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Center for Health Sciences
Rural Medical Education
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Resources
# Videoconference Calendar
# Videoconference Live (password=OSU)
# Video Lectures Evaluation
# OMECO Lecture Archive


Rural Clinic

Checklist

You must submit this checklist and all other course requirements within 7 days of completing this rotation. If all items are not received by the 7th, points will be deducted from the final grade.  You may print this out for your own record.

*Denotes required fields

 
*First Name *Email
*Phone *Alternate Phone/Pager
(Enter your 10 digit number without other characters; i.e. no dashes, no parenthesis).
 

  Check yes if completed
*Student Performance Evaluation Form Yes No
*Student Site Evaluation Form Yes No
*PowerPoint Case Presentation Submit via email Yes No
* Yes No
*AHEC Kids in Health/Careers in Medicine Yes No
  Topic:    
  Date:    
*Procedure/Skills Card Yes No
*Article/Pictures for Publication Yes No
*AHEC Community Experience Yes No
  Title:    
  Location:    
  Date:    

Additional comments: