Required MD Course Form

Please complete form for all required MD courses.

* indicates required fields.

Preparer Information

Name *

First

Last

Date *

Email *

Relationship to Course *

Course Information

Department *

Catalog Number

Course Title *

Course Director *

Course Director Email *

Course Director Phone Number *

Other Instructors (include emails)

Course Open To *

1st Years

2nd Years

Clerkship Students

All

Academic Year *

Day(s) of Course

Monday

Tuesday

Wednesday

Thursday

Friday

Saturday

Sunday

Time (include am/pm)

If day(s)/time(s) not yet established, for purposes of confirming the unit value please indicate how many days a week and for what duration the class will meet

Units (include minimum and maximum allotted) *

Maximum number of students (if applicable)

Course Delivery *

Lecture

Seminar

Colloquium

Discussion

Lab

Workshop

Practicum

Independent Study

Other

If you selected more than one "Course Delivery" method please enter the percentage of time for each component selected

Prerequisites

Method(s) of Assessment of Student Performance *

Oral Examination

Written Examination

Written Reports

Case Presentations

Clinical Performance

Oral Presentation

Paper

Attendance

Other

COURSE DESCRIPTION

Please provide a description of no more than 100 words to be included in the course catalog. Please visit http://med.stanford.edu/curriculum-management/courses/elements.html#description to review guidelines for writing your course description. *

COURSE OBJECTIVES

The course objectives will not be included in the catalog but will be used by the Office of Medical Education for review of the course and its content and may be used for reporting purposes. Objectives should be measurable, student focused and linked to the overall objectives of the School of Medicine.

Upon completion of this course, students should be able to: *

Please indicate which SOM competencies are addressed through the objectives listed above *

Knowledge of the basic medical sciences and organ systems

Ability to apply clinical skills in the care of patients

Promotion of health care that appropriately responds to social, cultural and health system contexts within which the care is delivered

Knowledge of the foundations of population and evidence-based medicine

Commitment to ethics and professionalism

Commitment to personal and professional development

Commitment to an area of scientific and/or clinical inquiry

REQUIRED APPROVAL

Approval *

I verify that the information above is accurate to the best of my knowledge

I verify the course information above has been reviewed and approved by the Chair of my department

If Course Director is not a member of the Stanford University faculty, please include the name of the sponsoring faculty member for this course