Faculty Pathway Project Proposal Form

This form is for a faculty member to propose a scholarly project for one or more medical students in an MCW Pathway.

Faculty Name:

Contact Phone:

Email:

Department:

What is the best way to reach you?:

 Email    Phone  or

 Alternate Contact Person


Brief Description of Project Idea:

 

Anticipated outcomes of the project (e.g. a device, course, tool, generalizable knowledge):

 
 
Do you anticipate that this project will provide dissemination opportunities (e.g. conference posters, journal articles)?
 

Time commitment – Duration of project (e.g. summer and fall semester; 1-2 years, ongoing, flexible)

 
 
Time commitment during academic year (e.g. frequency of work, amount of time per day/week/month) 
Note  - students typically have 2-3 Thursday afternoons per month available, but alternate expectations can be discussed
 

How many students can work with you on this project?

 
 

List specific skills or attributes required or preferred (e.g. language, transportation), if applicable:

Which Pathway students would you be most interested in working with, if you feel strongly about their enrollment:

Bioethics

Clinician Educator

Clinical & Translational Research

Global Health

Health Systems Management and Policy

Molecular & Cellular Research

Quality Improvement & Patient Safety

Urban and Community Health

 

Page Updated 12/15/2017