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[program name] Foundations [I or II] Tracking Form (YEAR)
Attendance and Asynchronous Work Record for Foundations of Emergency Medicine at [program name]
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Email
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Your email
Name?
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Choose
Insert the names of your Foundations Learners here
We recommend you create separate Google Forms for Foundations I and Foundations II if you use both
You may copy/paste a list of names to quickly add multiple new options
Learner 4, etc
Foundations [I or II] unit?
*
Choose
Copy/paste a list of each unit of Foundations I or Foundations II that you will host this year
We recommend you list units alphabetically
Consider including Orientation and Feedback meetings.
Cards I
Cards II, etc
Which best describes your attendance status for this Foundations Meeting?
*
Present
Excused Absence (list possible excuses i.e. excused off-service rotation, vacation, sick leave)
Unexcused Absence
Approximately much time did you spend on independent study assignments for this Foundations Meeting?
*
None
30 minutes
60 minutes
90 minutes
120 minutes
> 120 minutes
Which Learning Pathway resources did you use in preparation for this Foundations Meeting? (check all that apply)
*
Only include options for given course- F1 or F2; delete other course options
F1 Text: Rosen's
F1 Text: Tintinalli's
F1 Text: Tintinalli Manual
F1 Multimedia: EB Medicine
F1 Multimedia: FOAMed
F1 Multimedia: Podcasts
F2 Text: Critical Case Emergency Medicine
F2 Text: Critical Care Medicine
F2 Text: Primary Literature
F2 Multimedia: EB Medicine
F2 Multimedia: FOAMed
F2 Multimedia: Podcasts
None of the above
Other:
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