Faculty Global Health Activity Form

Please complete a separate form for each global health activity. Direct any questions or concerns about the form to Tifany Frazer.

New activity
Activity update
 

Name:
Title: MD     PhD
Email:
Department:
Activity Title:
Activity Synopsis:
Country:
City:
   
Health Domain: Check all that apply.
  Clinical Care Community and Public Health
  Community Health Center
Hospital
International NGO
Health Education Promotion
Injury Prevention and Control
Preventative Health Programs
Specialized Care
Training the Trainers
     
  Consultancy Education/Training
  General Practice
Healthcare Policy
Healthcare Systems Development
Research Development
Subspecialty
Telemedicine
Training Education
Allied Health Professionals
Community Health Workers
Community Members
Medical Students/Residents
Midwives
Nurses
Physicians
Post-doctorates
Postgraduate Students
Public Health Workers
     
  Healthcare Systems Development Research
  Electronic Medical Record
Subspecialty
Systems Management Infrastructure Improvement
Training the Trainers
Training Education
Basic Science
Behavioral
Clinical
Public Health
Translational
   
Health Category: Check all that apply.
  Child Health
Chronic Disease
Diagnostic Pathology
Disaster Relief
Elderly
Environmental Health
Family Health
Family Planning
ID (HIV/AIDS)
ID (Malaria)
ID (Parasitology)
ID (STI)
ID (TB)
Infectious Disease
Injury
Maternal/Child Health
Nutrition
Primary Care
Specialized Care
Surgery
Systems Development
 
 
 
 
 
 
 
 
 
 
     
Notes:  
     
   

 

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Page Updated 11/06/2014
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