PHC Team ranking 2013

Use this form to indicate your preferences for team placement. Full descriptions of all the teams are available at
http://www.umassmed.edu/uploadedFiles/fmch/Community_Health/PHC2013_Team%20Directory040513.pdf

Students in the Clinical and Translational Research Pathway and those who are in the Rural Health Scholars Pathway are pre-assigned to teams specific to those programs (Teams 6, 13, and 23). If you are in one of those programs, you do not need to complete this ranking exercise. If you are unsure, speak to Dr. Upshur (CTRP) or Dr. Cashman (RHSP)

1. Name:

Name: First
Last

2. I am a

I am a medical student

GSN student

3. Please indicate your top five choices.

	First	Second	Third	Fourth	Fifth
1. ACTION Health Services North County, Fitchburg	*Please indicate your top five choices. 1. ACTION Health Services North County, Fitchburg First	1. ACTION Health Services North County, Fitchburg Second	1. ACTION Health Services North County, Fitchburg Third	1. ACTION Health Services North County, Fitchburg Fourth	1. ACTION Health Services North County, Fitchburg Fifth
2. Adolescent Obesity in Rural Settings, Barre	2. Adolescent Obesity in Rural Settings, Barre First	2. Adolescent Obesity in Rural Settings, Barre Second	2. Adolescent Obesity in Rural Settings, Barre Third	2. Adolescent Obesity in Rural Settings, Barre Fourth	2. Adolescent Obesity in Rural Settings, Barre Fifth
3. Barnstable County Behavioral Health Care, Barnstable	3. Barnstable County Behavioral Health Care, Barnstable First	3. Barnstable County Behavioral Health Care, Barnstable Second	3. Barnstable County Behavioral Health Care, Barnstable Third	3. Barnstable County Behavioral Health Care, Barnstable Fourth	3. Barnstable County Behavioral Health Care, Barnstable Fifth
4. Caring for Adults with Intellectual Disabilities, Worcester/ Waltham/ Springfield	4. Caring for Adults with Intellectual Disabilities, Worcester/ Waltham/ Springfield First	4. Caring for Adults with Intellectual Disabilities, Worcester/ Waltham/ Springfield Second	4. Caring for Adults with Intellectual Disabilities, Worcester/ Waltham/ Springfield Third	4. Caring for Adults with Intellectual Disabilities, Worcester/ Waltham/ Springfield Fourth	4. Caring for Adults with Intellectual Disabilities, Worcester/ Waltham/ Springfield Fifth
5. Children’s Mental Health, Worcester/ Boston	5. Children’s Mental Health, Worcester/ Boston First	5. Children’s Mental Health, Worcester/ Boston Second	5. Children’s Mental Health, Worcester/ Boston Third	5. Children’s Mental Health, Worcester/ Boston Fourth	5. Children’s Mental Health, Worcester/ Boston Fifth
7. End of Life Care, Worcester	7. End of Life Care, Worcester First	7. End of Life Care, Worcester Second	7. End of Life Care, Worcester Third	7. End of Life Care, Worcester Fourth	7. End of Life Care, Worcester Fifth
8. Fire related injuries in older adults smoking while on Long Term Oxygen Therapy (LTOT), Carlisle	8. Fire related injuries in older adults smoking while on Long Term Oxygen Therapy (LTOT), Carlisle First	8. Fire related injuries in older adults smoking while on Long Term Oxygen Therapy (LTOT), Carlisle Second	8. Fire related injuries in older adults smoking while on Long Term Oxygen Therapy (LTOT), Carlisle Third	8. Fire related injuries in older adults smoking while on Long Term Oxygen Therapy (LTOT), Carlisle Fourth	8. Fire related injuries in older adults smoking while on Long Term Oxygen Therapy (LTOT), Carlisle Fifth
9. Geriatrics: Health Issues for Older Adults, Worcester	9. Geriatrics: Health Issues for Older Adults, Worcester First	9. Geriatrics: Health Issues for Older Adults, Worcester Second	9. Geriatrics: Health Issues for Older Adults, Worcester Third	9. Geriatrics: Health Issues for Older Adults, Worcester Fourth	9. Geriatrics: Health Issues for Older Adults, Worcester Fifth
10. Ghanaian Women’s Health, Worcester	10. Ghanaian Women’s Health, Worcester First	10. Ghanaian Women’s Health, Worcester Second	10. Ghanaian Women’s Health, Worcester Third	10. Ghanaian Women’s Health, Worcester Fourth	10. Ghanaian Women’s Health, Worcester Fifth
11. Head Start, Worcester	11. Head Start, Worcester First	11. Head Start, Worcester Second	11. Head Start, Worcester Third	11. Head Start, Worcester Fourth	11. Head Start, Worcester Fifth
12. Health Care for the Homeless, Worcester	12. Health Care for the Homeless, Worcester First	12. Health Care for the Homeless, Worcester Second	12. Health Care for the Homeless, Worcester Third	12. Health Care for the Homeless, Worcester Fourth	12. Health Care for the Homeless, Worcester Fifth
14. Implementing State and National Health Policy, Worcester	14. Implementing State and National Health Policy, Worcester First	14. Implementing State and National Health Policy, Worcester Second	14. Implementing State and National Health Policy, Worcester Third	14. Implementing State and National Health Policy, Worcester Fourth	14. Implementing State and National Health Policy, Worcester Fifth
15. Latinos Living with HIV – Northern MA, Lawrence	15. Latinos Living with HIV – Northern MA, Lawrence First	15. Latinos Living with HIV – Northern MA, Lawrence Second	15. Latinos Living with HIV – Northern MA, Lawrence Third	15. Latinos Living with HIV – Northern MA, Lawrence Fourth	15. Latinos Living with HIV – Northern MA, Lawrence Fifth
16. Latinos Living with HIV – Southern MA, New Bedford	16. Latinos Living with HIV – Southern MA, New Bedford First	16. Latinos Living with HIV – Southern MA, New Bedford Second	16. Latinos Living with HIV – Southern MA, New Bedford Third	16. Latinos Living with HIV – Southern MA, New Bedford Fourth	16. Latinos Living with HIV – Southern MA, New Bedford Fifth
17. LGBT Health, Homophobia & Heterosexism, Worcester/Boston	17. LGBT Health, Homophobia & Heterosexism, Worcester/Boston First	17. LGBT Health, Homophobia & Heterosexism, Worcester/Boston Second	17. LGBT Health, Homophobia & Heterosexism, Worcester/Boston Third	17. LGBT Health, Homophobia & Heterosexism, Worcester/Boston Fourth	17. LGBT Health, Homophobia & Heterosexism, Worcester/Boston Fifth
18. Living with Disabilities, Worcester	18. Living with Disabilities, Worcester First	18. Living with Disabilities, Worcester Second	18. Living with Disabilities, Worcester Third	18. Living with Disabilities, Worcester Fourth	18. Living with Disabilities, Worcester Fifth
19. Lowell Community Health Center: Culturally Sensitive Care, Lowell	19. Lowell Community Health Center: Culturally Sensitive Care, Lowell First	19. Lowell Community Health Center: Culturally Sensitive Care, Lowell Second	19. Lowell Community Health Center: Culturally Sensitive Care, Lowell Third	19. Lowell Community Health Center: Culturally Sensitive Care, Lowell Fourth	19. Lowell Community Health Center: Culturally Sensitive Care, Lowell Fifth
20. More than an ounce of prevention: Programs to prevent injury from trauma in all age groups, Worcester	20. More than an ounce of prevention: Programs to prevent injury from trauma in all age groups, Worcester First	20. More than an ounce of prevention: Programs to prevent injury from trauma in all age groups, Worcester Second	20. More than an ounce of prevention: Programs to prevent injury from trauma in all age groups, Worcester Third	20. More than an ounce of prevention: Programs to prevent injury from trauma in all age groups, Worcester Fourth	20. More than an ounce of prevention: Programs to prevent injury from trauma in all age groups, Worcester Fifth
21. Parenting & Family Stability, Worcester	21. Parenting & Family Stability, Worcester First	21. Parenting & Family Stability, Worcester Second	21. Parenting & Family Stability, Worcester Third	21. Parenting & Family Stability, Worcester Fourth	21. Parenting & Family Stability, Worcester Fifth
22. Refugee Mental and Physical Health, Worcester	22. Refugee Mental and Physical Health, Worcester First	22. Refugee Mental and Physical Health, Worcester Second	22. Refugee Mental and Physical Health, Worcester Third	22. Refugee Mental and Physical Health, Worcester Fourth	22. Refugee Mental and Physical Health, Worcester Fifth
24. Urban Working Poor and Incarcerated , Jamaica Plain	24. Urban Working Poor and Incarcerated , Jamaica Plain First	24. Urban Working Poor and Incarcerated , Jamaica Plain Second	24. Urban Working Poor and Incarcerated , Jamaica Plain Third	24. Urban Working Poor and Incarcerated , Jamaica Plain Fourth	24. Urban Working Poor and Incarcerated , Jamaica Plain Fifth
25. Veterans’ Health, Worcester/Boston/Bedford	25. Veterans’ Health, Worcester/Boston/Bedford First	25. Veterans’ Health, Worcester/Boston/Bedford Second	25. Veterans’ Health, Worcester/Boston/Bedford Third	25. Veterans’ Health, Worcester/Boston/Bedford Fourth	25. Veterans’ Health, Worcester/Boston/Bedford Fifth
26. Worcester Department of Public Health, Worcester	26. Worcester Department of Public Health, Worcester First	26. Worcester Department of Public Health, Worcester Second	26. Worcester Department of Public Health, Worcester Third	26. Worcester Department of Public Health, Worcester Fourth	26. Worcester Department of Public Health, Worcester Fifth
27. Worcester’s Faces and Places: Family Health Center Worcester, Worcester	27. Worcester’s Faces and Places: Family Health Center Worcester, Worcester First	27. Worcester’s Faces and Places: Family Health Center Worcester, Worcester Second	27. Worcester’s Faces and Places: Family Health Center Worcester, Worcester Third	27. Worcester’s Faces and Places: Family Health Center Worcester, Worcester Fourth	27. Worcester’s Faces and Places: Family Health Center Worcester, Worcester Fifth

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