PROJECT ACTIVITY or COURSE TITLE
ACTivity category (Please check all that apply)
Arts & Humanities
Biomedical & Foundational Sciences
Clinical
Health Policy & Advocacy
Aboriginal Health
Global Health
Social, Cultural & Environmental Health
Public Health
Medical Education
Other:
select course/session best suited to this activity
YEAR 1
MEDD 419 Winter Long 1.2
(6 half-days)
MEDD 419 Block 1
(6 weeks full-time)
/
YEAR 2
MEDD 429 Fall Long 2.1
(12 half-days)
MEDD 429 Block 2
(3 weeks full-time)
MEDD 429 Winter Long 2.2
(12 half-days) /
YEAR 3
MEDD 439 Block 3
(4 weeks full-time)
Can Occur in Any of the Above
delivery details
On Site / Online / Either
primary location (Affiliate campus)
VFMP (Vancouver-Fraser) IMP (Island) SMP (Southern) NMP (Northern)
Open to All Sites
SPECIFIC SITE: e.g. city, hospital, etc.
estimated time required to complete (Hours)
supervisor(s) (Activity mentor or host)
Name:
Affiliation:
Contact Information:
# students who can participate (Minimum and maximum)
prerequisites
are there any requirements to undertake this activity, e.g. clinical or preclinical?
costs
course fees, project costs for students
describe your area of interest and potential activity
150 words
Provide a high level overview of your program or area of interest. Briefly list potential activities and how the student can be involved.
is this a continuation of a previous activity?
YES NO
type of activity
Research Project
Workshop
Short Course
Online Module
Journal Club
Discussion Group
Community Service Learning Opportunity
Self-Directed Learning Option
Other: please describe
suggested deliverables
Does this activity have a deliverable, e.g. exam, final paper, reflection, educational materials, etc.
Note: these should be discussed with the student.
student application process
How do students apply for this activity? How will contact occur, i.e. directly through you by phone/email or via the course director?

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