New Elective Proposal Form: Clinical, Non-Clinical Research & Non-Clinical Advanced Electives

New Elective Proposal Form:

Clinical, Non-Clinical Research &

Non-Clinical Advanced Electives

NEW ELECTIVES: To be considered, each elective must be adequately described in writing & suitable supplementary documentation provided.

Please review the institutional Core Competency Graduation Goals to show how your course will help achieve the students Graduation Goals & Objectives.

Please also review the Electives Course Catalog. If a similar elective exists, please describe how your proposed elective is unique and different from an existing elective.

Please consult the criteria for electives before completing the form.

Reviewed by DLEO*

Before completing this form, all changes must be approved by the DLEO. Confirm DLEO review by checking the box below.

Elective Course Name*

Sponsoring Department*

Select

Elective Type*

Select

Elective Duration*

Select

Elective Location*

Select or enter value

If you selected "Other" for Elective Location, please provide more information here.

Elective Director*

BCM ID#*

Teaching Faculty & BCM ID*

BCM Elective Director Qualifications*

Must include Board Certification. In addition, include if applicable: Earned Doctorate/Terminal Degree in Teaching Discipline or Related Discipline AND/OR Relevant Research/Scholarship Experience

Name of Administrative Contact*

Administrative Contact's Phone*

Phone

Administrative Contact's Email*

Administrative Contact Mail Code or Address*

Multiple Term Start & End Dates

Start Term(s) of elective

Select

Location

Meeting Dates

Student Enrollment

When indicating the maximum number of students who can enroll, please consider the number of BCM and visiting students you can accommodate while still providing resources for selectives (if applicable) and core rotation students. BCM students will be auto-enrolled. The visiting student number is independent of the BCM student number. Slots will be offered preferentially to BCM students; if unfilled, the course director may accept/deny visiting student applications via the VSLO process.

Link to Academic Calendar: (https://www.bcm.edu/education/registrar/academic-calendars)

Open to the Visiting Student Program?*

Select

Open to the International Student Program?*

Select

Maximum BCM Student Enrollment (per offering)*

Maximum Visiting Student Enrollment (per offering)*

Pre-Requisite Description*

Please indicate if there are Core or Elective Rotations which must be completed before enrolling in this elective. If none, enter N/A.

Time Commitment/Learning Activities*

Please attach the schedule of daily activities, to include the clinical schedule, lectures, seminars, self-directed learning, etc.

Drag and drop files here or

Day(s) of the Week*

Select

Weekends?*

Select

If yes, indicate number of weekend days.

Night Call?*

Select

If yes, indicate # of nights/weeks and call room.

Average Daily Hours*

Student Course Expenses (if any)*

To include travel, study materials, etc. If none, please enter "N/A".

Where & when students report on the 1st day.*

Blackboard Course Set-Up Required*

Select

Course Description*

Upload additional page(s) as needed.

Course Goals & Objectives*

Each objective must be mapped to the BCM Institutional Core Competency Graduation Goals

Objective; Relevant CCGG; Assessment Method

I.E. Objective: Student will describe algorithms of ACLS; CCGG: 2.6; Assessment Method: Oral Exam

Grading Rubric*

Please indicate how the grade will be comprised. Research & Foundation Courses are graded Pass/Fail. If using any method aside from attendance only (verbal presentation, writing assignment, etc.) include the grading rubric used to assess it.

I.E. Attendance 70%, Writing Assignment 30%

Justification/Need for this New Elective*

Please provide needs assessment data, if done.

Resources Needed*

Please list the resources needed for this elective.

I.E. Room/Space, Equipment (AV, computers, etc.), Supplies, Fees, SIM Lab or equipment, Standardized Patient utilization, etc.

Will this course be active in AY204-2025?

Select

Send me a copy of my responses

Privacy Notice|Report Abuse