ORTHO 429C: SUBINTERNSHIP IN ORTHOPAEDIC SURGERY
Medical students (Duke/ visiting) who are approved for the “sub-internship in orthopaedic surgery”
whether by VSAS (Visiting Student Application Service) or by within Duke SOM and who are applying to
the Duke Orthopaedic Surgery Residency Training Program for the upcoming match season are
required to complete this one-page application and supply required supporting documentation (as
shown below). Submitting this information (at the time that you apply thru VSAS or at the time that
you sign-up thru Duke SOM) will guarantee that our office will arrange select faculty interviews on
your behalf (to occur during your 4-week rotation period). Please type application (do not
handwrite) and upload to VSAS (for visiting students) or e-mail to Ms. Thompson (for Duke students).
Name
Dates
Photo
Please insert or
attach a quality color
photograph with a
plain background.
Dates
1st Choice (see below)
Last, First, Middle
Address
2nd Choice (see below)
Today’s Date
Street
Birth Date
Birthplace
City, State, Zip
Citizenship
Telephone
Military Status
Mobile
Specialty of Interest (Ortho., ED, etc.)
Pager
Level of Interest (High, Med., Low)
E-Mail
Applying to our Program via ERAS (Yes/ No)
Premedical College
Dates
Degree/ Major
Advanced Work
Month/ Year
Dates
Degree/ Major
Medical School
Month/ Year
Dates
Degree/ Major
Class Rank
USMLE Scores
Month/ Year
AOA Member (Yes/ No/ NA)
Duke Students Only (Please provide list of Duke Faculty with whom you’ve participated in a research project):
Comment Section
REQUIRED SUPPORTING DOCUMENTATION
Curriculum Vitae
For visiting students, our office will obtain a copy of your CV from VSAS. For Duke students, please submit a copy directly to our office.
Personal Statement
For visiting students, our office will obtain a copy of your learning objectives from VSAS. It is recommended that you include a brief
description of your background, educational experience, honors, extracurricular activities, possible research activities, plans for residency
training, and future goals. For Duke students, please submit a copy directly to our office.
Reference
Transcript
For visiting students, our office will obtain a copy of your reference letter from VSAS. It is recommended that the letter come from an
Orthopaedist. Reference letters are not required for Duke students.
For visiting students, our office will obtain a copy of your medical school transcript from VSAS. For Duke students, please submit a copy
directly to our office.
2014-2015 ELECTIVE DATES (4 weeks only)
SPRING TERM 2014
SUMMER TERM 2014
41/ Jan. 13 – Feb. 8
41/ April 21 – May 17
42/ Feb. 10 – March 8
42/ May 19 – June 14
43/ **March 10 – April 4
43/ June 16 – July 12
44/ April 7 – May 3
44/ July 14 – Aug. 9
**Dates not available to visiting medical students.
Duke Department of Orthopaedic Surgery Contact:
Wendy R. Thompson
Medical Student, Residency, and Fellowship Coordinator
Duke, Department of Orthopaedic Surgery
40 Duke Medicine Circle  Room 5309  Box 3000  Durham, NC 27710  USA
(919) 684-3170  wendy.thompson@duke.edu
http://orthoresidency.surgery.duke.edu/
FALL TERM 2014
41/ Aug. 25 – Sept. 20
42/ Sept. 22 – Oct. 18
43/ Oct. 20 – Nov. 15
44/ Nov. 17 – Dec. 13
SPRING TERM 2015
41/ Jan. 12 – Feb. 7
42/ Feb. 9 – March 7
43/ **March 9 – April 3
44/ April 6 – May 2
Duke University School of Medicine/ VSAS Contact:
Steven D. Wilson
Student Services Officer and Visiting Student Coordinator
Duke University School of Medicine  Office of the Registrar and Financial Aid
8 Searle Center Drive  Room 0386  Box 3878  Durham, NC 27710  USA
(919) 684-8042  Fax (919) 684-4322  steven.wilson@duke.edu
http://medschool.duke.edu/education/office-registrar/visiting-students-program
01/2014