 1000 words and needs to be practical for a one-year training period): Upload your research plan. The project should be rigorous and high quality research. Include: Title and Abstract; 1. brief background; 2. specific aims; 3. research design/methodology; 4. significance.

Upload file

Mentor First Name

* must provide value

Mentor Last Name

* must provide value

Campus

Department

Mentor Email

* must provide value

Mentor NIH Biosketch

Upload file

Letter of Support from the faculty member who has agreed to serve as a mentor for the one-year training. (Applicant Assessment and Training Plan should be included in the Letter of Support)

Upload file

Letter of Reference from a second faculty member who can comment on the applicant's research potential

Upload file

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