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Course Change Request Form

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Course Change Request Form

Please use the form below to notify us of needed changes or updates to the Medical Education Course Directory. Please submit this form for each course page that needs updates.

First & Last Name *

Email Address *

Which course page do you want changed? *

Please copy and paste the URL into the box.

Which section do you need changes to within the page? *

Header (Course Information)

Details

More

Which item would you like to change in the Header section?

Course director

Contact

Campus

Curriculum focus

Clinical level

Required or elective

MS year

Hands-on

Terms offered

Credits

Prerequisites

What should the item/s be changed to?

Which item/s would you like to change in the Details section?

Catalog description

Sites

Required session attendance

Typical weekly schedule/delivery mode

Direct patient care

Consent requirement

Course objectives

Graded components

Grading scale

Midcourse feedback method/process

What should the item/s be changed to?

Which item/s would you like to change in the More section?

Allow repetition of course

Limited to student type

Course equivalency

Related curricular experience

Secure exam

Course evaluation

What should the item/s be changed to?

Leave this field blank

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