T-CAIREM • 2023 Summer Research Studentship application

This form is intended for students who are interested in applying for a 2023 Temerty Summer Research Studentship for AI in Medicine. The program is administered by T-CAIREM at the University of Toronto's Temerty Faculty of Medicine.

The deadline to submit this application is February 3, 2023 (Friday @ 5pm). Late or incomplete applications will not be considered.
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PLEASE NOTE:

• No other attachments will be considered along with this application.

• T-CAIREM will confirm all applications by email. If you do not receive confirmation, please send a separate email requesting confirmation.

For inquiries:
Zoryana Salo
T-CAIREM Centre Administrator
zoryana.salo@utoronto.ca

STUDENT INFORMATION
Name Name First Middle Last
Add middle name, if applicable
Mailing address Mailing address
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Phone number Phone number - ### - ### ####
Institutional email address
Current university level (at time of application)

Please specify if you're an undergraduate, graduate, or in a medical degree program.
Degree program
Maximum of 15 words allowed. Currently Entered: 0 words.
University affiliation
Maximum of 30 words allowed. Currently Entered: 0 words.
Primary university division or department
Maximum of 20 words allowed. Currently Entered: 0 words.
Date of birth Date of birth / MM / DD YYYY
Citizenship
Immigration status in Canada

Please add, if not a Canadian citizen.
SUPERVISOR AND RESEARCH PROJECT INFORMATION
Supervisor's name Supervisor's name First Last
Co-supervisor's name Co-supervisor's name First Last
Please add, if applicable.
Supervisor institution
Maximum of 20 words allowed. Currently Entered: 0 words.
Mailing address Mailing address
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Phone number Phone number - ### - ### ####
Email address
Primary department

Supervisor's primary affiliation.
Primary location of research

Please list institution / city where research will take place.
Project title

What the title of the research project the student will be working on?
Project description
Maximum of 700 words allowed. Currently Entered: 0 words.
1.) Please highlight the objective(s), hypotheses, methodologies and expected outcomes of the proposed research project.

2.) Clearly explain the role and expected accomplishments of the summer student.
Relevance of research project to A.I. in medicine
Maximum of 600 words allowed. Currently Entered: 0 words.
Explain how this project is directly relevant to Artificial Intelligence (AI) in medicine. (This program supports original research on the application of artificial intelligence to biomedicine that would be published in biomedical journals and conference proceedings.) Research proposals can include any aspect of basic science, clinical, or population research. Areas of research considered relevant to A.I. and health include developing new algorithms, applying existing algorithms to new health problems, as well as work in A.I. ethics, governance, policy, patient engagement, implementation science and other areas.
Research environment
Maximum of 400 words allowed. Currently Entered: 0 words.
List personnel and their positions in the lab/research group that the summer student will directly interact with to conduct the research project.
STUDENT TRANSCRIPTS AND CV
Transcript(s)

Attach Files

A scanned copy of an official transcript is acceptable. Both sides of the transcript should be scanned. An unofficial transcript printed from the post-secondary institution's website (or screenshots from the website) are also acceptable.

Current University Undergraduate Students: Attach transcript of current university degree program. If only one year of current degree program has been completed, attach final high school transcript as well.

Current Medical Students: Attach transcripts of studies before entering medical school and up-to-date medical school transcripts.
Resume/CV in PDF

Attach Files

Please upload a PDF version of your resume/CV.
Have you previously worked with the proposed supervisor?

Have you previously worked with the proposed supervisor? Yes No
Previous co-produced publications or abstracts

If the student and supervisor have worked together before, please list any publications or abstracts from previous collaborations.
SUPERVISOR FUNDS
My faculty supervisor has sufficient operating funds to support my stipend and research for the duration of the studentship. If a Summer Studentship is awarded, the faculty member will undertake supervision of the applicant and ensure compliance with the terms and conditions of the award.

My faculty supervisor has sufficient operating funds to support my stipend and research for the duration of the studentship. If a Summer Studentship is awarded, the faculty member will undertake supervision of the applicant and ensure compliance with the terms and conditions of the award. Yes

When the studentships are awarded, T-CAIREM will issue a PDF for the student and supervisor to sign and return to us. This form will also include the payee information of the research institution for the supervisor to complete.
STUDENT DIVERSITY SURVEY (optional)

The University of Toronto is strongly committed to equity and diversity within its community and welcomes applications from racialized persons/persons of colour, women, Indigenous / Aboriginal people, persons with disabilities, LGBTQ persons, and others who may contribute to the further diversification of ideas. To further this commitment and help to evaluate the effectiveness of our recruitment processes, the University requests that you complete the following questionnaire. Your response is voluntary and the information that you provide is strictly confidential.

None of your individual responses will be made available to the department or faculty to which you are applying. The Human Resources office, generalist, or interviewing committee will not be provided with any information you disclose in the questionnaire. Summaries of the responses to this diversity questionnaire will be used for identifying recruitment trends and development of programming to support recruitment.Thank you for assisting the University in achieving its diversity goals.

For the diversity questions below, please select all that apply and at least one.
______________________
Gender and Gender Identity
Which of the following gender do you self-identify as?

Gender and Gender Identity
Which of the following gender do you self-identify as? Man Woman Transgender* Two-Spirit Another gender identity I choose not to answer

*Definition: Transgender refers to a person who self-identifies with a gender other than the one assigned to them at birth, or to a person whose gender identity and gender expression differs from stereotypical masculine and feminine norms. It is also used as an umbrella term for those who identify as transgender, transsexual, trans, gender variant, gender non-conforming, genderqueer, or an analogous term.
Sexual Orientation

Which of the following sexual orientations do you self-identify with?

Sexual Orientation

Which of the following sexual orientations do you self-identify with? Gay Lesbian Straight/Heterosexual Bisexual Queer Two-Spirit Another identity or term I choose not to answer
Persons with Disabilities
Do you self-identify as a person with a disability?

Persons with Disabilities
Do you self-identify as a person with a disability? Yes - Visible Yes - Non-Visible* Yes - Both No I choose not to answer

Definition: Persons with disabilities are persons who have a long-term or recurring physical, mental, sensory, psychiatric or learning impairment(s) AND

A) who consider themselves to be disadvantaged in employment by reason of that impairment, OR
B) believe that an employer or potential employer is likely to consider them to be disadvantaged in employment by reason of that impairment.
C)This also includes persons with disabilities who have been accommodated in their current job or workplace. For a list of examples of disabilities, see uoft.me/UR.

*"Invisible disability" or non-visible is a term commonly used to describe a disability which is non-evident or not readily apparent to others.
Indigenous / Aboriginal People of North America
Do you self-identify as an Indigenous / Aboriginal person of North America?

Indigenous / Aboriginal People of North America
Do you self-identify as an Indigenous / Aboriginal person of North America? Yes - First Nations Yes - Métis Yes - Inuit Yes - Native American - North American Indian (US) Yes - Multiple or Other No I choose not to answer

Definition: Indigenous / Aboriginal People of North America are those who self-identify as First Nations (status, non-status, treaty or non-treaty), Métis, Inuit, or Native American (US).
Racialized Persons / Persons of Colour
Do you self-identify as a “Person of Colour”, or “Racialized Person”?

Racialized Persons / Persons of Colour
Do you self-identify as a “Person of Colour”, or “Racialized Person”? Yes No I choose not to answer

Definition:Individuals who self-identify as racialized persons / persons of colour are persons, other than Indigenous / Aboriginal People of North America (defined below), who are non-Caucasian in race or non-white in colour, regardless of place of birth or citizenship.
Race and Ethnicity
Which of the following do you self-identify as?

Race and Ethnicity
Which of the following do you self-identify as? Asian Black Latin / Hispanic Middle Eastern White Mixed race I choose not to answer

This self-identification is not intended as an indication of one’s place of origin, citizenship, language or culture and recognizes that there are differences both between and among subgroups.
The options below originated from the categories used for collection of data and statistical purposes by the Federal Contractors Program.

T-CAIREM • 2023 Summer Research Studentship application

T-CAIREM • 2023 Summer Research Studentship application

STUDENT INFORMATION

SUPERVISOR AND RESEARCH PROJECT INFORMATION

STUDENT TRANSCRIPTS AND CV

SUPERVISOR FUNDS