Request Availability

Clinical Year 2012 – 2013
Division of Physician Assistant Studies
Medical University of South Carolina
Site Information
Clerkship Dates
Please indicate whether you are Available or Cannot Precept for each clerkship period.
Clerkship 1 (9/7/2010 – 10/8/2010)
Clerkship 2 (10/11/2010 – 11/12/2010)
Clerkship 3 (11/15/2010 – 12/17/2010)
Clerkship 4 (1/3/2011 – 2/4/2011)
Clerkship 5 (2/7/2011 – 3/11/2011)
Clerkship 6 (3/21/2011 – 4/22/2011)
Clerkship 7 (4/25/2011 – 5/27/2011)
Clerkship 8 (5/31/2011 – 7/1/2011)
Clerkship 9 (7/4/2011 – 7/29/2011)
You will receive a tentative schedule for final confirmation before the year begins.
Please execute this form no later than January 1, 201_ and Email to K. Rang
Fax: (843) 792-2829 or 843-792-0710
If you experience trouble with the fax, please phone (843) 792-3789.
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