Underrepresented in Medicine Visiting Residency

Indiana University School of Medicine
Faculty Affairs | Professional Development | Diversity
Underrepresented in Medicine Visiting Residency

Indiana University School of Medicine (IU School of Medicine) is working to diversify the workforce by graduating more physicians from underrepresented groups and ensuring that all trainees are prepared to provide culturally competent care for patients from all walks of life. The Underrepresented in Medicine Visiting Residency, sponsored by Faculty Affairs, Professional Development, and Diversity (FA|PD|D), supports residents, who want to pursue a fellowship and provides them with the opportunity to spend time at our facilities.

This request must be initiated at least 90 days in advance of the requested start date (shorter timeframes may be denied or delayed). All required documents, licensure, and modules must be received, valid, and completed prior to the requested start date.

Early communication with the Program Director/Coordinator of the program in which you desire to rotate is critical. All visiting rotations are subject to approval by the appropriate Program Director/Coordinator.

Underrepresented in Medicine Visiting Residency

Step 1 of 3

ELIGIBILITY

All applicants must be residents currently enrolled in an ACGME-accredited training program AND meet all of the criteria below:
- Identify as one or more IU School of Medicine's diversity categories:
  - Black/African American
  - Hispanic/Latinx
- Eligible participants must be full-time, at least a second year resident, and in good academic standing at a LCME (Liaison Committee on Medical Education) accredited U.S. and U.S. territories medical schools.

PARTICIPATING DEPARTMENTS

Department	Contact Name	Contact Email
Adolescent Medicine	Taylor Tuller	tjarnold@iu.edu
Adult Anesthesia	Anita Batza	abatza@iupui.edu
Clinical Radiology	Wade Chatmon	wchatmon@iupui.edu
Obstetrics & Gynecology	Ali Cotton	cottona@iu.edu
Orthopedics	Tina Lee	tinlee@iu.edu
Otolaryngology	Jane Adamson	jaadamso@iupui.edu
Pediatric Anesthesia	Serena Mahoney	semmitch@iupui.edu
Pediatric Child Protection Program	Ralph Hicks	raahicks@iu.edu
Pediatric Critical Care	Melissa Bales	melbales@iupui.edu
Pediatric Endocrinology	Tina Cochran	tmcochra@iu.edu
Surgery	Mark Falimirski	mfalimir@iupui.edu

If you are interested in a program not listed above, please contact us at iusmdiv@iupui.edu

FINANCIAL ASSISTANCE

The program will pay a $2000 stipend only to out-of-state visiting residents to support costs associated with participation. Participants will receive compensation upon successful completion of the rotation.

APPLICATION PROCESS

To submit a complete application applicants must follow this process:
- Contact the department to which you are applying and complete the URM Visiting Residency Program application, which includes:
  - A completed URM Visiting Residency Application;
  - A personal statement discussing career goals;
  - A letter of recommendation (preferably from the department which the learner is submitting an application);
  - An up to date CV (Curriculum Vitae); and
  - A letter from their Resident Program Director stating that the applicant is in good standing.
- Complete the IU School of Medicine Visiting or Temporary House Staff Assignment form found here and submit by email to jebinhac@iu.edu.
LENGTH OF ROTATION

Rotations are four weeks in duration and are subject to space availability.

OTHER ELIGIBLE PROGRAMS

If you are a successful candidate in this program, and are invited back for a fellowship interview, then you qualify for the Underrepresented in Medicine Residency and Fellowship Second Look Program.

This program provides funding to support residency or fellowship interview visits to the IU School of Medicine.

Support is available for up to $500 for an out-of-state candidate.

For more information, please email us at iusmdiv@iupui.edu

VISITING RESIDENT APPLICATION
Name
First Middle Last
Today's Date
Date Format: MM slash DD slash YYYY
Date of Birth
Date Format: MM slash DD slash YYYY
Requested Dates of Rotation
Date Format: MM slash DD slash YYYY
To
Date Format: MM slash DD slash YYYY
Department/Division applying to
Gender
Gender Pronouns
Which of the following groups do you identify with (select all that apply):*
- Black/African American
- Hispanic/Latinx
Are you a citizen or permanent resident of the United States?
- Yes
- No
Please identify your citizenship and visa status.*
Current Residency Program
Email
Phone
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

PROFESSIONAL EXPERIENCE
Current Institution
Residency Program Name
Program Director
First Middle Last
Program Director Email
Enter Email Confirm Email
PGY Level (at start of rotation)
Program Coordinator
First Middle Last
Program Coordinator Email
Enter Email Confirm Email
EDUCATIONAL BACKGROUND
Medical School
Date of Graduation (*Graduates of Foreign Medical Schools must provide a valid ECFMG certificate)
Academic Honors (College and Medical School)
DOCUMENT UPLOAD
Personal Statement
Accepted file types: doc, docx, pdf.
Letter of recommendation
(preferably from the department to which the resident is submitting an application)

Accepted file types: doc, docx, pdf.
Letter from Program Director
Accepted file types: doc, docx, pdf.
Curriculum Vitae
Accepted file types: doc, docx, pdf.
ECFMG Certificate, if applicable
Agreement Statement*
I understand that by submitting this application, I verify that all of the submitted information is accurate and true to my knowledge. I understant this application is not a guarantee of acceptance and that this program is subject to availability. I acknowledge that my application is not considered complete until I complete an application with the Program Director.
- Yes

Sydney Rucker

Director of Diversity Initiatives

syrucker@indiana.edu
MS 209H
Admin Support Email: TraNeka Pippens
Admin Support Phone: (317) 274-1990

Underrepresented in Medicine Visiting Residency