MEHARRY PSYCHIATRY ALUMNI
HI EVERYONE,

MY NAME IS TERRANCE EMBRY, CLASS OF 2021. I CREATED THIS SPREADSHEET SO THAT STUDENTS WILL HAVE A CENTRALIZED LIST OF MEHARRY ALUMNI THAT ARE IN PSYCHIATRY! THIS WILL ALSO BE USEFUL WHEN TRYING TO ORGANIZE PANELS, NETWORK, OR IDENTIFY PLACES FOR AWAY ROTATIONS, RESIDENCY, FELLOWSHIP, AND PRACTICE.

AFTER YOU COMPLETE THE FORM YOU WILL GET A"YOUR RESPONSE HAS BEEN RECORDED MESSAGE" THERE WILL BE AN EDIT YOUR RESPONSE LINK THAT YOU CAN COPY/PASTE AND EMAIL TO YOURSELF TO UPDATE YOUR INFORMATION, OR YOU CAN EITHER CONTACT TERRANCE.EMBRY@GMAIL.COM OR FILL OUT THE FORM AGAIN WITH UPDATED INFORMATION. DUPLICATES WILL BE MERGED PERIODICALLY.


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Email *
NAME
PRONOUNS( ie. they/them, she/her, he/him, he/they, ect)
MEHARRY CLASS OF?(PLEASE USE 4 DIGITS)
NAME OF RESIDENCY PROGRAM
YEARS IN RESIDENCY PROGRAM(IE 2000-2005)
TYPE OF PROGRAM (Categorical or Combined(ie IM-Psych, FM-Psych, Neuro-Psych, Triple Board))
Interests in Psychiatry
SUBSPECIALTY (IF APPLICABLE) #1
SUBSPECIALTY (IF APPLICABLE) #2
SUBSPECIALTY (IF APPLICABLE) #3
FELLOWSHIP PROGRAM(IF APPLICABLE)
CITY OF PRACTICE(IF APPLICABLE)
Social Media (ie Twitter Handle, IG, FB)
Other Information You Would Like to Share About Yourself
ARE YOU OKAY WITH STUDENTS REACHING OUT
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