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Gender

  • Male
  • Female

Practice Type

  • Outpatient
  • Inpatient
  • Surgical Center
  • Nursing Home
  • Emergency Room
  • Other

Students Accepted for Rotation (check all that apply):

  • Third-Year medical students
  • Fourth-year medical students
  • Physician Assistant Students

Degree Earned

  • DO
  • MD
  • PA
  • RN
  • PhD
  • Ed.D
  • MPH
  • MS
  • MSN
  • MBA
  • OTHER

Have you had any prior experience precepting/teaching medical students, residents, fellows, nurses, nurse practioners, physician assistants, or EMTs?

  • Yes
  • No

Would you like an Adjunct Clinical Faculty Appointment from Rocky Vista University?

  • Yes
  • No

Would you like online access to the Frank Ritchel Ames Memorial Library at Rocky Vista University?

  • Yes
  • No