Required Forms & Documents
Contact
Name:
Kevin Anton, MD, PhD
Position:
- Assistant Professor, Radiology
- Director, Global Radiology Elective
Organization:
Division of Interventional Radiology
Email:
[email protected]
Global Health Rotation Forms
All documents are PDFs, unless otherwise noted.
- Goals & Objectives
- International Rotation Policy & Procedures
- Interdisciplinary Global Health Compentencies
- Kenya Country Report
- Letter of Agreement between Jefferson and Host Institution
- Pre-Travel Checklist
- Resident Physician Global Health End of Elective Assessment by On-Site Supervisor
- Resident Physician Global Health Elective Experience Evaluation Form
- Voluntary Participation and Assumption of Risk Agreement (.DOC)