EPC IPPE/APPE Submissions
Use the following form to submit any problems seen in experential IPPE or APPE sites.
All submitted information is anonymous and will be used by EPC to help improve current and future experiences.
Contact Email (optional)
For follow-up purposes only.
Only viewable by EPC Student Council.
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Date of Problem
Class of 2018
Class of 2019
Class of 2020
Class of 2021P
General Rotation Site
Bay Area (not SF)
Specialty (i.e FDA)
Specific Site and/or Preceptor (optional)
(i.e. UCSF-Hosptial Ops w/ Dr. Jane Doe)
Please be as concise as possible.
If multiple problems, separate by a line.
Problem Context (optional)
Please include any additional information you believe might be useful (i.e. other on-going problems with site, if you've done anything to remedy the problem, general feelings, etc.)
File Attachment (optional)
Send me a copy of my responses
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