Sign up for Teaching Opportunities

Posted April 23rd, 2009 by admin

Please complete this form to volunteer for medical student teaching opportunities.

General Information

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First Name: *

Last Name: *

Clinic: *

Address: *

City: *

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Zip Code: *

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Email: *

Primary Care Clerkship (PCC)

2. Check all rotations in which you are available to teach:

Note: Preceptors are scheduled for 3-4 half days per week for 8 weeks.

4. I would like more info about serving as an exam assessor at: Year end Professional Skills Assessment Exam (YEPSA) (half day):

Yes

No thanks

MEDiC Clinics Attending Volunteer

1. Check all times you are available:

South Side Clinic (Saturdays, 9:00 AM-12:30 PM)

Grace (Tuesdays, 7:45-10:00 PM)

Salvation Army (Tuesdays, 6:40-10:00 PM)

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