SOM Preclinical Preceptorships
 

Course Title
Course Number
Duration/Weeks
Prerequisites:  
      Additional Requirements:
Responsible Faculty Director:

Other Faculty:
Available Dates
Application Submission Deadline
Maximum Enrollment

Where and to whom the application should be submitted
 

Goals & Objectives
 

Description of course activities
 

Method of student evaluation
Check all that apply - complete appropriate section(s) only:
1.  Clinical Observation
  A. Frequency - How often are students observed clinically?
   
  B. Format - What method(s) are used to document the student's clinical performance?
    Daily oral feedback   End of period oral feedback   Written feedback   Other

2.  Oral Presentation
  A. Audience - To whom does the student present?
   
  B. Frequency / duration of presentation(s)?
   
  C. Format - What guidelines are set for the student's presentation?
   
  D. Assessment - Who assesses the student's presentation performance?
    Self-assessment   Peer assessment   Faculty assessment
  E. Method of content selection
    Current cases   Student-selected topic   Assigned topic

3.  Written Assignment (H&P's, notes, papers, abstracts, etc.)
  A. Frequency of written assignment(s)?
   
  B. Format - What guidelines are set for the student's written work?
   
  C. Length of written assignment(s)?
    Abstract   Annotated bibliography   1 - 2 page paper   3+ page paper
  D. Are recent references required?
    Yes           No
  E. Method of content selection - e.g. student-selected, relate to cases, etc.?
   
  F. Audience - Who assesses the studentís written performance?
    Peer Assessment     Faculty Assessment     Other

4.  Extra Course Activities
  What expectations do you have for the student to demonstrate participation in the course (e.g. small group activities, seminars, thoughtful questions, providing resources, journal club, etc.)?
   

5.  Other Modes of Evaluation
  Please explain below.
 

 

6.  Stipend Availability
  Yes           No           Maybe

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