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2023 Rural Fellowship in Primary Care
First Name
Last Name
Email Address
Hometown (city, state)
Hometown (city, state)
Country
City
Region
Medical School Attendance
Residency - Specialty, Location
Please provide a short personal statement regarding your commitment, and interest, in practicing in rural/underserved North Carolina.
Please provide a short statement explaining area of interest for further education and exploration (how would you utilize the time the fellowship would "buy back" from clinical service)
Please provide a short response about your level of comfort and willingness to act as a preceptor for medical students as part of a fellowship opportunity.
Would you like any additional conference / training?
Would you be willing to present at regional/national conferences (i.e. NRHA)?
Would you be willing to present at regional/national conferences (i.e. NRHA)?
Yes
No
Submit