[program name] Foundations [I or II] Tracking Form (YEAR)
Attendance and Asynchronous Work Record for Foundations of Emergency Medicine at [program name]
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?
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 II, etc
Which best describes your attendance status for this Foundations Meeting?
Excused Absence (list possible excuses i.e. excused off-service rotation, vacation, sick leave)
Approximately much time did you spend on independent study assignments for this Foundations Meeting?
> 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- Traditional Text: Rosen's
F1- Traditional Text: Tintinalli's
F1- High-Yield Text: River's
F1- High-Yield Text: Tintinalli Manual
F1- Multimedia: Hippo Videos
F1- Multimedia: Other FOAMed
F2- Text-Based: Harwood-Nuss
F2- Text-Based: Critical Care Medicine
F2- Text-Based: Assigned Primary Literature
F2- Multimedia: FOAMed Assignments
F2- Multimedia: Hippo Supplement
None of the above
By typing your name below, you attest that the information above is true.
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This form was created inside of Foundations of Emergency Medicine.