UGME Division of Medical Education
ISP Handbook

Forms

The following are printable versions of the ISP Forms.

 

Forms to submit with ISP Proposal:

  • Form A — The ISP Chair Declaration (PDF PDF - 24 kb | Word Word Document - 35 kb)

     

  • Form B — The ISP Chair's Approval Statement (PDF PDF - 48 kb | Word Word Document - 36 kb)

     

  • Form C — Independent Study Project Proposal Form (PDF PDF - 48 kb | Word Word Document - 39 kb)

     

  • Form D — Human / Animal Subjects Investigation Form (PDF PDF - 86 kb | Word Word Document - 36 kb)
    IMPORTANT!

    All students must submit this form even if human or animal subjects are not used.

Forms to submit with completed ISP:

  • Form 1 — ISP Completion Verification  (Chair only) (PDF PDF - 9 kb | Word Word Document - 26 kb)

     

  • Form 2 — ISP Evaluation  (one for each Committee Member including Chair) (PDF PDF - 9 kb | Word Word Document - 26 kb)

     

  • Student evaluation of ISP experience via CourseEval Authentication Required
  • ISP Library Consent (Currently the UCSD Biomedical Library stores hard copies of all ISPs.  This consent permits the library to move to electronic storage of ISPs on a password-protected site.) (PDFPDF - 56 kb | Word Word Document - 30 kb)
  • Note: The final ISP write-up should be submitted via email to Catherine Doran.
     

Other forms:

  • Request for ISP Exemption-Dual Degree (PDF PDF - 47 kb | Word Word Document - 49 kb)
  • Request for ISP Exemption-Research Year (PDF PDF - 62 kb | Word Word Document- 49 kb)

      


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