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We enjoy opportunities to share the exciting field of family medicine with you. Whether you are currently early in your specialty choice exploration and want to learn more about family medicine, or whether you have made the (fantastic) choice to apply to a family medicine residency and need mentorship in your application process, we are here for you. For students in their third year of medical school selecting their clinical advisor, please use the form below and we would be thrilled to match you with a clinical advisor to help you design your fourth year schedule and provide mentorship through the residency application process. We are very excited to meet you! Please complete the short form below.
Student Name
Student Email Address
Current year
M1
M2
M3
M4
Please select one
I am interested in learning more about family medicine and/or having a family medicine career mentor.
I am a current M3 who wants to be matched with a family medicine Clinical Advisor.
I am interested in family medicine research.
I am interested in attending family medicine events and activities.
Other
Do you have a family medicine mentor?
Yes , if so who
No
Please tell us a little about yourself and your interest in family medicine (free text box, optional).
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