1. Clinical Education Electives
Pam Shaw MD

2. 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

3. 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

4. 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 |
Must complete O2 modules before access is given.

5. 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 ed or faxed (prefer )
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

6. 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

8. 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: or
Fax (913 )
to Pam Shaw, MD, Asst. Dean for Clinical Sciences

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