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EUCIC general application for Excellence and Training centers
(Local and Advanced modules)
Information about the institute
1.
General information about the institute
Name
Address
Address 2
City/Town
State/Province
ZIP/Postal Code
Country
Website
Type of institute (university, teaching hospital, reference centre, research institute)
2.
General information about the contact person
Title
First name
Last name
Affiliation
Department
Address
City
ZIP/Postal code
Country
Email address
Phone number
3.
Does your institute provide academic courses in (multiple options possible):
Clinical microbiology (CM)
Infectious diseases (ID)
Infection control (IC)/ Hospital hygiene (HH)
Public Health (PH)
Others (please specify relevant courses)
4.
Are these courses offered in English?
Yes: the courses are offered in English
No: the courses are offered in the local language(s) and we cannot provide the courses in English
No: the courses are offered in the local language(s), but we can provide the courses in English, if requested
Both: the courses are offered in English and the local language(s)
Please specify in which local language(s) the courses are offered at your Institution
5.
Do you provide these courses for medical students
Yes
No
6.
Do you provide these courses for medical specialists and/or do you provide medical specialist training?
Yes
No
7.
Do you ask for feedback regarding the quality of the given courses after they have taken place?
Yes
No
8.
Are (some of) the courses in CM/ID/IC/hospital hygiene you provide CME accredited
no
yes (please specify which courses):
9.
Do you provide practical courses or training and/or bedside teaching?
No
Yes (please specify below)
10.
Please provide the contact details of two senior staff members at your institute for more information regarding the above - mentioned courses
Contact 1: Name
Contact 1: Affiliation
Contact 1: E-mail
Contact 2: Name
Contact 2: Affiliation
Contact 2: E-mail
11.
Administrative aspects of the module - please indicate:
Entry requirements
Module fee (in EUR)
Minimum number of participants
Maximum number of participants
Duration (in days)
Course assessment (written examination, practical assignment)
*
12.
Would you like to apply to function as an excellence and/or training centre?
An institute applying to be one of EUCIC’s Excellence Sites, must be internationally recognized for their special competency in infection prevention and control (IPC); provide academic courses and/or teaching for medical students in the fields of CM, ID, IC/HH and possibly public health, all in the English language (or be able to provide the courses in English); and have in place a collaborative network between departments that handles daily aspects, services and issues related to IPC.
The latter prerequisite effectively guarantees the site’s meta-competence in the field. Universities, national reference centres or other institutes fulfilling the criteria above are welcome to apply, provided they are able to setup also the basic module in the future.
Ideally, every European country should have at least one training site. Eligible institutes must already be providing academic courses and/or teaching for medical students in the fields of IC/HH and/or public health. Applications should be send both via this platform and, seperately, to the national coordinators. The latter applications should include the topics and dates of the courses as well as the names of the responsible contact person.
(Required.)
Excellence centre
Training centre
Both
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