Submit your entry here. Fill out the form, in its entirety, in one sitting, please. For those of you able to record a video of yourself talking, please include this!! You can upload it to your youtube channel and include the link below. Introduce yourself and answer the questions we asked above.

Submit a unique photo of yourself, "doctoring". The more unique, the better. Please be sure you have permission to share this photo; including that you own it and that there are no sensitive identifiables shared).


If you had to pitch your reason for becoming a doctor, what is a SINGLE sentence that could CREATIVELY summarize this? Make it a good one!

Here's where we'd love for you to expand. Do you love being a doctor? Do you feel that it was the right decision? Who inspired you to go into the field? Do you have any regrets? What would you do differently about the field of healthcare, if you could?

(only if relevant)

Leave us with something meaningful that we can attribute to you (an original)!

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