2024-2025 Clinical Excellence Scholar Track (CEST) Application Form – Bucksbaum-Siegler Institute for Clinical Excellence

CEST Application Form

Application for Academic Year 2024-2025 (Deadline is April 19, 2024)

Email(Required)

Name(Required)

First Last

Graduation Year

Program Major

Preferred Pronouns

You may write “prefer not to answer”

Racial/Ethnic Identity

1) What are your reasons for applying to the CEST program, and what do you hope to gain from the experience? Please include the Joel Schwab, MD “On Being a Doctor” lectures that you attended and your reflection on their content.

2) Describe your volunteer experience(s) over this past year. Provide a reflection on what you learned and the skills you gained, and how you feel these lessons will influence your participation in the CEST program?

3) How would you describe/define the ‘Doctor-Patient Relationship? What experience(s) have you had that have shaped your perspective towards providing compassionate care? What challenges do you see affecting the Doctor-Patient Relationship?

4) What has your greatest challenge been thus far? How did you overcome the challenge? What resources did you utilize in your management of this challenge?

Resume

Max. file size: 100 MB.

Please include your current GPA

Unofficial Transcript

Max. file size: 100 MB.

*Letter of Recommendation

Max. file size: 100 MB.

*Please have letter writer email recommendation letter directly to kconner1@bsd.uchicago.edu. You can submit application without recommendation letter uploaded.