AHEC Scholars Clinical Training for Experiential Hours

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Students may submit health professions training program required clinical rotations for Scholars Experiential hours PROVIDED it meets the four criteria below:

Scholar first and last name *

Scholar email address *

Name of clinical training site *

Address of clinical training site (please include zip code) *

What type of setting was this? *

Hospital based

Clinic

Other:

Start date of rotation *

YYYY

End date of rotation *

YYYY

Total number of hours completed *

Brief description of responsibilities (Details are good!) *

Requirement #1: Site must provide a model for care of the underserved and transforming practice, with one or more recognition/service structures. Which of the following applies to the site: (check all that apply) *

Accredited as patient centered medical/health home (PCMH)

Clinic that has integrated primary care with mental health and/or oral health services

Clinic that provides team-based care using an interprofessional practice model

Generically, FQHC or certified Rural Health Clinic (RHC)

Rural primary care site serving disadvantaged/vulnerable populations

not sure

Required

Requirement #2: During the clinical experience, the Scholar must engage in a team-based care setting with a student or students from at least one other profession or engage with an interdisciplinary team of providers (representing more than one profession). Please identify the types of professions you interacted with in a team-based care setting (co-workers or students from at least one other profession or engagement with an interdisciplinary team of providers). Check all that apply. *

Physicians, Physician Assistant providers

Physicians, Physician Assistant students

Therapists (PT, OT, Speech, Respiratory)

Therapy Students (PT, OT, Speech, Respiratory)

Social work, counselors, psychiatrists, psychologists

Social work, counselors, psychiatry or psychology students (for example)

Dentists, dental hygienists, dental assistants

Dentists, dental hygienist, dental assistant students

RN, MSN, DNP, Nurse Practitioners, Nurse midwives

Nursing students

Pharmacists

Pharmacy students

Other providers:

Other students

Required

If you selected "Other" providers or students, please explain:

Requirement #3: Scholar must add to the rotation an experience dealing with a CORE TOPIC that fits with what the AHEC Scholar should be seeing/doing at the rotation site. Examples are : *Home visit engaging a patient from a disadvantaged/vulnerable population; *Mini-immersion: one or more interviews with community agencies/leaders regarding their view of health care needs/systems/services/limitations, etc. *Participating in community outreach activities such as participating in a school health project, mobile health care project, etc.; *Accompanying a community healthcare worker (CHW, home health provider, public health nurse) on visits to homes; *Participating with a public health department in delivery of services (i.e., immunization clinics, STD clinics, WIC, pre-/post-natal care, etc.); *Participating in an inter-professional team-based experience arranged/coordinated by a regional AHEC center. Please describe your CORE TOPIC experience. *

Requirement #4: Did you complete the reflection on canvas? *

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