UTMB Logo      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?
    a checkbox Daily oral feedback   a checkbox End of period oral feedback   a checkbox Written feedback   a checkbox 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?
    a checkbox Self-assessment   a checkbox Peer assessment   a checkbox Faculty assessment
  E. Method of content selection
    a checkbox Current cases   a checkbox Student-selected topic   a checkbox 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)?
    a checkbox Abstract   a checkbox Annotated bibliography   a checkbox 1 - 2 page paper   a checkbox 3+ page paper
  D. Are recent references required?
    a checkbox Yes           a checkbox No
  E. Method of content selection - e.g. student-selected, relate to cases, etc.?
   
  F. Audience - Who assesses the student’s written performance?
    a checkbox Peer Assessment     a checkbox Faculty Assessment     a checkbox 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
  a checkbox Yes           a checkbox No           a checkbox Maybe

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