Clinical Rotations Request
For current medical students seeking clinical rotations or externships at Mercy Health facilities.
First Name
Last Name
Email
Phone Number
Last 4 digits of social security number
Medical school and accreditation
Medical college student ID number
Anticipated graduation date
COMLEX/USLME scores (if taken)
Have you ever been convicted of, been fined or sentenced for or pleaded guilty or “no contest” to any criminal offense (misdemeanor or felony)?
Yes
No
Do you have experience or training with Epic?
Yes
No
Location of interest (Choose ONE)
Irvine, KY
Lima, OH
Lorain, OH
Paducah, KY
Springfield, OH
Toledo, OH
Youngstown, OH
Medical Specialty of interest -Irvine (Choose ONE)
Emergency Medicine
Family Medicine
Hospital Medicine
Internal Medicine
Medical Specialty of interest - Lima (Choose One)
Anesthesiology
Cardiology
Cardiothoracic
Critical/Intensive Care
Emergency Medicine
Family Medicine
Gastroenterology
General Surgery
Healthcare Management
Hematology Oncology
Infectious Disease
Internal Medicine
Nephrology
Neurology
Obstetrics and Gynecology
Ophthalmology
Orthopedics
Otolaryngology
Palliative Care
Pathology
Pediatrics
Physical Medicine and Rehabilitation
Plastic Surgery
Psychiatric
Pulmonary Medicine
Radiology
Rheumatology
Sports Medicine
Urology
Wound Care
Please specify a Mercy Health - Lorain facility
(Choose ONE)
Mercy Allen Hospital
Mercy Regional Medical Center
Medical Specialty of interest -Lorain (Choose ONE)
Anesthesiology
Cardiology
Critical/Intensive Care
Dermatology
Diagnostic Radiology
Emergency Medicine
Family Medicine
Gastroenterology
General Surgery
Hematology Oncology
Infectious Disease
Internal Medicine
Neurology
Obstetrics and Gynecology
Ophthalmology
Orthopedics
Otolaryngology
Pathology
Plastic Surgery
Pulmonary Medicine
Rheumatology
Urology
Wound Care
Medical Specialty of interest- Paducah (Choose ONE)
Anesthesiology
Cardiology
Diagnostic Radiology
Emergency Medicine
Family Medicine
Gastroenterology
General Surgery
Internal Medicine
Neurology
Obstetrics and Gynecology
Orthopedics
Otolaryngology
Pathology
Urology
Wound Care
Please specify a Mercy Health - Springfield facility
(Choose ONE)
Mercy Health - Urbana Hospital
Mercy Health - Springfield Regional Medical Center
Medical Specialty of interest - Springfield (Choose ONE)
Anesthesiology
Cardiology
Cardiothoracic
Diagnostic Radiology
Emergency Medicine
Family Medicine
General Surgery
Nephrology
Wound Care
Please specify a Mercy Health - Toledo facility
(Choose ONE)
Mercy Health - Children's Hospital
Mercy Health - Defiance Hospital
Mercy Health - Perrysburg Hospital
Mercy Health - St. Anne Hospital
Mercy Health - St. Charles Hospital
Mercy Health - St. Vincent Medical Center
Mercy Health - Tiffin Hospital
Mercy Health - Willard Hospital
Medical Specialty of interest -Toledo Children's (Choose ONE)
Pediatric Allergy
Pediatric Cardiology
Pediatric Gastroenterology
Pediatric Hematology Oncology
Pediatric ICU
Pediatric Inpatient
Pediatric Neurology
Pediatric NICU
Pediatric Primary Care
Pediatric Urology
Medical Specialty of interest - Defiance (Choose ONE)
Anesthesiology
Cardiology
Critical/Intensive Care
Dermatology
Diagnostic Radiology
Emergency Medicine
Family Medicine
Gastroenterology
General Surgery
Hematology Oncology
Infectious Disease
Internal Medicine
Neurology
Obstetrics and Gynecology
Ophthalmology
Orthopedics
Otolaryngology
Pathology
Plastic Surgery
Pulmonary Medicine
Rheumatology
Urology
Wound Care
Medical Specialty of interest - Perrysburg (Choose ONE)
Anesthesiology
Cardiology
Critical/Intensive Care
Dermatology
Diagnostic Radiology
Emergency Medicine
Family Medicine
Gastroenterology
General Surgery
Hematology Oncology
Infectious Disease
Internal Medicine
Neurology
Obstetrics and Gynecology
Ophthalmology
Orthopedics
Otolaryngology
Pathology
Plastic Surgery
Pulmonary Medicine
Rheumatology
Urology
Wound Care
Medical Specialty of interest - Toledo St. Anne (Choose ONE)
Anesthesiology
Cardiology
Critical/Intensive Care
Dermatology
Diagnostic Radiology
Emergency Medicine
Family Medicine
Gastroenterology
General Surgery
Hematology Oncology
Infectious Disease
Internal Medicine
Neurology
Obstetrics and Gynecology
Ophthalmology
Orthopedics
Otolaryngology
Pathology
Plastic Surgery
Pulmonary Medicine
Rheumatology
Urology
Wound Care
Medical Specialty of interest - Toledo St. Charles (Choose ONE)
Anesthesiology
Cardiology
Critical/Intensive Care
Dermatology
Diagnostic Radiology
Emergency Medicine
Family Medicine
Gastroenterology
General Surgery
Hematology Oncology
Infectious Disease
Internal Medicine
Neurology
Obstetrics and Gynecology
Ophthalmology
Orthopedics
Otolaryngology
Pathology
Plastic Surgery
Pulmonary Medicine
Rheumatology
Urology
Wound Care
Medical Specialty of interest - Tiffin (Choose ONE)
Anesthesiology
Cardiology
Critical/Intensive Care
Dermatology
Diagnostic Radiology
Emergency Medicine
Family Medicine
Gastroenterology
General Surgery
Hematology Oncology
Infectious Disease
Internal Medicine
Neurology
Obstetrics and Gynecology
Ophthalmology
Orthopedics
Otolaryngology
Pathology
Plastic Surgery
Pulmonary Medicine
Rheumatology
Urology
Wound Care
Medical Specialty of interest - Willard (Choose ONE)
Anesthesiology
Cardiology
Critical/Intensive Care
Dermatology
Diagnostic Radiology
Emergency Medicine
Family Medicine
Gastroenterology
General Surgery
Hematology Oncology
Infectious Disease
Internal Medicine
Neurology
Obstetrics and Gynecology
Ophthalmology
Orthopedics
Otolaryngology
Pathology
Plastic Surgery
Pulmonary Medicine
Rheumatology
Urology
Wound Care
Medical Specialty of interest - Toledo St. Vincent (Choose ONE)
Allergy & Immunology
Bariatrics
Cardiology
Emergency Medicine
Endovascular Neurology
Family Medicine
General Surgery
Hematology Oncology
Infectious Disease
Internal Medicine
Nephrology
Neurology
Neurology Critical Care
Obstetrics and Gynecology
Orthopedic Surgery
Palliative Care
Pathology
Physical Medicine & Rehabilitation
Plastic Surgery
Pulmonary Medicine
Sports Medicine
Please specify a Mercy Health - Youngstown facility. This application is for all three hospitals listed below.
Mercy Health - St. Elizabeth Boardman Hospital, St. Elizabeth Youngstown Hospital and St. Joseph Warren Hospital
Medical Specialty of interest - Youngstown (Choose ONE)
Anesthesiology
Cardiology
Critical Care/MICU
Critical Care/SICU
Diagnostic Radiology
Emergency Medicine
Family Medicine
Gastroenterology
General Surgery
Hematology Oncology
Infectious Disease
Internal Medicine
Nephrology
Neurology
Obstetrics and Gynecology
Orthopedics
Otolaryngology
Plastic & Reconstructive Surgery
Pulmonary Medicine
Rheumatology
Urology
Most rotations will last 2-4 weeks, and begin on Mondays. Please share the date(s) you would be requesting rotation(s)
Some of our regions and facilities may provide housing accommodations on a case-by-case basis. Please specify if you would be interested in housing.
Yes, I am interested in reasonably priced housing if available
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