Oklahoma State University Center for Health Sciences
Oklahoma State University Center for Health Sciences

News Alert:

 

Required Clinical Rotations

Emergency Medicine Clerkship

Checklist (This form may not function, and will likely need to be converted if it is still needed)

Course requirements listed below are due the end of the rotation and must be submit within 7 days of completing this rotation.  If all items are not received by the 7th, points will be deducted from the final grade.  You may print this out for your own record

*Denotes required fields

 
*First Name *Email
*Phone *Alternate Phone/Pager
(Enter your 10 digit number without other characters; i.e. no dashes, no parenthesis).
 

  Check yes if completed
*Student Performance Evaluation Form Yes No
*Student Site Evaluation Form Yes No
*Video Lecture Evaluation #1 Yes No
*Video Lecture Evaluation #2 Yes No
*Procedure/Skills Card Yes No

Notes:

 

 

 

 

 

 

 

Contact Information

Course Coordinator:
Duane Koehler, D.O.

Phone: 918-584-4387
Email: duane.koehler@okstate.edu

Northeast Coordinator
Xan Bryant, M.BA.

Phone: 918-401-0074
Email: xan.bryant@okstate.edu

Southwest Coordinator
Nicole Neilson, M.S.

Phone: 918-401-0073
Email: Nicole.neilson@okstate.edu

Northwest Coordinator
TBA

Phone: 918-401-0799
Email:

Emergency Medicine Rotation Links

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