Student / Post-Graduate Research Interest Form

University of California San Diego (UCSD) School of Medicine students, interns, residents, and fellows have the opportunity to partner with Heart Institute faculty to assist with research projects. If you are interested in conducting clinical or translational research, please complete the questionnaire below. If selected, individuals will be required to complete all training and documentation mandated by the UCSD Human Research Protections Program and Rady Children's Hospital.

Expected Commitments

Individual must be committed to fulfill their role once a project has been agreed upon.
The time commitment for a minimal research project would be 4 hours a week.
The individual must convey in writing to the Principal Investigator and Research Director if they decide to stop participating in the research project.
The individual must abide by all policies set forth by the UCSD Human Research Protections Program, Rady Children's Hospital-San Diego, and applicable federal/state regulations while conducting research.

There are 11 questions in this survey.

1. Full Name: *This question is required.

2. Email Address: *This question is required. This question requires a valid email address.

3. Contact Phone Number: *This question is required.

4. Which area of the Heart Institute are you interested in learning more about? *This question is required.

5. Are you a current student at UCSD? *This question is required.

Please enter an 'other' value for this selection.

6. Graduation Year: *This question is required.

7. Briefly list any prior experience with clinical research and your role: *This question is required.

8. What do you hope to gain from this experience? *This question is required.

9. Will you be involved in any other research projects throughout the duration of your commitment to the Heart Institute? *This question is required.

10. How much time do you anticipate being able to dedicate to research? (Hours per week, number of months, etc.) *This question is required.