Global Health Forms for UNC Medical Students traveling in an approved UNC role abroad. This includes any international travel where you are in an educational setting as a UNC student regardless of academic credit or funding.

Before you Depart

What Form do you Need?

Identify the preceptor evaluation form associated with your international program, print out before you leave, have it completed by on site preceptor, and return to UNC faculty course advisor in order to meet grading requirements

Course Type Form to Use Curriculum phase of student Notes
Clinical elective Individualization Phase Common Assessment Form v.1819 Clinical Individualization This is the form that will automatically be sent for most electives
Research Elective Individualization Phase Common Assessment Form v.1819 – Research Individualization If a student is taking a research elective, use this form; let us know so UNC preceptor form will match.

If there is a clinical component, use the Clinical elective form.

“General Elective” Individualization Phase Common Assessment Form v.1819 – General Individualization Use this form for service learning, language, etc. Let us know so UNC preceptor form will match.

If there is a clinical component, use the Clinical elective form.

Pass-Fail Elective Individualization Phase Common Assessment Form v.1819 – Pass-Fail Electives Individualization Only use for 3-credit-hour courses; these are the only Individualization phase courses that are Pass/Fail
Pre-clinical Elective Foundation Phase Elective Common Assessment Form v.1819 – General Foundation Phase The same form can be used for all Foundation phase students; all courses are pass/fail.

 

Pre-Clinical Elective Request Form (.doc) This form is required for medical students who are completing a credit-bearing global health elective in addition to international global health work. After you have met with the OIA Program Manager and clarified the UNC Faculty Advisor for your international elective, submit the form to Leanne Shook in the Office of Student Affairs.

Involved in International Research Abroad?

Compelte this required Training for students involved in IGHID international clinical research

Travel, Health and Safety Documents

When You Return

Global Health Experience- Student Evaluation of Elective
This is required no more than 4 weeks after your return date. All students who travel in a UNC role, regardless of academic credit or funding, are required to complete and return this evaluation via email to the OIA Program Manager to serve as a resource for future students. Failure to do this will result in a hold placed on your student account until this is confirmed by the OIA.

UNC SOM Travel Warning Policy (.pdf)

Foundations in Global Health Geo-journal (.doc)

Conference Support

UNC Medical Student or Resident Physician Conference Travel Fund Application form This application form is required for UNC medical students or residents who wish to apply for conference support. To be eligible to apply, students must be accepted to present a paper or a poster at a global health conference. Please submit the application form via email to the OIA Program Manager. Annual funding is limited. Not all eligible applicants will be awarded.If selected by the OIA committee, the applicant will receive conference support of maximum of $500 after you have returned from your conference and submitted all original travel expenses in the form of a cover page, original receipts related to conference registration, transportation, or housing.