Student Reflection
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First Name *
Last Name *
Date of Clinic Session or Health Fair *
Name of Clinic or Health Fair *
Names of students on your clinic care team or your health fair station manager (Enter the names of the medical students who you supervised during this clinic session or the student(s) who were the station managers at the health fair station(s) where you worked.) *
What were the main topics or issues discussed during clinic and the wrap-up session? Not required for health fair.
Reflection and Practice Improvement (Provide reflective evaluation of your experience in this clinic session or health fair. Describe your own strengths and areas for improvement in your leadership and teaching abilities, your clinical knowledge, and your clinical skills. Describe ways you might improve the clinical service and learning experience for yourself, the other students, the patients, or the attending physicians.) *
Any other comments or suggestions?
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