Neurosurgery Student Shadowing

The Neurosurgery Student Shadowing program at the University of Cincinnati Department of Neurosurgery is designed to help individuals get a glimpse into the subspecialty of neurosurgery.  Individuals over the age of 16 may apply. Participants will have the opportunity to experience the outpatient clinic setting, including the duties performed by the health care worker they are shadowing. Each student will be scheduled to shadow a neurosurgery attending physician for 1 day (maximum of 8 hours)*.

To apply for a day of shadowing, please complete the application form below and submit a copy of your CV/resume, one (1) letter of recommendation (from a teacher or mentor). Submit verification of Flu shot and TB test to Sarah Hall at hall4sd@ucmail.uc.edu.

Once your application is complete someone from our office will contact you.

Name

Date of Birth

Email Address

Phone Number

Home Address

Gender:

• Male
• Female
• Other... This choice will expand a text box

School Currently Attending

Current Grade Level

• H.S. Junior
• H.S. Senior
• College
• Other... This choice will expand a text box

Any Impairments/Special Needs:

Immunizations (including TB and Flu shot) are up-to-date

• Yes
• No (A separate immunization form is required)

Do you prefer to shadow a specific neurosurgeon?

• Yes
• No

If yes, please list your preference(s):

Do you prefer to shadow a specific neurosurgery sub-specialty

• Yes
• No

If yes, please list your preference(s):

Please list the days you are available:

Please list the times you are available:

Briefly describe why you are interested in shadowing in neurosurgery:

Upload CV/Resume

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Letter of Recommendation

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(from a teacher or mentor)

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