FCE Faculty Course Offering Proposal AY 2013-2014

Part I: Course Information

FCE Course Title (and number, if known)   

Has this FCE been offered previously?

Course Faculty Sponsor 

Hosting Department 

FCE Location (include contact information if available)
Day One Instructions for the Student
Please provide contact information for supervisors who will evaluate student performance.

Faculty Evaluating Supervisor


 Faculty Evaluating Supervisor


Administrative Support


Category of FCE    

 Interdisciplinary Interprofessional List other professional(s) and or additional discipline(s) here

FCE Discipline

FCE Discipline

FCE Discipline

FCE Discipline

AY 2013-2014 Course Dates & Number of Students you are able to accomodate




Block 1a FE 1

Block 1b FE2

Block 1c FE3

Block 2a FE4

Block 2b FE5

Block 2c FE6
11.12-11.15 & 11.18

Block 3a FE7

Block 3b FE8

Block 3c FE9

provide dates in
description text box

Part II Course Description

Brief Course Description (attach further information via email to UMMSFCEprogram@umassmed.edu )


Course Objectives e.g., By the end of this session students should be able to name, explain, perform, demonstrate, describe... (list 3-5 objectives)

 UMMS Core Competencies (check all that apply) Evaluation Type & Criteria (select at least one from each list)
Describe/explain evaluation(s) here

Explain any prerequisites for this Flexible Clinical Experience



Instructions for the FCE Course Offering Proposal

  • All fields are required
  • Course Objective(s): 1-2 sentences
  • Course Description: 2-3 brief paragraphs
  • Select all appropriate UMMS LInC competencies
  • Select the maximum number of students you can accommodate for your elective under the corresponding AY2012-2013 date(s)

June 11-14, total 4 days
June 19-25, total 5 days
July 24-30, total 5 days
Sept 21-27, total 5 days
Oct 26- Nov 1, total 5 days
Nov 6-9, total 4 days
Feb 4-7, total 4 days
March 8-13, total 4 days
March 26- April I, total 5 days

  • Select maximum duration of course (multiple sessions?)
  • Select minimum duration of course
    • note: It is only possible to offer 2 week electives for the June and October end blocks, but these will be interrupted by an interstitial curriculum day on 6/20/12 and 11/5/12 respectively.
  • Describe any prerequisites
  • Describe evaluation type (attendance, effort, participation)
  • Descrive evaluation criteria (clinical skills, case presentations, journal, etc.)

  • Please email me or call (508-856-3800) if you have any questions about your course or this process.

    Samir Malkani, MD
    FCE Course Leader