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Medical Education
Additional Programs & Resources
Short Term Observing
For International Medical Students & Graduates
For International Medical Students & Graduates
Short Term Observing Request
Please fill out the form below.
First name
Last name
Today’s date (MM/DD/YYYY)
Phone number
Email you regularly check
Are you a current St. Luke's employee (paid)?
Yes, I am a current St. Luke’s employee.
No, I am not a current St. Luke’s employee.
No, I am a current St. Luke’s volunteer.
Are you currently enrolled in a Medical Residency Program, or Physician Faculty? If not specifically these categories, please select “no”.
Yes
No
Type of school you attend
High school
College
Name of school you attend
Intended major/course of study
Specific area you would like to observe (i.e. nurse, dietician, radiology tech, physician assistant, etc).
I would like to shadow a physician (MD/DO).
Yes
No
Campus you wish to observe
Select one
Allentown
Anderson
Bethlehem
Geisinger St. Luke's
Lehighton
Miners
Monroe
Quakertown
Sacred Heart
Upper Bucks
Warren
List specific dates you are available. May not be earlier than 4 weeks from now.
List specific timeframes you are available.
Please share with us why you would like to observe at St. Luke's and how this experience will benefit you.
I understand that this observation experience will be an unpaid experience and will be required to complete certain paperwork prior to observing.
Yes
No
Company Name