From sarena@u.washington.edu Sat Mar 28 15:30:29 1998 Received: from jason02.u.washington.edu (root@jason02.u.washington.edu [140.142.76.8]) by lists.u.washington.edu (8.8.4+UW97.07/8.8.4+UW97.05) with ESMTP id PAA40012; Sat, 28 Mar 1998 15:30:28 -0800 Received: from homer05.u.washington.edu (sarena@homer05.u.washington.edu [140.142.76.12]) by jason02.u.washington.edu (8.8.4+UW97.07/8.8.4+UW97.05) with ESMTP id PAA21866; Sat, 28 Mar 1998 15:30:28 -0800 Received: from localhost (sarena@localhost) by homer05.u.washington.edu (8.8.4+UW97.07/8.8.4+UW97.04) with SMTP id PAA77876; Sat, 28 Mar 1998 15:30:27 -0800 Date: Sat, 28 Mar 1998 15:30:27 -0800 (PST) From: Sarena Seifer To: Pamela Mitchell , ccp@u.washington.edu, hpsisn@u.washington.edu, ccph@u.washington.edu Subject: a directory of interprofessional training Message-ID: MIME-Version: 1.0 Content-Type: TEXT/PLAIN; charset=US-ASCII FYI - this is being forwarded to you... The National Center is developing a compendium of college or university-based interprofessional programs around the country. We are compiling data on efforts within universities to facilitate collaborative training programs in the professional preparation of school and agency practitioners. Programs can take many forms, such as: coursework, internships, community service or degree programs. If you are aware of a program within your university, please provide the following information. If you are not the appropriate person to respond to this survey, please forward the survey to the correct individual. Please return surveys electronically to: ncsc@mary.fordham.edu by Wednesday, April 15, 1998. Thank you. Name of university or college __________________________________________ Name of interprofessional program __________________________________________ Under which department(s), professional school(s), center, or other administrative unit is the program housed? _______________________________________________________________________ Is the program free-standing? _____ yes _______no _____not applicable Number of years the program has been in operation _________ Name of program director _________________________________ Degree(s) offered through the program if any (please check all that apply) ________ Undergraduate ________ Graduate ________ Post-Graduate ________ Certificate Sources of funding (please check all that apply) _______ University or departmental funds (hard money) _______ Foundation grants _______ Federal or state grants _______ Private donations _______ Other (please specify) ___________________________ Does this program have a formal evaluation process? _______yes ________no If yes, is this evaluation done _______internally ______externally Whether or not there is an evaluation, is there yearly reporting? _____yes _______no To whom is the yearly evaluation report made? _____________________________ Please answer the following questions. A) Please list below the academic disciplines or professional schools involved and how many faculty are involved from each. Academic Disciplines Number of Faculty Involved or Professional Schools /Percentage of Time _____________________________________ _______________________ _____________________________________ _______________________ _____________________________________ _______________________ _____________________________________ _______________________ _____________________________________ _______________________ _____________________________________ _______________________ _____________________________________ _______________________ _____________________________________ _______________________ How many other non-faculty professional staff are involved in the program? (i.e. clerical, administrative, public relations, graduate assistants, undergraduate assistants) Position Approximate Number/Percentage of Time ________________________________ ________ ________ ________________________________ ________ ________ ________________________________ ________ ________ ________________________________ ________ ________ ________________________________ ________ ________ ________________________________ ________ ________ B) Total number of courses offered ________________ Of these courses, how many are ___________required __________elective C) Total number of students enrolled in these courses __________ D) Total number of student participants in internships ___________ Are these internships (please check all that apply) _______ Paid _______Unpaid Hours per week each student engages in internship activities __________ Where are these internships performed? (please check all that apply) _________ Social service agency _________ School setting _________ Health care setting _________ Other, (please specify) ____________________________ Name of person filling out this survey ________________________ Address ____________________________________________________________________ ____________________________________________________________________ ____________________________________________________________________ Phone _________________________________ Fax: _________________________________ E-mail: _________________________________ Name of contact person for more info (if different from above) _________________________ Address ____________________________________________________________________ ____________________________________________________________________ ____________________________________________________________________ Phone _________________________________ Fax: _________________________________ E-mail: _________________________________ Please send hard copies of program materials, for example, evaluation reports, curriculum descriptions, course syllabi, reading lists, learning exercises, student expectations, etc., which you are willing to share with your colleagues in the field to: Rick Brandon Executive Director Human Resources Policy Center Univ. of Washington, Box 353060 Seattle, WA 98195 206-685-3135 .