Regulations concerning medical student - Yuma Regional Medical - yumaregional 2025

1. Click ‘Get Form’ to open it in the editor.
2. Begin by filling out your personal information in the designated fields, including your name and the dates of your rotation or clinical experience.
3. In the section describing your clinical work and job duties, provide a clear outline of your responsibilities, such as 'Student will be rounding with me on my patients.'
4. Ensure you read through the acknowledgment statement carefully. Confirm that you understand and agree to abide by all terms and conditions outlined.
5. Have your sponsoring physician complete their section by printing their name, signing, and dating the form. This is crucial for approval.
6. Finally, submit the completed form for review by the Department Chair and Director of Graduate Medical Education as indicated at the bottom of the document.

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