JMC Student Urology Information Form

Department of Urology

Name: ______

Class of JMC: ______

E-mail: ______

Today’s Date: ______

Undergraduate Institution: ______

Current Faculty Advisor: ______

Member of Jefferson Urology Society: ______

Date of Membership: ______

Officer Position Held and Year: ______

____________

Interest in Urology Research? ____Yes _____No

Students interested in urology research may assist in projects directed by urology residents and /or attendings. Students can work on projects according to their schedules. Classes come first! Please contact Dr Dolores Byrne for List of Research Activities at Ext.: 5-1701.

Jefferson Urology Society

The Jefferson Urology Society is a student-run organization that provides medical students with the opportunity to learn more about the exciting and dynamic field of Urology. The goal of the Society is to promote interaction between students, residents and faculty via informational sessions, research, shadowing opportunities and charitable events. The organization also works to provide interested students with faculty mentors who serve as role models and advisors for students who are interested in pursuing a career in Urology.

The Department of Urology views the Jefferson Urology Society as a means to strengthen the relationship between students and faculty, throughout one’s four years at JMC.

President: Anton Wintner, JMC Class of 2012 ()

Faculty Advisors: Dr. Costas Lallas, Co-Director, Medical Student Education () and Dr. Leonard Frank, Co-Director, Medical Student Education ()

Education Coordinator:Nicole Eppright ()

The above information will be made available to the Jefferson Urology Society. The society will contact students by e-mail about upcoming Urology Society events and research and volunteer opportunities. In addition,faculty will be able to stay in communication with interested students and help them in their career decisions (whether in the Field of Urology or other Specialty).

Please drop the form off at the front desk at the Jefferson Urology Department (11thFloorCollege); use Curtis elevator.

We are looking forward to meeting and working with you!

Dr Leonard G Gomella, Chairman and the Faculty

Department of Urology

ThomasJeffersonUniversity