YourMD New Elective Proposal Form (v.3)

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Please fill out and submit this form for proposed electives.

This form is not for elective intersession proposals--please contact Philippe Thullier at thuillie@ohsu.edu if you are planning an elective intersession.

It is advisable to allow for at least a two month window before expecting to offer a proposed elective to students to give the UME Curriculum Development Subcommittee (meets 3rd Wednesday of each month) and the UME Curriculum Committee (meets 2nd Thursday of each month) ample time to review the course.  The individual indicated in the Proposal Contact Information section will be kept abreast of progress towards final approval.

If at anytime you wish to save your progress and return later, click the 'save progress' link at the top of this form. You may return to this form later to finish and submit. Please note, saving a form will not submit it. 
Basic Course Info



Proposal Contact Information




Course Sponsor information
Please provide information about the sponsoring faculty member and department.









Course Contacts






The proposed coordinator must be informed that they are being nominated for this role.  Submitting this form is confirmation that this conversation has taken place with the proposed course coordinator.




Offerings and Schedule













Prerequisites



 
hours per week



Elective Course Goal, Competency, Instruction and Assessment Info



In the next sections, please enter a course objective tied to the Competency Domain and SOM Competencies your course will address. For the full descriptions of each Competency Domain and SOM Competency, please click here. If you have questions, please contact Tomo Ito at itot@ohsu.edu. 

Electives must address at least four different Competencies but you are welcome to include as many as can be appropriately assessed in the context of the proposed course. 

If at any time you wish to save your progress and return later, click the 'save progress' link at the top of this form. You may return to this form later to finish and submit. Please note, saving a form will not submit it.  
Course Goal 1



Course Goal 2



Course Goal 3



Course Goal 4




Additional Course Goals