Selectives Year 3 – Burrell College of Osteopathic Medicine Forms

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RAC Assigned:

Internal Medicine II Selective

IM II Selective 1

IM II Selective 2

IM II Selective 3

Surgery II Selective

Surgery II Selective 1

Surgery II Selective 2

Surgery II Selective 3

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Elective I

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Elective 1-1

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Elective 1-2

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Elective 1-3

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Elective I Location:

In-HUB
Away

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Elective I City:

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Elective II

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Elective 2-1

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Elective 2-2

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Elective 2-3

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Elective II Location:

In-HUB
Away

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Elective II City:

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Elective III

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Elective 3-1

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Elective 3-2

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Elective 3-3

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Elective III Location:

In-HUB
Away

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Elective III City:

What specialty are you interested in for Residency?

(If you are not sure please type “not sure.” It is not required that you know at this point)