Touro in Middletown, New York. I’m delighted to be …...Touro in Middletown, New York. I’m...
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To Clinical Preceptor, My name is Aisha Carter, Administrative Assistant for the Clinical Education Department at Touro in Middletown, New York. I’m delighted to be your point of contact for the Department of Clinical Education along with Dr. Kenneth Steier, Executive Dean, Dr. Alex Joanow, Director of Clinical Rotations, Mrs. Sarah Stoltz-Kessler, Director of Clinical Education, Ms. Ashley Wittens, 3rd Year Student Coordinator for Clinical Rotations, and Mary Dermigny, 4th Year Student Coordinator for Clinical Rotations. Touro COM, Middletown would like to start by saying “thank you” for your continued support. The Department of Clinical Education looks forward to working with you. We would like to provide you with a variety of resources, including: A digital copy of the Clinical Rotations Manual & Syllabi: The Clinical Rotations Manual & Syllabi is a guide of what should be expected from both the rotation experience and the medical student. CME Certification form is attached for submission for credit. Please contact Ms. Meghan Bennett if you have any questions. (Contact information denoted on the form) New Innovations (web link): at the end of each clinical rotation the Department of Clinical Education requires a student evaluation, from the preceptor be completed. This evaluation will be completed online through New Innovations. (information and directions attached) Your feedback and praise will help to develop our future physicians. (Your access to New Innovations is dependent on a successful credentialing process.) The Shelf Exam will be given during 3 rd year rotations on the last business day of the month unless the students are otherwise notified. The official schedule will be posted on New Innovations. Students will not be expected to participate in the clinical rotation that day. If you have concern, that a student is experiencing anxiety or stress and needs additional emotional support. We urge you to contact the Department of Clinical Education. The overall wellbeing of all of our students is very important, as they continue their clinical education. Touro Online Library Electronic Library Off-Campus Login is attached for your reference. (Your access to the Touro Online Library is dependent on a successful credentialing process.) Touro College of Osteopathic Medicine ◦ 60 Prospect Avenue ◦ Middletown, New York 10940 Department of Clinical Education Office: 845.648.1246 ◦ Email: [email protected]
Transcript of Touro in Middletown, New York. I’m delighted to be …...Touro in Middletown, New York. I’m...
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To Clinical Preceptor,
My name is Aisha Carter, Administrative Assistant for the Clinical Education Department at Touro in Middletown, New York. I’m delighted to be your point of contact for the Department of Clinical Education along with Dr. Kenneth Steier, Executive Dean, Dr. Alex Joanow, Director of Clinical Rotations, Mrs. Sarah Stoltz-Kessler, Director of Clinical Education, Ms. Ashley Wittens, 3rd Year Student Coordinator for Clinical Rotations, and Mary Dermigny, 4th Year Student Coordinator for Clinical Rotations.
Touro COM, Middletown would like to start by saying “thank you” for your continued support. The Department of Clinical Education looks forward to working with you. We would like to provide you with a variety of resources, including:
A digital copy of the Clinical Rotations Manual & Syllabi: The Clinical RotationsManual & Syllabi is a guide of what should be expected from both the rotationexperience and the medical student.
CME Certification form is attached for submission for credit. Please contact Ms.Meghan Bennett if you have any questions. (Contact information denoted on the form)
New Innovations (web link): at the end of each clinical rotation the Department ofClinical Education requires a student evaluation, from the preceptor be completed.This evaluation will be completed online through New Innovations. (information anddirections attached) Your feedback and praise will help to develop our futurephysicians. (Your access to New Innovations is dependent on a successfulcredentialing process.)
The Shelf Exam will be given during 3rd year rotations on the last business day of themonth unless the students are otherwise notified. The official schedule will be postedon New Innovations. Students will not be expected to participate in the clinicalrotation that day.
If you have concern, that a student is experiencing anxiety or stress and needsadditional emotional support. We urge you to contact the Department of ClinicalEducation. The overall wellbeing of all of our students is very important, as theycontinue their clinical education.
Touro Online Library Electronic Library Off-Campus Login is attached for yourreference. (Your access to the Touro Online Library is dependent on a successfulcredentialing process.)
Touro College of Osteopathic Medicine ◦ 60 Prospect Avenue ◦ Middletown, New York 10940
Department of Clinical Education Office: 845.648.1246 ◦ Email: [email protected]
https://tourocom.touro.edu/students/https://tourocom.touro.edu/media/schools-and-colleges/tourocom/documents/Clinical_Rotations_Manual_2014-2015.pdfhttps://www.new-innov.com/pub/mailto:[email protected]
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We are excited the students have the opportunity to work with a talented individual like you. In recognition of your dedication to medical education we would like to invite you to become a part of our Academic Medical Faculty. Please complete the one page application, and attach the following, a copy of your most current curriculum vitae, and copy of Board Certification Certificate(s), current malpractice certificate coverage, and current state medical license registration.
As the students prepare for this learning endeavor, we would like to reach out to you as you prepare for the arrival of new students. Please don’t hesitate to call, email, or contact us in anyway. We are honored and privileged to have you join us in guiding a compassionate, professional and culturally diverse generation of perspective colleagues.
Sincerely,
Aisha Carter Administrative Assistant, Department of Clinical Education Touro College of Osteopathic Medicine 60 Prospect Avenue Middletown, New York 10940
Attached: I. Clinical Rotations Manual- Instructions
II. CME Certification FormIII. Application to join our Academic Medical FacultyIV. New Innovations – InstructionsV. Sample Student Evaluation
VI. Library Off-Campus Login instructions
Touro College of Osteopathic Medicine ◦ 60 Prospect Avenue ◦ Middletown, New York 10940
Department of Clinical Education Office: 845.648.1246 ◦ Email: [email protected]
mailto:[email protected]
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Clinical Rotations Manual A digital copy of the Clinical Rotations Manual is available on the Touro website. The Clinical Rotations Manual is a guide of what should be expected from both the rotation experience and the medical student.
The Clinical Rotations Manual is available: 1. Go to: tourocom.touro.edu 2. This is the homepage for Touro 3. Look for “Information for:” on the top
right
1
2
3
4
4. Click on “students” a. This page is titled: “Current Students”
5. Look for the “Rotations:” heading
6
5
6. Click on “Clinical Rotations Manual”
* This is the cover of the Clinical Rotations Manual
https://tourocom.touro.edu/media/schools-and-colleges/tourocom/documents/Clinical_Rotations_Manual_2014-2015.pdfhttp:tourocom.touro.edu
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CME Certification of Faculty Participation in Medical Preceptoring and/or Didactic Lecturing
Harlem CampusMiddletown Campus
* Only Credits from the Current CME CYCLE (January 1, 2019 - December 31, 2021) Can Be Accepted *
Name: AOA Number:
Preferred Mailing Address:
City: State: Zip:
Phone: Fax: E-mail:
The TouroCOM physician faculty member listed above attests to participation in the clinical training of medical students from Touro College of Osteopathic Medicine and has earned the following teaching hours:
Course or Lecture Title Month & Year Number of HoursCATEGORY 1A (Participation in Formal Osteopathic CME Programs / Didactic Lecturing / Formal Teaching)
CATEGORY 1B (Osteopathic Preceptoring / Activities in Non-AOA Accredited Institutions / Participation in Non-Osteopathic CME Programs)Course or Lecture Title Month & Year Number of Hours
CATEGORY 2A (Interactive, Real-time Online Programs, AMA-Accredited)Course or Lecture Title Month & Year Number of Hours
CATEGORY 2B (Journal/ Online Textbook-Type Programs)Course or Lecture Title Month & Year Number of Hours
Hours Attested by Signature:
Upon receipt and approval of your completed forms, Touro College of Osteopathic Medicine will report CME hours directly to the American Osteopathic Association
Please submit the above mentioned credits to the AOA on my behalf:
Signature
Signature
Date
Date
Send Completed Form(s) to: Meghan Bennett
Touro College of Osteopathic Medicine 60 Prospect Avenue
Middletown, NY 10940 Office: (845)648-1213 Fax: (845)648-1019
E-mail: [email protected] Certification of Faculty Participation Revised 2019
mailto:[email protected]
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New York - Middletown EDUCATING CARING PROFESSIONALS TO SERVE, TO LEAD, TO TEACH
60 Prospect Avenue . Middletown, New York 10940 . 845.648.1246 . www.touro.edu/med
Dear Prospective Preceptor,
The Department of Clinical Education at Touro College of Osteopathic Medicine thanks you for your
continued commitment to our students and your interest in receiving credentialing and/or faculty appointment.
In order to present your file to the Rank and Credentialing Committee we need:
- A Complete Application for Appointment/Credentialing (Attached)
- Your Most Recent Curriculum Vitae
- Copies of Board Certification Certificates (If Applicable)
- Current Malpractice Certificates of Coverage
- Current State Medical License Registration
Please email your documents to Aisha Carter at [email protected] or fax Attn: Aisha Carter as soon as possible to present your file at the next Rank and Credentialing Committee meeting.
Sincerely,
Dr. Kenneth J. Steier, Dean Touro College of Osteopathic Medicine- Middletown, NY
Adjunct Faculty Appointment and Credentialing Application2013
mailto:[email protected]/med
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Middletown – New York 60 Prospect Avenue, Middletown, NY 10940 (845) 648-1246 http://tourocom.touro.edu
Preceptor Application
**This Application is for: Adjunct Clinical Instructor Adjunct Clinical Assistant Professor
Adjunct Clinical Professor Adjunct Clinical Associate Professor
Name: Please Print Clearly
Preferred Mailing Address:
City: _______________________________ State: __________________________ Zip:
Office: Mobile: Fax:
Email: Credentialed by Hospital: Yes No
Please Print Clearly
Specialty: Current Position
Terminal Degree: Years of Practice: Gender: Male Female
Board Certified: Yes No Board Certification __________________ Certificate Number:
Certification Date: _________ Recertification Date: _______ If not board certified, are you board eligible:
Medical License Number/State: DEA Number:
Faculty Position at other Medical School: Rank From: To:
Primary Hospital Affiliation(s): ________________________________________________________________________________
Medical Group/Private Practice/Outpatient Affiliation(s): ____________________________________________________________
Previous Teaching Experience:
Undergraduate Medical Education: _____________________________________________________________________________
Graduate Medical Education: __________________________________________________________________________________
Other previous teaching position(s): ____________________________________________________________________________
Please Send to: I consent to a National Practitioner Data Bank Inquiry (if applicable) by Aisha Carter, Administrative Assistant Department of Clinical Education Touro College of Osteopathic Medicine- Middletown, NY 60 Prospect Avenue, Room 232, 2nd Floor Signature Date Middletown, NY 10940 Email: [email protected] Fax (212) 634-2215
Appointment and Credentialing Application 2018
Please Attach the Documents Mentioned Below to Complete This Application 1. Most Recent CV 2. Malpractice Certificates of Coverage 3. Copies of Board Certification Certificates
4. Current Copy of New York State Medical License Registration.** Final decision on Rank and Appointment is made by the Dean and Rank and Credential Committee**
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New Innovations
Accessing New Innovations
Login to New Innovations
*Additional instructions will be provided as needed
(Through TouroCOM) 1. Go to: tourocom.touro.edu2. This is the homepage for Touro3. Look for “Information for:” on the top
right4. Click on “students”
a. This page is titled: “Current Students”5. Look for the “Rotations:” heading6. Click on “New Innovations”
Or directly: www.new-innov.com
1
2 & 3
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5. New Innovations requiresyou to change your password in order to use the software. Please carefully read the instructions and requirements for creating your new password.
1. On the top right of yourscreen, click on “login”
2. New Innovations-Account Login
3. Institution is: Touro
4. Your credentials aretemporary.
User Name & Password
First letter of your first name followed by your last name
ex: pprospective
5
6
6. New Innovations- Home (After successful login)
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Touro College of Osteopathic Medicine | Clinical Clerkship Faculty Evaluation of Student | Revised 7/2018
Class of: ______________
Student Name: ____________________________________________ Core OR Elective
Rotation Subject: ______________________________ Date of Rotation: ___________________
Hospital or Clinical Site Name: ___________________________________________________________
The Likert scale will be use by the Department of Clinical Education when determining the students grade.
1 2 3 4 5 6 7 Not
Observed Unacceptable Poor Marginal Adequate Competent Excellent Outstanding
U C B A
Patient Care: Skills: Performs patient interviews; uses judgment; is respectful of patient preferences.
1 2 3 4 5 6 7 Not Observed
Medical Knowledge: Skills: Degree of knowledge base; committed to life-long learning, has understanding of complex problems
1 2 3 4 5 6 7 Not Observed
Practice Based Learning and Improvement: Skills: Self assesses; uses new technology, accepts feedback
1 2 3 4 5 6 7 Not Observed
Interpersonal and Communication Skills: Skills: Establishes relationships with patients/families, educates and councils patients/families, maintains comprehensive, timely, legible medical records.
1 2 3 4 5 6 7 Not Observed
Professionalism: Skills: Shows compassion, respect, and honesty, accepts responsibility for errors, and considers needs of patient/colleagues.
1 2 3 4 5 6 7 Not Observed
System-Based Practices: Skills: Practices cost-effective healthcare; assists patient with in dealing with system complexities, coordinates various resources.
1 2 3 4 5 6 7 Not Observed
Osteopathic Principles and Practice: Skills: Correlates osteopathic philosophy into disease entities; can complete a structural exam; utilizes osteopathic manual skills.
1 2 3 4 5 6 7 Not Observed
Clinical Clerkship Faculty Evaluation of Student Please print neatly
Please return the student evaluation to:
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Touro College of Osteopathic Medicine | Clinical Clerkship Faculty Evaluation of Student | Revised 5/2018
Student Name: _______________________________________ Rotation: ___________________________
This evaluation was completed:
Independently or Cumulatively
Preceptor Name: ________________________________________________
Additional Contributors:
(Please clearly print name)
Preceptor Signature: ___________________________________________
Preceptor: ___________________________________________________
Preceptor: ___________________________________________________
Preceptor: ___________________________________________________
□This evaluation has been reviewed with the student
□Yes
Attendance: 2 3 or more - Comment Required# of Shifts (Days) Missed: 1
# of Shifts (Days) Remediated: 1 2 3 or more - Comment Required
Additional Questions:
Exc
elle
nt
Go
od
Ad
equ
ate
Su
bst
and
ard
Exc
elle
nt
Go
od
Ad
equ
ate
Su
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and
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Student is properly prepared for rotations Develop a plan of treatment
Ability to present a history and physical exam Quality SOAP notes
Ability to research medical literature Clarity and quality of presentations
Demonstration of technical ability Educational Contributions
Quality of written physical and history Appearance
Clarity and quality of presentations Promptness
These comments will be noted on the students MSPE (Deans Letter). The MSPE (Deans Letter) is part of the application for residency.
Constructive comments- These comments will not be included on the students MSPE (Deans Letter) *
Student Signature: ______________________________________ (student signature acknowledges review of the evaluation with the preceptor)
Reviewed by DME: ______________________________________ (For site use only- Not required by TouroCOM)
New TouroCOM Preceptor
Email Address: ________________________________________________
*All Preceptors signing evaluations must be licenced & a TouroCOMcredentialed physician
Date: ____________________ AOA or AMA #: ___________________
A student must remediate if more than 3 days are missed
No
Blank Page
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CME Certification of Faculty Participation in Medical Preceptoring and/or Didactic Lecturing
Harlem CampusMiddletown Campus
* Only Credits from the Current CME CYCLE (January 1, 2016 - December 31, 2018) Can Be Accepted *
Name: AOA Number:
Preferred Mailing Address:
City: State: Zip:
Phone: Fax: E-mail:
The TouroCOM physician faculty member listed above attests to participation in the clinical training of medical students from Touro College of Osteopathic Medicine and has earned the following teaching hours:
Course or Lecture Title Month & Year Number of HoursCATEGORY 1A (Participation in Formal Osteopathic CME Programs / Didactic Lecturing / Formal Teaching)
CATEGORY 1B (Osteopathic Preceptoring / Activities in Non-AOA Accredited Institutions / Participation in Non-Osteopathic CME Programs)Course or Lecture Title Month & Year Number of Hours
CATEGORY 2A (Interactive, Real-time Online Programs, AMA-Accredited)Course or Lecture Title Month & Year Number of Hours
CATEGORY 2B (Journal/ Online Textbook-Type Programs)Course or Lecture Title Month & Year Number of Hours
Hours Attested by Signature:
Upon receipt and approval of your completed forms, Touro College of Osteopathic Medicine will report CME hours directly to the American Osteopathic Association
Please submit the above mentioned credits to the AOA on my behalf:
Signature
Signature
Date
Date
Send Completed Form(s) to: Meghan Bennett
Touro College of Osteopathic Medicine 60 Prospect Avenue
Middletown, NY 10940 Office: (845)648-1213 Fax: (845)648-1019
E-mail: [email protected] Certification of Faculty Participation Revised 2/2016
11.0.0.20130303.1.892433.887364
..\..\Pictures\TouroCOM\TC-TouroCOM-Combined-Logo-(PNG).png
CME Certification of Faculty Participation in Medical Preceptoring and/or Didactic Lecturing
* Only Credits from the Current CME CYCLE (January 1, 2016 - December 31, 2018) Can Be Accepted *
The TouroCOM physician faculty member listed above attests to participation in the clinical training of medical students fromTouro College of Osteopathic Medicine and has earned the following teaching hours:
Course or Lecture Title
Month & Year
Number of Hours
CATEGORY 1A (Participation in Formal Osteopathic CME Programs / Didactic Lecturing / Formal Teaching)
CATEGORY 1B (Osteopathic Preceptoring / Activities in Non-AOA Accredited Institutions / Participation in Non-Osteopathic CME Programs)
Course or Lecture Title
Month & Year
Number of Hours
CATEGORY 2A (Interactive, Real-time Online Programs, AMA-Accredited)
Course or Lecture Title
Month & Year
Number of Hours
CATEGORY 2B (Journal/ Online Textbook-Type Programs)
Course or Lecture Title
Month & Year
Number of Hours
Upon receipt and approval of your completed forms, Touro College of Osteopathic Medicine will report CME hours directly to the American Osteopathic Association
Signature
Signature
Date
Date
Send Completed Form(s) to:
Meghan Bennett
Touro College of Osteopathic Medicine
60 Prospect Avenue
Middletown, NY 10940
Office: (845)648-1213 Fax: (845)648-1019
E-mail: [email protected]
CME Certification of Faculty ParticipationRevised 2/2016
:
TextField1:
NumericField1:
TextField2:
Adjunct Clinical Instructor: OffAdjunct Clinical Professor: OffAdjunct Clinical Assistant Professor: OffAdjunct Clinical Associate Professor: OffName: Preferred Mailing Address: City: State: Zip: Office: Mobile: Fax: Email: Credentialed by Hospital: OffSpecialty: Current Position: Terminal Degree: Years of Practice: Gender: OffBoard Certified: OffBoard Certification: Certificate Number: Certification Date: Recertification Date: If not board certified are you board eligible: Medical License NumberState: DEA Number: Faculty Position at other Medical School Rank: From: To: Primary Hospital Affiliation(s):: Private PracticeOutpatient Affiliations: Undergraduate Medical Education: Graduate Medical Education: Other previous teaching positions: Touro College of Osteopathic Medicine Middletown NY: Patient Care 1: OffPatient Care 2: OffPatient Care 3: OffPatient Care 4: OffPatient Care 5: OffPatient Care 6: OffPatient Care 7: OffMedical Knowledge 1: OffMedical Knowledge 2: OffMedical Knowledge 3: OffMedical Knowledge 4: OffMedical Knowledge 5: OffMedical Knowledge 6: OffMedical Knowledge 7: OffPrac Based Lng and Imp 1: OffPrac Based Lng and Imp 2: OffPrac Based Lng and Imp 3: OffPrac Based Lng and Imp 4: OffPrac Based Lng and Imp 5: OffPrac Based Lng and Imp 6: OffPrac Based Lng and Imp 7: OffInterpersonal and Communication 1: OffInterpersonal and Communication 2: OffInterpersonal and Communication 3: OffInterpersonal and Communication 4: OffInterpersonal and Communication 5: OffInterpersonal and Communication 6: OffInterpersonal and Communication 7: OffProfessionalism 1: OffProfessionalism 2: OffProfessionalism 3: OffProfessionalism 4: OffProfessionalism 5: OffProfessionalism 6: OffProfessionalism 7: OffSystem-Based Prac 1: OffSystem-Based Prac 2: OffSystem-Based Prac 3: OffSystem-Based Prac 4: OffSystem-Based Prac 5: OffSystem-Based Prac 6: OffSystem-Based Prac 7: OffOsteopathic PP 1: OffOsteopathic PP 2: OffOsteopathic PP 3: OffOsteopathic PP 4: OffOsteopathic PP 5: OffOsteopathic PP 6: OffOsteopathic PP 7: OffClass of: Student Name: Rotation Subject: Date: Hospital or Clinical Site NAME: Core: OffElective: OffNO 1: OffNO 2: OffNO 3: OffNO 4: OffNO 5: OffNO 6: OffNO 7: OffStudent Name_2: Rotation: Preceptor Name: No this evaluation hasnt been reviewed with the student: OffYes this evaluation has been reviewed with the student: OffReviewed by DME: of Shifts Days Remediated: Group52: OffGroup53: OffGroup54: OffGroup55: OffGroup56: OffGroup57: OffGroup58: OffGroup59: OffGroup60: OffGroup61: OffGroup62: OffGroup63: OffText54: Text55: Preceptor: Check Box58: OffCheck Box59: OffNew Preceptor: OffPreceptor Email: Shifts/Days Missed 1: OffShifts/Days Missed 2: OffShifts/Days Missed 3: OffShifts/Days Remediated 1: OffShifts/Days Remediated 3: OffShifts/Days Remediated 2: Off
