Request Chair’s Letter

In completing this form, you are indicating that you would like a formal Department of Internal Medicine chair’s letter sent on your behalf to the ERAS application system. This letter will include a summary of performance during your medicine clerkship as well as a brief paragraph of support. The letter will be signed by Drs. Jeffrey Kushinka (clerkship director), Stephanie Call (program director and associate chair of education) and John Nestler (chair).

This form will assist us in developing the letter and will provide the background for a brief meeting between you and either Dr. Kushinka or Dr. Call. These meetings will be scheduled in July of this academic year. This form will also assist us in advising you during the residency application process.

Click the link below to complete the form: