Second Year Summer Elective Application | ERMEP - Eastern Regional Medical Education Program

POSTPONED DUE TO COVID

2nd Year Summer Elective - Geriatrics

Nursing homes in Ontario are homes to people who frequently have multiple and complex medical problems and needs. Most of these people are pleased to see medical learners and contribute to their education; thus providing a wonderful opportunity for learners to see, examine, and help people with significant pathology (strong physical signs/findings).

This elective is serving to consolidate the learners' skills in these vital areas of clinical history taking, physical examination, and management program development.

This elective is open to all 2nd year Ontario medical learners (successfully completed their 2nd year). This placement is for four weeks. Some communities participating in this elective require that the learner has a vehicle.

Personal Information

Last Name *

First Name *

Preferred First Name

E-mail Address *

(Please use your University e-mail address)

Phone # * Please use the format (xxx) xxx-xxxx

Cell/Mobile # Please use the format (xxx) xxx-xxxx

Gender *

Information is required for accommodation purposes.

Stream *

Student Number *

Current Address

Street *

City *

Province/Territory *

Postal Code * Please use the format xxx xxx

Is your current address the same as your permanent address? *

Permanent Address

Street

City

Province/Territory

Postal Code Please use the format xxx xxx

School Information

Medical School *

Placement Information

Preferred Location *

Expectations of learning experience

Comments

Hobbies and/or Interests

Do you have a vehicle? *

Will you require accomodations? *

Do you have any pet allergies? (Please state)

Does ERMEP have your permission to use your photograph in published articles, website, newsletters, flyers, posters, brochures and presentation materials? *

Cancellation Policy

The Eastern Regional Medical Education Program [ERMEP] along with the Distributed Medical Education [DME] considers it unprofessional to cancel a rotation once a preceptor is confirmed. ERMEP considers it a breach of professionalism when the learner cancels without a valid reason less than four weeks from the start date of the rotation. ERMEP will then report this to the schools and ask that they deal with this as unprofessional behavior. It is important to recognize that preceptors are often very annoyed by late changes due to their scheduling requirements. Accommodation cancellations must be made through ERMEP a minimum of four weeks prior to placement start date. By submitting this application, I agree to abide by all of ERMEP policies and confirm that I have not applied to any other Networks. I understand that once the Eastern Regional Medical Education Program has contacted me with the name of a preceptor, it is unprofessional for me to cancel the rotation. I acknowledge that ERMEP will notify my school of any unprofessional behaviour.

Cancellation Policy Agreement *

I agree to the Cancellation Policy

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