ACE Application for Medical Rotation

Name *

First Name

Last Name

WhatsApp/Phone *

Enter country code

Country

(###)

###

####

Desired Specialty

Top 3 specialties

I would be willing to consider many specialties

Allergy & Immunology

Anesthesiology

Colon & Rectal Surgery

Dermatology

Emergency Medicine

Family Medicine

Internal Medicine

Internal Medicine (Cardiology)

Internal Medicine (Nephrology)

Internal Medicine (Oncology)

Internal Medicine (Pulmonology)

Internal Medicine (Rheumatology)

Internal Medicine (Other)

Neurology

Obstetrics & Gynecology (Ob/Gyn)

Ophthalmology

Orthopaedics

Otolaryngology (ENT)

Pathology

Pediatrics

Physical Medicine & Rehabilitation

Plastic Surgery

Psychiatry

Radiology

Surgery (General)

Urology

Other

Desired Location

Top 3 locations

I am okay in a smaller city, as long as the doctor is excellent

It is important to me to be in a large city

I have no strong preference in terms of the location

I prefer the East Coast

I prefer the West Coast

I prefer the South

I prefer Midwest

New York City

Chicago

Washington DC

Baltimore

Los Angeles

Houston

Atlanta

Phoenix

Dallas

Detroit

Miami

Other

What year(s) do you want to start a rotation?

2020

2021

2022

Other

What month(s) do you want to start a rotation?

You can always change this later or choose multiple months if you are not sure

(as soon as possible)

January

February

March

April

May

June

July

August

September

October

November

December

Where did you hear about ACE?

Friend

Google

Instagram

Facebook

Kaplan Medical

USMLE-Forums

Current level of interest

I'd like to learn more about rotations but I'm also in no rush and mainly "just browsing." I have no interest in a WhatsApp call.

I'd like to discuss options in more detail, and to understand the process better. I'm ready to move forward, and set up a 30-minute WhatsApp call for an overall consultation

Acknowledgment *

I understand the following: ACE is a professional consulting service. Consultations are 100% free -- however, any program you choose to join later on would carry an expense.

Yes, I understand