Clinical Longitudinal Immersion in the Community (CLIC) Program

Welcome to the UConn School of Medicine (SoM)!

During your first three years of medical school, you will spend a half day each week with a community physician preceptor who works in a Primary Care (Family Medicine, Internal Medicine, or Pediatrics) or subspecialty office. This allows you to apply what you're learning in basic science classes in an actual medical practice under a physician preceptor’s supervision. This program uses the acronym "CLIC" and stands for Clinical Longitudinal Immersion in the Community.
If you have any questions, please don't hesitate to ask. Students begin CLIC around the third week of medical school. We're looking forward to meeting you in a few weeks!

Please complete the survey no later than Friday, July 17th.

Thank you,
Dr. Jaclyn Jaeger, Nicole Szwelicki & Rasy Mar
UConnSOMCLIC@uchc.edu

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* 1. Contact information

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* 2. What town will you be living in during medical school?

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* 3. Are you living with other medical students?

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* 4. Do you have a car?

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* 5. Regarding commuting, do you have family or friends residing in a specific part of the state where you might prefer to be placed? While we cannot guarantee placement in that area, we will make every effort to accommodate your preferences.

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* 6. Please rank your Primary Care discipline preferences below (1 being the highest and 4 being the lowest):

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* 7. How interested are you in pursuing a career in Primary Care?

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* 8. Do you plan on applying to the UST (Urban Service Track)?

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* 9. Do you speak any languages fluently besides English? Fluency means you can comfortably hold a conversation and conduct a medical history in that language.

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* 10. Do you have a specific specialty in mind that you're passionate about? For instance, Cardiovascular Medicine, Pediatric Hematology/Oncology, Sports Medicine, Urology, Women's Health etc.

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* 11. Please specify if you have a particular career goal in mind as you begin medical school:

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* 12. At what pace do you typically prefer to learn?

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* 13. How would you describe your personality and learning style? For instance, are you introverted or extroverted, and how do you typically learn best?

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* 14. Have you had any previous clinical experience?

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* 15. Do you have experience working with children?

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* 16. What are your hobbies, interests, or extracurricular activities? For example, do you enjoy art, music, sports, or any other activities?

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* 17. Is there anything else you would like us to know before we finalize your placement?

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* 18. If you have any questions about the program that you would like us to address with you directly, please feel free to share them here:

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* 19. CLIC Poster - We will design a bio poster detailing the CLIC program, which will be displayed in the waiting room. Please use the text boxes below to provide 3 quick facts about yourself that we can include on the poster for patients to read about you.

Examples may include:
- Home town
- Undergrad School Name
- Clinical interests
- Hobbies/activities
- Fast/fun fact about yourself

Please try to keep it short as we'll need to cut them down to fit on the poster. As part of your CLIC experience, your headshot, CLIC information, and a fun fact about you will be included on a laminated poster that will be displayed at your assigned CLIC site.

Thank you and we look forward to meeting you!

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