Teaching in Medical Education


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    * = Required Fields

    First Name*
    Middle Name
    Last Name*
    Degree*
    If degree was other, please specify:
    Employee ID#*
    School Affiliation*
    Residency Program*
    PGY Level*
    Describe your training as a teacher (choose all that apply)*







     
    How many years have you been teaching?*
    How many years have you been teaching at UMMC?*
    In which setting(s) do you have teaching experience? (choose all that apply)*


     
    How many clock hours per week do you teach?*
    Do you feel competent to teach in your current role?*
    Do you plan to teach as part of your future career?*
    Other Comments: