NOTE: THIS IS THE APPLICATION FOR THE AMAZON ROTATION IN FEBRUARY/MARCH 2023.

DUE TO RESTRICTIONS ON AWAY ROTATIONS BECAUSE OF COVID19 AND THE HEALTH RISK OF PRACTICING IN A VERY RESOURCE LIMITED SETTING WHICH IS EXPERIENCING A HIGH FATALITY RATE THIS ROTATION MAY BE CANCELED AT ANY TIME. THE EXPERIENCES MAY BE  DIFFERENT FROM WHAT IS DESCRIBED BELOW. WHILE NOT REQUIRED BY THE SCHOOL AT THIS TIME, AT THE TIME OF THE ROTATION PROOF OF SARS-COV2 VACCINATION MAY BE REQUIRED BY:

A. WESTERN MICHIGAN UNIVERSITY HOMER STRYKER MD SCHOOL OF MEDICINE.

B.  ANY VESTED USA BASED ORGANIZATIONS INCLUDING THE STATE DEPARTMENT, THE CDC, ACGME, AAMC AND OTHER ORGANIZATIONS

C.  THE PERUVIAN GOVERNMENT AND ANY INVOLVED PERUVIAN BASED ORGANIZATIONS.

The Western Michigan University School of Medicine Global Health Program's clinical experience in the Amazon region of Northern Peru will take place in block 9 (from February to March 2023 - Students should be able to return in time for match week).  The rotation will include extensive pre-travel preparation. The first few days in Peru experiences may vary and may include visits to hospitals and health care systems and the US Naval research lab in vector borne diseases in Iquitos.  The final two weeks will take place in providing primary and acute care in remote communities along the upper Amazon, Ucayale and/or Marañón rivers. Spanish fluency is desirable but not required as translators will be available.  Optional one on one or group Spanish language instruction is offered at an additional cost.  Lodging conditions vary from year to year and may be very rustic.  The Amazon is home to a plethora of insects.  Participants should be comfortable with and adaptable to a variety of challenging environmental situations.  Space is limited.  THIS APPLICATION IS DUE July 31, 2023.

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* 1. Name (First, Middle, Last)

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* 2. Date of Birth

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* 3. Address

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* 4. City

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* 5. State

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* 6. Zip Code

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* 7. E-mail

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* 8. Cell Phone

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* 9. Citizen of which country

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* 10. Passport number

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* 11. Passport expiration date (Passports must have 6 months left before the expiration date to enter Peru)

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* 12. Nationality

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* 13. Country passport was issued

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* 14. Does your passport allow you to travel and return to the USA:

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* 15. The four week rotation will cost approximately $2,900 not including airfare (estimated $450-$800) and incidentals.  $2,460 of this cost goes to our organizing service Amazon Promise a non-profit 401c3 and may be tax deductible.  Airfare and other expenses may also be tax deductible (check with your tax experts). Optional Spanish language lessons may be available at an additional cost for those. Applicants will be notified by the end of May.  A $300 deposits is due at the end of June. Payment must be made in full by Dec 15.  Travel costs are unpredictable and may be cheaper or more expensive. Can you commit to having the funding to do this at this time?

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* 16. Current Training Program

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* 17. Position at the time of the trip in February

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* 18. Are you in good academic standing?

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* 19. List languages and level of fluency for each (Basic, Intermediate, Advanced, Fluent).  Spanish is helpful but not required for this project.

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* 20. Name and contact information for your academic advisor

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* 21. Current Career Plans

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* 22. Health or Physical Limitations (Accommodations can be made for participants with special needs - Please contact us to discuss any concerns regarding your needs)

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* 23. Environmental, Food or Medication Allergies

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* 24. Travel experience (Including international travel, developing countries, impoverished areas of the US)

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* 25. Camping experience (Including rustic conditions, lack of toilets, plethora of insects, extreme weather of heat, humidity and torrential rains)

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* 26. This experience demands interdependence. (Please describe some experiences working with a team)

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* 27. Please describe some experiences handling conflict

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* 28. What attracted you to this rotation

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* 29. What do you expect to get out of this rotation?

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* 30. List three topics you would like to teach your collegues

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* 31. Is there any other information we need to know in making a decision about your application

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