Course Title
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Course Number
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Duration/Weeks
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Prerequisites:
Additional Requirements:
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Responsible Faculty Director:
Other Faculty:
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Available Dates
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Application Submission Deadline
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Maximum Enrollment
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Where and to whom the application should be submitted |
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Description of course
activities |
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Method of student evaluation
Check all that apply - complete appropriate
section(s) only:
1. Clinical Observation |
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A. |
Frequency - How often are students
observed clinically? |
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B. |
Format - What method(s) are used to
document the student's clinical performance? |
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Daily oral feedback
End of period oral feedback
Written feedback
Other |
2. Oral Presentation |
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A. |
Audience - To whom does the student present? |
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B. |
Frequency / duration of presentation(s)? |
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C. |
Format - What guidelines are set for
the student's presentation? |
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D. |
Assessment - Who assesses the student's
presentation performance? |
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Self-assessment
Peer assessment
Faculty assessment |
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E. |
Method of content selection |
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Current cases
Student-selected topic
Assigned topic |
3. Written Assignment (H&P's,
notes, papers, abstracts, etc.) |
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A. |
Frequency of written assignment(s)? |
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B. |
Format - What guidelines are set for
the student's written work? |
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C. |
Length of written assignment(s)? |
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Abstract
Annotated bibliography
1 - 2 page paper
3+ page paper |
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D. |
Are recent references required?
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Yes
No
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E. |
Method of content selection - e.g.
student-selected, relate to cases, etc.? |
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F. |
Audience - Who
assesses the student’s written performance? |
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Peer Assessment
Faculty Assessment
Other |
4. Extra Course Activities |
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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.)? |
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5. Other Modes of Evaluation |
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Please explain below. |
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6. Stipend Availability |
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Yes
No
Maybe |
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