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Academic Year 2020-2021 Flexible Clinical Experiences

Step 1 | Complete and Submit no later than May 30 2020

NEW course & graduation requirements

Minimum of 2 experiences; up to 4 experiences in CCE year
Option to defer 1 experience to AS year; at least 1 experience must occur in CCE year
All experiences must be clinical, or virtual when appropriate
Option to repeat 1 experience (2 weeks)
No department restrictions
No changes to PSCS schedule accepted after May 30

Use this form to...

Identify and commit to at least two (2) Flexible Clinical Experience weeks.
For each week that you plan to complete, select 2 clinical departments in which you prefer your experience to take place. (Initially, you will be enrolled in your first choice.)
Note: include department preference even if you plan to self-design.

for _____
Respond to all required (*) fields to ensure successful submission

Your last name *

Your first name *

Your email address *

I am a PURCH student

I prefer to complete my FCEs at Baystate Health

_____
Do you plan to complete an FCE during FCE week 1
August 31 - September 4 2020

response required *

If yes, please indicate your top two clinical department preferences for this FCE

I will submit a self-design FCE proposal for FCE week 1

_____
Do you plan to complete an FCE during FCE week 2
December 14-18 2020

response required *

If yes, please indicate your top two clinical department preferences for this FCE

I will submit a self-design FCE proposal for FCE week 2

_____
Do you plan to complete an FCE during FCE week 3
January 4-8 2021

response required *

If yes, please indicate your top two clinical department preferences for this FCE

I will submit a self-design FCE proposal for Week 3

_____
Do you plan to complete an FCE during FCE week 4
January 11-15 2020

response required *

If yes, please indicate your top two clinical department preferences for this FCE

I will submit a self-design FCE proposal for Week 4

_____
Additional Preference Information
We can't promise we will have the capacity to satisfy the additional preferences you add below, although we will make every effort to do so.

list previously offered FCEs (faculty or student designed) that you would like to be offered in AY20-21

list faculty you would like to supervise your FCE

What else should we know to create the best FCE schedule for you?

Academic Year 2020-2021 Flexible Clinical Experiences

Step 1 | Complete and Submit no later than May 30 2020

for _____Respond to all required (*) fields to ensure successful submission

for _____Respond to all required (*) fields to ensure successful submission

_____Do you plan to complete an FCE during FCE week 1August 31 - September 4 2020

_____Do you plan to complete an FCE during FCE week 1August 31 - September 4 2020

_____Do you plan to complete an FCE during FCE week 2December 14-18 2020

_____Do you plan to complete an FCE during FCE week 2December 14-18 2020

_____Do you plan to complete an FCE during FCE week 3January 4-8 2021

_____Do you plan to complete an FCE during FCE week 3January 4-8 2021

_____Do you plan to complete an FCE during FCE week 4January 11-15 2020

_____Do you plan to complete an FCE during FCE week 4January 11-15 2020

for _____
Respond to all required (*) fields to ensure successful submission

for _____
Respond to all required (*) fields to ensure successful submission

_____
Do you plan to complete an FCE during FCE week 1
August 31 - September 4 2020

_____
Do you plan to complete an FCE during FCE week 1
August 31 - September 4 2020

_____
Do you plan to complete an FCE during FCE week 2
December 14-18 2020

_____
Do you plan to complete an FCE during FCE week 2
December 14-18 2020

_____
Do you plan to complete an FCE during FCE week 3
January 4-8 2021

_____
Do you plan to complete an FCE during FCE week 3
January 4-8 2021

_____
Do you plan to complete an FCE during FCE week 4
January 11-15 2020

_____
Do you plan to complete an FCE during FCE week 4
January 11-15 2020