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BScPA Program Guest Facilitator Application

Thank you for your interest in teaching for our program.

Please see the list of the topics below and indicate the session(s) that you would like to participate in as a facilitator.

We will get reach out to you by email in the future when teaching opportunities arise.

BScPA Program

Please enter your name and contact information.

<span style="font-size: 16px;"><b>Please enter your name and contact information. </b></span>
			Your information:


			Name and contact information
First Name
Last Name
E-mail Address
Phone Number (Mobile number preferred)
Qualification (PA, MD)
How did you hear about this opportunity?

Which session(s)/topic(s) from the list below are you interested in and feel comfortable with teaching for June Campus Block (typically taking place the second week of June)?

<span style="font-size: 16px;"><b>Which session(s)/topic(s) from the list below are you interested in and feel comfortable with teaching for <span style="color:#3498db;">June Campus Block</span> (typically taking place the second week of June)?</b></span>
			Please indicate the topics that you feel comfortable with teaching as a guest facilitator.


			Interested
Not available to facilitate during June
Muskeloskeletal system (June)
Neurology (June)
Preventive Health Checks History and Examination (June)
Pediatric History and Exam (June)
Well Woman History and Exam (June)
Wound Care (June)
Sterile Technique (Gowning & Gloving) (June)
IV Insertion and Injections (June)
Phlebotomy & Specimen Collection (June)
Sterile Procedure Prep (June)
ECG & Cardiac Diagnostics (June)
Airway Management (June)
Urinary Catheterization (June)
Orthopedics Casting & Splinting (June)
Suturing and Gluing (June)

Which session(s)/topic(s) from the list below are you interested in and feel comfortable with teaching for September Campus Block (typically taking place over three weeks in September)?

<span style="font-size: 16px;"><b>Which session(s)/topic(s) from the list below are you interested in and feel comfortable with teaching for <span style="color:#9b59b6;">September Campus Block </span>(typically taking place over three weeks in September)?</b></span>
			Please indicate the topics that you feel comfortable with teaching as a guest facilitator.


			Interested
Not available to facilitate during September
Abdominal Exam (September)
Cardiovascular Exam (September)
Head and Neck Exam (September)
History Taking (September)
Obtaining Vital Signs (September)
Respiratory Exam (September)
Female Pelvic Exam (September)
Male Pelvic Exam (September)
Muskeloskeletal System (September)
Neurology (September)

Which session(s)/topic(s) from the list below are you interested in and feel comfortable with teaching for March Campus Block (typically taking place the first week of March)?

<span style="font-size: 16px;"><b>Which session(s)/topic(s) from the list below are you interested in and feel comfortable with teaching for <span style="color:#27ae60;">March Campus Block</span> (typically taking place the first week of March)?</b></span>
			Please indicate the topics that you feel comfortable with teaching as a guest facilitator.


			Interested
Not available to facilitate during March
First Aid/CPR/Intubation (March)
Chest Pain (March)
Anaphylaxis (March)
Asthma (March)
Opioid Toxicity (March)
Seizures (March)
PAP (March)
Laceration (March)
Ear Syringe (March)
Abscess Drainage (March)
Punch Biopsy (March)
Appendicitis (March)
Knee OA (March)
Fatigue/Anemia (March)
Breast Lump (March)
Psychosis (March)

Please upload your CV/Resume (if you have not taught for our program before)