Preceptor Availability - 2024/2025

Undergraduate Electives

Preceptor Availability Form

The DLRI office gathers preceptor availability for Undergraduate Electives and is currently recruiting for pre-clerkship and clerkship rotations.

Electives are an integral component of medical education. Early exposure to rural and regional experiences piques interest in rural and regional medical practice, and many students benefit through these one-on-one experiences. Understandably, there are unique challenges in providing availability to precept in advance. However, we need to gather pre-set availability to help our office with increased requests.

For all requests, we ask that you respond with confirmation within three business days.

1
Current: General Information
2
Career Development Weeks
3
Clerkship Electives
4
Visiting Electives

General Information

Preceptor Name

Name of Practice/Clinic

Email Address

Alternate email (Personal, Team Lead, Clinic Manager, etc.)

Phone Number

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.