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UKPA Academic Residency

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Facilities and Tracks

UK Healthcare
Baptist Health in Lexington
- General Surgery
Baptist Health in Lousiville
- Cardiac Surgery
- General Surgery
St. Elizabeth Healthcare
- General Surgery
- CT Surgery
St. Claire Healthcare in Morehead
- Hospital Medicine
King's Daughters in Ashland
- Cardiology

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The UK PA academic residency conducts a two-wave interview process.

The first wave is open February 1 to April 30th.

Zoom interviews will be completed by the middle of June.

If not all residency tracks are filled, we will open for additional applicants for 2 weeks, from June 14th to June 28th.

Deadline to apply for 2nd wave: June 28th, 2023

Zoom interviews for the second wave will be conducted in July.

If interested in applying prior to the window opening, please begin obtaining these items for your complete application in addition to completing the form below:

Letters of recommendation from your program director, a faculty from your PA program and a clinician
Personal statement
CV/resume
Official transcripts.

Applicants may only apply for up to 3 residency tracks

Applicants must have their program completion and PANCE results by July 31st, 2023 to meet credentialing deadlines

Residents start October 1, 2023

For additional questions contact Alex Schroeder

To save a draft of this application please either login or register. Refresh this page after you have logged in.

UK students should log in with their LinkBlue credentials. Those without a UK LinkBlue ID may click "Register" to create an account.

Name *

First

First

Middle name(s)

Middle name(s)

Last

Last

Today's Date *

Month

Day

Year

Program Of Application *

You may apply to up to 3.

Critical Care: UK Healthcare

Acute Care Surgery & Trauma: UK Healthcare

Hospital Medicine: UK Healthcare

Neurology: UK Healthcare

Cardiac Surgery: Baptist East- Louisville

General Surgery: Baptist East- Louisville

General Surgery: St. Elizabeth

CT Surgery: St. Elizabeth

Cardiology: King's Daughters- Ashland

Demographics

Current Address

Street Address *

Street Address II

Ex: Apt. 101

City *

State *

Country *

Zipcode *

Current Address is the same as Permanent Address

Current Address is the same as Permanent Address

Permanent Address

Street Address *

Street Address II

Ex: Apt. 101

City *

State *

Country *

Zipcode *

Preferred Phone Number *

Preferred Email *

Gender *

Other

Date of Birth *

Month

Day

Year

County of Birth *

State/Province of Birth *

Country of Birth *

Race *

Are you eligible to work in the United States? *

Other Information

Military Status

Military Branch

Still Serving

Languages Spoken *

Education

Undergraduate Institution *

Dates Attended *

Undergraduate Institution II

If transferred during undergrad

Dates Attended

For second undergraduate institution.

Major(s) *

Minor(s)

Graduate/Professional Institution *

Dates Attended *

Degree/Major *

Experience

Experiences *

Clinical Experience

Leadership

Volunteer

Extracurricular

Research

Teaching

Achievements

Honors

Scholarship

Professional Memberships

Publications

Clinical Experience Information *

Please Include Program/Organization Name, title of experience, dates completed, hours completed, description, Start date, and end date.

Total Hours of Clinical Experience *

Leadership Experience Information *

Please Include Program/Organization Name, title of experience, dates completed, hours completed, description, Start date, and end date.

Total Hours of Leadership Experience *

Volunteer Experience Information *

Please Include Program/Organization Name, title of experience, dates completed, hours completed, description, Start date, and end date.

Total Hours of Volunteer Experience *

Extracurricular Experience Information *

Please Include Program/Organization Name, title of experience, dates completed, hours completed, description, Start date, and end date.

Total Hours of Extracurricular Experience *

Research Experience Information *

Please Include Program/Organization Name, title of experience, dates completed, hours completed, description, Start date, and end date.

Total Hours of Research Experience *

Teaching Experience Information *

Please Include Program/Organization Name, title of experience, dates completed, hours completed, description, Start date, and end date.

Total Hours of Teaching Experience *

Achievements Information *

Please Include Program/Organization Name, title of experience, dates completed, hours completed, description, Start date, and end date.

Honors Information *

Please Include Program/Organization Name, title of experience, dates completed, hours completed, description, Start date, and end date.

Scholarship Information *

Please Include Program/Organization Name, title of experience, dates completed, hours completed, description, Start date, and end date.

Professional Membership Information *

Please Include Program/Organization Name, title of experience, dates completed, hours completed, description, Start date, and end date.

Publication Information *

Please Include Program/Organization Name, title of experience, dates completed, hours completed, description, Start date, and end date.

Licenses/Certifications *

Please include organization name, certification type, date expires, and details of certification.

In what country did you spend the majority of your life from birth to age eighteen? *

In what state/province did you spend the majority of your life from birth to age eighteen? *

I am from a family that lives in an area that is designated as a Health Professional Shortage Area, or Medically Underserved Area *

I am the first generation in my family to attend college (neither my mother nor my father attended college) *

English is not my primary language *

Uploads

Personal Statement *

Files must be less than 20 MB.
Allowed file types: pdf doc docx.

CV/Resume *

Files must be less than 20 MB.
Allowed file types: pdf doc docx.

You may also have your reference mailed to the program: UKPA Academic Residency Program, c/o Alex Schroeder, Charles T. Wethington Bldg-Suite 205, 900 S. Limestone St., Lexington, KY, 40536

Letter of Reference from Graduating PA Program Director or Department Chair *

Files must be less than 20 MB.
Allowed file types: pdf doc docx.

Letter of Reference from PA Program Faculty Advisor *

Files must be less than 20 MB.
Allowed file types: pdf doc docx.

Letter of Reference from a Medical Clinician on a Clinical Rotation *

Files must be less than 20 MB.
Allowed file types: jpg jpeg png pdf doc docx.

Official Transcript- Undergraduate *

Files must be less than 20 MB.
Allowed file types: pdf doc docx.

Official Transcript- Graduate *

Files must be less than 20 MB.
Allowed file types: pdf doc docx.

Official Transcript- Professional (if applicable)

Note: Official Transcript will be required upon graduating. Please provide unofficial transcript if unable to acquire official transcripts.
Files must be less than 20 MB.
Allowed file types: pdf doc docx.

Have you ever plead guilty or no contest to a misdemeanor criminal offense, or been found guilty by a court of such a criminal offense? *

Yes

No

Explanation 1 *

If you answered "Yes" to the previous question, you must provide an explanation. Include 1) a brief description of the incident and/or arrest, 2) specific charge made, 3) related dates, 4) consequence, and 5) a reflection on the incident and how the incident has impacted your life.

Have you ever plead guilty or no contest to a felony criminal offense, or been found guilty by a court of such a criminal offense? *

Yes

No

Explanation 2 *

If you answered "Yes" to the previous question, you must provide an explanation. Include 1) a brief description of the incident and/or arrest, 2) specific charge made, 3) related dates, 4) consequence, and 5) a reflection on the incident and how the incident has impacted your life.

Have you ever had any certification, registration, license or clinical privileges revoked, suspended or in any way restricted by an institution, state or locality? *

Yes

No

Explanation 3 *

If you answered "Yes" to the previous question, you must provide an explanation. Include 1) a brief description of the incident and/or arrest, 2) specific charge made, 3) related dates, 4) consequence, and 5) a reflection on the incident and how the incident has impacted your life.

Have you ever been disciplined by any college, university, or professional school for: (1) unacceptable academic performance (academic probation, suspension, dismissal, etc.) or (2) conduct violations? *

Yes

No

Explanation 4 *

If you answered "Yes" to the previous question, you must provide an explanation. Include 1) a brief description of the incident and/or arrest, 2) specific charge made, 3) related dates, 4) consequence, and 5) a reflection on the incident and how the incident has impacted your life.

Verification *

I certify that all of the information and statements I have provided as part of this application process, including those statements contained in the application and as part of the evaluation verification process are current, accurate, and complete to the best of my knowledge. I understand that withholding information requested as part of the application process, or submitting false or misleading information may be grounds for denial of admission by the program or expulsion from said program after admission.

UNIVERSITY OF KENTUCKY PHYSICIAN ASSISTANT TECHNICAL AND BEHAVIORAL STANDARDS

One of the requirements for completing this application is the acknowledgement that that you have read, understand and can adhere to the Technical and Behavior Standards required for student matriculating into the Physician Assistant Post-Graduate Program. Please review the technical standards, and the behavioral standards.

I hereby acknowledge that I have read, understand and can adhere to the Technical and Behavioral Standards for the College of Health Sciences Physician Assistant Post-Graduate Program. I have been informed that the code of behavior described herein is the official behavior code for all employees, medical staff, faculty, students, and volunteers of University Hospital and the Ambulatory Care Program, and that the standards apply to all individuals who come into contact with patients or participate in activities associated with patient care.

I understand that as a participant in patient care services I shall be expected to maintain and uphold these specific standards and the intent of these standards in the performance of my duties and responsibilities.

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