Surgery Sub Internship Application with Swedish Medical Center in Seattle, Washington

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Thank you for your interest in a subinternship with our program.

Please complete the application in its entirety (including uploads) as you will not be able to access the application once complete.

We look forward to reviewing your application,
Marc D. Horton, MD
Program Director, General Surgery Residency Program

Ryan J. Martinez, MD
Associate Program Director, General Surgery Residency Program

1.	Date of Application:

2.	First Name:

3.	Last Name:

4.	Phone Number:

5.	Email Address:

6.	Undergraduate University:

7.	Degree and Year of Graduation:

8.	Medical School Name and Location:

9.	Step 1 USMLE Score:
	190 270

10.	Step 2 CK USMLE Score: If you have not taken Step 2, please leave as zero
	190 270

11.

Please list consecutively your completed clerkships and locations:

13.	Please describe briefly why you are applying for a subinternship at Swedish Medical Center:

14.

We offer 4 weeks blocks for subinternships.

Please list your requested dates, using Monday as your start date:

First Preference:
Second Preference:
Third Preference:

15.	In one or two sentences, please list any other considerations you wish us to know when reviewing your application:

Done