Student / Post-Graduate Research Interest Form

If you are an undergraduate, graduate, or medical student interested in conducting clinical or translational research with the Rady Children’s Orthopedic Division, 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 Orthopedic Division, UCSD Human Research Protections Program, Rady Children's Hospital-San Diego, and applicable federal/state regulations while conducting research.

There are 13 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 Pediatric Orthopedics are you interested in learning more about? We will do our best to match you to a project in an area of your interest but this cannot be guaranteed. *This question is required.(Check all that apply.)

Biomechanical Engineering/3D Printing/Translational
Foot
Hip Disease
Infections of the musculoskeletal system
Lower extremity alignment
Spine
Sports
Trauma
Other - Write In (Required) Please enter an 'other' value for this selection. * 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. Will this be an ISP project as part of your medical school requirement? *This question is required.

Please enter an 'other' value for this selection.

7. Is this part of a gap year in your medical school training for the purposes of conducting research for the entire duration?

Please enter an 'other' value for this selection.

8. Graduation Year: *This question is required. This question requires a valid number format.

9. Have you already communicated with any of our attending surgeon staff members?(Click all that apply:)

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

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

12. Will you be involved in any other research projects throughout the duration of your commitment to Rady Children's Orthopedic Research? *This question is required.

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