Surgical Innovation Discovery Course Application

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The Center for Surgical Innovation is recruiting surgical residents and fellows to participate in our Surgical Innovation Discovery Course (SIDC). Using the Surgical Trainee Agile Innovation and empoweRment (STAIR) framework, this 8-week course will pair you with fellow innovators to refine and de-risk novel ideas using fast-fail and rapid prototyping and customer discovery. Questions? Contact Candice Stegink (cstegink@med.umich.edu).

First Name *

Last Name *

Provide your residency/fellowship program and training year: *

What is the unmet surgical need or problem you would like to explore? Also describe the current standard of care. (4-6 sentences) *

What is your solution to this problem? (3-6 sentences) *

If your idea is successful, what impact do you believe your innovation will have on the field of academic surgery or patient outcomes? (3-6 sentences)

List team members, academic rank, and email, who will help you with this project. Example "Sally Jones, M2. sjones@umich.edu" or "Jack Frost, Plastics PGY4, drfrost@umich.edu" etc. You should only provide names of individuals that will actively assist you in your SIDC project. If you need help recruiting additional team members, please let us know here. *

Have you participated in any innovation programming at the University of Michigan or at your previous institution(s) in the past? If so, please list programs. *

What best describes the stage of your current prototype of your solution?

1+ iterations of low-fidelity prototype already created

Sketched out design but nothing built

I have an idea in my head but I haven't sketched or created anything just yet

I don't know where to begin or how to start this process

Other:

Clear selection

What do you envision your prototype artifact to be? *

Sketch and diagrams

3D printed model

Physical Model

Wireframe / Digital App

Video

Other:

We will select course dates once all project teams are solidified. We are projecting to start Early/Mid February after ABSITE Exam. The course will meet in person for the first and last session. This course will require active participation and regular team check ins throughout the 8-week program. Do you have full intentions of being an active participant in this program and dedicating time to work with your team on your identified project? *

Yes

Maybe

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