Preceptor Availability Form_Clerkship

Academic Year 2025-26

Preceptor Availability Form_Clerkship

DLRI is actively recruiting preceptors for Family Medicine Core Clerkship Rotations for the 2025-26 Academic Year. As part of the UME curriculum, all medical students must complete a 4-week rural and 4-week urban family medicine rotation. The goal of these experiences is to both spark interest in generalism and solidify a career choice in family medicine, particularly in rural and regional areas.

1
Current: General Information
2
Core Rotations
3
SNAP session

General Information

Preceptor Name

Name of Practice/Clinic

Email Address

Alternate Email (Personal, Team Lead, Clinic Manager, etc.):

Phone Number

Do you currently have a University of Calgary – CSM faculty appointment?

Yes

Unsure

How do you prefer to be contacted?

Provide pre-set availabilities for specific dates

Being contacted for individual requests as they come up

Not interested in teaching clerks or pre-clerks at this time

Collection of personal information
Your personal information is collected under the authority of section 33(c) of the Freedom of Information and Protection of Privacy Act. If you have any questions about the collection or use of this information, please visit our Access to Information page.