Please complete the questions below every two (2) weeks, at least four (4) times, during your clinical externship this summer. This information is for the MSSCE Program Director and AAP Staff.

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* 1. Please enter your contact information.

Activity Update

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* 2. Have you set a meeting schedule with your mentor and/or been meeting regularly?

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* 3. Briefly describe one case that you saw in the last week.

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* 4. I have had the opportunity to see patients with diagnoses in the following areas during my externship. (Select all that apply.)

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* 5. I have had the opportunity to observe the following procedures during my externship. (Select all that apply.)

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* 6. Abstract Preparation

Overall Experience

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* 7. My MSSCE externship has been going well so far.

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* 8. Do you have any questions for the MSSCE program director or AAP staff?

Thank  you for completing the MSSE check in. Feel free to contact the AAP staff at aschnappinger@physiatry.org at any time with questions, comments or concerns.

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