[program name] Foundations [I or II] Tracking Form (YEAR)
Attendance and Asynchronous Work Record for Foundations of Emergency Medicine at [program name]
Email *
Name? *
Foundations [I or II] unit? *
Which best describes your attendance status for this Foundations Meeting? *
Approximately much time did you spend on independent study assignments for this Foundations Meeting? *
Which Learning Pathway resources did you use in preparation for this Foundations Meeting? (check all that apply) *
Required
By typing your name below, you attest that the information above is true. *
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