Application

If you apply for this program, a review of your educational record will be conducted. Those conducting in this review will include the ROME Co-Directors and the Director of the Educational Resources Department.

Thank you for considering the ROME Program. Any questions about the program can be directed to Stephanie Boltz at: stephanie.boltz@UND.edu.

Name*

Do you have a potential conflict of interest with any of the selection committee members which consists of the 2 ROME Co-Directors, the Dean for Education, and the Dean for Admissions and Academic Affairs?

Discuss your understanding of the value of the ROME curriculum to your medical education and how you would hope to take advantage of this experience.*

What are your expectations of the ROME experience?*

Outline your plan for how you will take responsibility.*

Discuss your previous experience in a rural health care setting.*

Discuss your ability to work collaboratively with other health care team workers. Give examples.*

Identify your learning partner (optional).*

Prioritize your top two ROME site preferences and indicate why, and also indicate if you have the flexibility to go to any site if that is in the best interest of the ROME Program or others applying to ROME.*

How will you address the challenges (academic and personal) that you might face as you move to a rural community for seven months?*