OPEP 2021 Question Title * 1. Contact information Name (First name Last name) Your Medical School name Email Address Phone Number OK Question Title * 2. Year of birth (asked for statistical analysis only) OK Question Title * 3. Gender (asked for statistical analysis only) Male Female Other Prefer not to say OK Question Title * 4. Expected year of graduation 2020 2021 2022 2023 2024 2025 OK Question Title * 5. Which of the following best describes you? I have no interest in psychiatry but am curious about OPEP. I have little interest in psychiatry but have not had enough exposure to fully rule it out. I am somewhat interested in psychiatry and would like to explore this interest further. I am very interested in psychiatry and would like to network and learn more about the program at Ottawa through OPEP. Other (please explain) OK Question Title * 6. Please rank your afternoon observership preference from first (1) choice to fifth choice (5). If accepted to the Program, we will try our best to match 2 of your top 5 choices. 1 2 3 4 5 6 7 8 9 10 11 12 Inpatient Psychiatry 1 2 3 4 5 6 7 8 9 10 11 12 Consult-Liaison Psychiatry 1 2 3 4 5 6 7 8 9 10 11 12 Child/Youth Psychiatry 1 2 3 4 5 6 7 8 9 10 11 12 Sleep Medicine 1 2 3 4 5 6 7 8 9 10 11 12 Mood Disorders 1 2 3 4 5 6 7 8 9 10 11 12 Forensic Psychiatry 1 2 3 4 5 6 7 8 9 10 11 12 Geriatric Psychiatry 1 2 3 4 5 6 7 8 9 10 11 12 Schizophrenia 1 2 3 4 5 6 7 8 9 10 11 12 Community Psychiatry 1 2 3 4 5 6 7 8 9 10 11 12 Eating Disorders 1 2 3 4 5 6 7 8 9 10 11 12 Addiction Psychiatry 1 2 3 4 5 6 7 8 9 10 11 12 Perinatal Psychiatry OK Question Title * 7. In 300 words or less, summarize why you are applying to OPEP and what you hope to get out of the week. OK Question Title * 8. Please send a copy of your CV to psyugme@uottawa.ca with subject line: OPEP Application CV. If you would like to send additional documents please send along with your CV. I have sent my CV I am sending additional documents OK DONE