1.Tell of a patient experience that influenced your perspective on becoming a physician.

2.Describe the effect of an endeavor that didn’t go according to your plan.

3.Discuss a time in your life that demonstrated your resilience and ability to overcome adversity. How did this change you?

4.How does intellectual and academic struggle fit into your identity as a future physician?

5.Discuss your experience of recent personal feedback that was difficult to receive.

6.Describe a time when you had to reconsider or change a deeply held belief or perspective. What prompted this change?

7.Describe a time personal obligations had to be prioritized over school/work. What did it teach you about managing competing priorities?

8.Optional: Are there any additional ties to the state of Oregon you wish to share? If yes, use the space below. If no, leave blank. Please note that this does not factor toward your consideration as an Oregon resident or Oregon Heritage.

9.Optional: We know that many of our applicants in the OHSU UME Program may have familial relationships with individuals who are OHSU faculty, residents, staff, or current students who serve as evaluators in our admissions process. We have added this question in hopes to prevent perceived or actual conflicts of interest that can occur when an applicant has a family member (or someone with a similar close personal relationship) they may encounter through the admissions process. If you have any such connections, please list those individuals’ names and departments below. If no, leave blank.

10.Based on your own experiences or the experiences of family and friends, do you believe that the area in which you grew up was adequately served by the available health care professionals? Were there enough physicians, nurses, hospitals, clinics, and other health care service providers and how did that affect your experience and relationship with health care? Please explain.

11.While you were growing up, did you experience any of the following types of adversity? (Economic, Educational, Ethnic/Cultural, Family). Please describe the nature of the adversity and how social, economic, academic, or other circumstances affected you and your opportunities.

12.We acknowledge that our application is not fully comprehensive. If there is anything additional you would like to let us know about you, please briefly state it here.