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Rural Community Health Clerkship Community Project Worksheet

Name:
Date:



State the Problem:

How did you identify that the problem or question existed?



Why is this question important?




What are your sources of information about the problem? (including personal contacts, reference, literature, etc.)


State your specific question:


Define your population: (be as specific as possible)

What process will you use to investigate the problem?

What is the ideal outcome?

What do you intend to accomplish with this project during this clerkship?

If you had more time, what additional steps or questions might you address?

List 3 things the faculty should use to evaluate your project:

1.
2.
3.


Please submit by clicking the button below, or fax to Becki at 503-494-0626