Clinical Education Electives Pam Shaw MD pshaw@kumc.edu

General Guidelines for IDSP 800-Clinical Student finds mentors for experience Form due March 1, 2017-no exceptions Student must be in good standing to participate (or have permission from Dean Meyer) Mentors must agree to evaluate student Two credits for four weeks, four credits for eight weeks Papers and/or Journals must be completed by August 1, 2017

Requirements Student – Will maintain a text journal during the summer clinical experience(s). The journal can be submitted or can be used to prepare a 2- to 3-page, double-spaced paper, which will include descriptions of three or four of the most significant/meaningful experience(s) that the student had. What, why, how, etc. did the particular experience(s) have an impact on the student as a medical student, a person, and/or as a future physician, etc. This must be electronically submitted

Procedures Student contacts a Mentor regarding availability/feasibility for a summer Clinical Experience. Mentor & Student complete their information in the form:. “3 IDSP-800 Summer Clinical Education Elective Proposal” Mentor or Student submits Proposal to Clinical Education Coordinator for action: review/discussion, possible revision, and for enrollment. If the experience is proposed for an international site, then the Student must meet with the International Coordinator. Student is notified of the outcome on the Proposal, and follows instructions from Enrollment Coordinator. If you need to get access to the EMR for your research, you must contact the clerkship coordinator for the specialty who contacts Lindsay Lohrey | O2 Inpatient Trainer - HITS | Phone 913-945-5157 | llohrey@kumc.edu Must complete O2 modules before access is given.

Requirements Mentor – completes the “IDSP-800 Evaluation of Student Performance” at the end of the program period and submits it to the Clinical Education Coordinator (me) (Evaluation includes the grade recommendation). This should be emailed or faxed (prefer email) Final Grade will be issued to the Registrar after ALL requirements have been met. The grades may not be in enroll and pay until after the new year (this is considered a fall course) Please visit the website for specific questions: summer elective

Available Activities Working with a KUMC faculty Working with an outside physician Working at Bartle Scout Camp Working in Clinical Pharm at CMH Working with an international organization

Evaluation of Student Performance Mentor’s Evaluation of Student Performance 1 in the Medical Student Summer Training Program Research Elective or Clinical Education Elective University of Kansas Medical Center Kansas City, KS, USA 66160 Student’s Name: First : LAST: Mentor - Your Name: Dates in Lab or Clinic From / / 20 ___ To Performance Site Location If i nstitution OTHER than KUMC: ________________________________ City _____________ State _____ Department Evaluation Factors ( any or all ) Mark the Level of Performance Optional Special Comment Excellent Above Average Poor Not Observed Attitude Initiative Work ethic Responsible Inte rest in learning Motivation Enthusiasm Knowledge base Insightful questions Time commitment ADDITIONAL COMMENTS, if desired. OVERALL GRADE please MARK ONE Category Level of Performance in terms of KU School of Medicine Grading System Superior [ “A” ] High Satisfactory [ “B” ] [ “C” ] Unsatisfactory [ “F” ] Signature, only if FAXed: DATE SUBMITTED 20___ Please E mail the completed form to CLINICAL: pshaw@kumc.edu or Fax (913 588-6167) to Pam Shaw, MD, Asst. Dean for Clinical Sciences

Contact Dr. Pam Shaw pshaw@kumc.edu 913-945-6673 Questions? Contact Dr. Pam Shaw pshaw@kumc.edu 913-945-6673