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Flexible Clinical Experiences | Experience Proposal | Faculty Design

The dates listed below are for academic year 2023-2024

Note: General program requirements apply to all FCEs. See the FCE Program FAQ webpage for specific requirements. Or please feel free contact us with your questions at UMMSFCEprogram@umassmed.edu.

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General Information

Be sure to include "PURCH-specific" or "LEAD-specific" information, attach required materials, and name required documentation when appropriate.

Be sure to include "PURCH-specific" or "LEAD-specific" information, attach required materials, and name required documentation when appropriate.

FCE Course Title (and number, if known) *

Has this FCE been offered previously? *

UMass Chan FCE Faculty Sponsor and Supervisor *

I am a member of the UMass Chan Faculty

Sponsor email (must be umassmed.edu, umassmemorial.org, or baystatehealth.org)) *

Preferred Contact Email (can be any domain)

Sponsor phone *

Sponsor mailing address

Sponsor Department *

Evaluating Supervisor (type "Sponsor" if same person) *

FCE Support Personnel *

Additional Evaluating Supervisor

This experience is PURCH track specific This experience is LEAD@Lahey track specific

Experience Location (include contact information and room numbers) *

Day One Instruction (report time & where, where to park, advance reading, etc.) *

Interdisciplinary *

Interprofessional *

UMass Chan Competencies | all that apply *

Experience Description (you may upload further information below) *

Experience Objectives (eg, By the end of this session student will be able to...) *

Evaluation Type | all that apply *

Block 1A | FE1 | June 5, 2023 ‐ June 9, 2023 *

Block 1B | FE2 | July 10, 2023 ‐ July 14, 2023 *

Block 1C | FE3 | July 17, 2023 ‐ July 21, 2023 *

Block 2A | FE4 | September 25, 2023 ‐ September 29, 2023 *

Block 2B | FE5 | October 2, 2023 ‐ October 6, 2023 *

Block 2C | FE6 | November 6, 2023 ‐ November 10, 2023 *

Block 3B | FE7 | February 26, 2024 – March 1, 2024 *

Block 3C | FE8 | March 4, 2024 ‐ March 8, 2024 *

*Block 3A | spare/extra FCE week | April 8, 2024 ‐ April 12, 2024

Optional | upload further FCE information (eg, syllabus, readings, etc.)

Additional Comments or Proposal Information

November 4 2022 | cjb