Explorations 25-26 Student Proposal

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Flexible Professional Experiences | Course Proposal | Student Design | Explorations 25-26

**note: Use this form only for FPEs taking place in Explorations AY2025-2026. If you are currently in the Explorations AY 2024-2025 year, complete the Explorations 24-25 Student Proposal**

The self-designed FPE is your opportunity to develop an experience that isn’t offered anywhere else in the medical school curriculum. These experiences can be done within the medical school or at an outside institution.

It's important to remember that FPEs are not intended to be one-week periods of independent study. Rather, the course offers the student the opportunity and potential to design permanent student-created UMass Chan curriculum, to demonstrate interest and commitment to top tier residency programs, and to highlight leadership skills and professional competency on your curriculum vitae by engaging in curriculum development as a medical undergraduate.

Of note...

All self-designed FPEs must be submitted for approval by the FPE course leadership via this form
- self-designed FPEs must be approved by appropriate clinical department administrative staff before submission to the FPE course leadership
- self-designed FPEs must include a minimum of 50% patient-facing time. No 100% research-based experiences will be approved.
- self-designed FPEs must be added to the student schedule by the student using the one-time permission number provided by FPE course leadership
International FPEs require additional documentation found on the OUME International Medical Education website.
See S.M.A.R.T. Objectives for objectives writing definitions

Your last name *

Your first name *

Your email *

I am a PURCH student I am a LEAD student

Experience Information

Flexible Professional Experience Title *

Has this FPE been offered previously? *

Supervisor Name [include degrees] *

Named supervisor is a member of the UMass Chan Faculty

Named Supervisor Profile URL | copy from https://profiles.umassmed.edu/search/

Named Supervisor has agreed to supervise this experience

Department Administrator has approved this experience

Supervisor email *

Supervisor phone *

Supervisor mailing address if known

Supervisor Department *

FPE Support Personnel *

Flexible Professional Experience | Information and Description

Experience Description (you may upload further information below) *

Experience Objectives (eg, By the end of this session student will be able to...) *

Experience Location (include contact information and room numbers) *

Interdisciplinary | list other specialties if appropriate

Interprofessional | list other professional types if appropriate

UMass Chan Competencies | all that apply *

Longitudinal Focus Topics | select all that apply Societal Forces in Health and Disease Health Systems Science Health Equity, Diversity, and Inclusion

Evaluation

Evaluation Type | all that apply *

Select ONE Flexible Experience week during which your FPE will take place.
for two week experiences, type the second term information in the text box below

Integrated Unit 1 | March 31 - June 20 2025

Integrated Unit 2 | June 10 - September 19 2025

Integrated Unit 3 | September 29 - December 19 2025

Integrated Unit 4 | January 5 - March 27

Additional Comments or Proposal Information

File upload if appropriate

OCT 23 2024 | cjb