2019 IDBugBowl - Application to Compete

Apply below to have your institution be considered

to participate at the 2019 IDBugBowl!

IDWeek will select two teams from the DC/Baltimore area and two national/international teams! Each team should consist of four members; two current ID fellows, and two residents and can include pediatric fellows. Programs can make substitutions as needed, including using medical students, but one fellow and one resident are required. IDWeek will pay for full conference registration for student, resident, and fellow team participants, but travel expenses will not be covered.

The IDBugBowl is a Jeopardy-style infectious disease quiz bowl being organized for IDWeek 2019 in Washington, DC and is specifically geared toward fellows, residents and medical students, however attendees from all career stages have attended this entertaining session. IDBugBowl will be held Saturday, October 5, 2019, from 5 – 6 p.m. in the Walter E. Washington Convention Center Ballroom ABC.

Applications are due by July 19, 2019.

Question Title

* Institution Information

Team Institution

Institution City

Institution State

Question Title

* What do you like about IDBugBowl
& why would you like to
participate?

Question Title

* Contestant 1 Contact Information (Adult or Peds ID Fellow)

First Name

Last Name

Degree

Email address

Program Director Email Address

Question Title

* Contestant 1 Program Type

Adult ID Fellowship

Pediatric ID Fellowship

Question Title

* Contestant 1 - what year of fellowship will you be in October 2019?

First Year

Second Year

Third Year

Question Title

* Contestant 2 Contact Information (Adult or Peds ID Fellow)

First Name

Last Name

Degree

Email address

Program Director Email Address

Question Title

* Contestant 2 Program Type

Adult ID Fellowship

Pediatric ID Fellowship

Question Title

* Contestant 2 - what year of fellowship will you be in October 2019?

First Year

Second Year

Third Year

Question Title

* Contestant 3 Contact Information (Internal Medicine or Pediatric Resident)

First Name

Last Name

Degree

Email address

Program Director Email Address

Question Title

* Contestant 3 - what year of residency will you be in October 2019?

First year resident

Second year resident

Third year resident

Question Title

* Contestant 4 Contact Information (Adult or Peds ID Fellow OR Internal Medicine or Pediatric Resident OR Medical Student)

First Name

Last Name

Degree

Email address

Program Director Email Address

Question Title

* Contestant 4 Program Type

Adult ID Fellowship

Pediatric ID Fellowship

Resident

Medical Student

Question Title

* Contestant 4 - If you are in an Adult ID or Pediatric ID Fellowship, what year will you be in October 2019?

First Year

Second Year

Third Year

Question Title

* Institution Information

Question Title

* What do you like about IDBugBowl & why would you like to participate?

Question Title

* Contestant 1 Contact Information (Adult or Peds ID Fellow)

Question Title

* Contestant 1 Program Type

Question Title

* Contestant 1 - what year of fellowship will you be in October 2019?

Question Title

* Contestant 2 Contact Information (Adult or Peds ID Fellow)

Question Title

* Contestant 2 Program Type

Question Title

* Contestant 2 - what year of fellowship will you be in October 2019?

Question Title

* Contestant 3 Contact Information (Internal Medicine or Pediatric Resident)

Question Title

* Contestant 3 - what year of residency will you be in October 2019?

Question Title

* Contestant 4 Contact Information (Adult or Peds ID Fellow OR Internal Medicine or Pediatric Resident OR Medical Student)

Question Title

* Contestant 4 Program Type

Question Title

* Contestant 4 - If you are in an Adult ID or Pediatric ID Fellowship, what year will you be in October 2019?

* What do you like about IDBugBowl
& why would you like to
participate?