UMN Program Submission Form: Submission #958

Submission information

Submission Number: 958

Submission ID: 4796

Submission UUID: 17a44e28-73be-497f-8d47-786bdd1326a8

Submission URI: /program-submission-form

Created: Sat, 03/09/2024 - 18:48

Completed: Sat, 03/09/2024 - 18:48

Changed: Fri, 03/15/2024 - 14:26

Remote IP address: 172.71.254.235

Submitted by: Anonymous

Language: English

Is draft: No

Webform: UMN Program Submission Form

Submitted to: UMN Program Submission Form

Please indicate which type of program you would like to submit: K-12 Youth Event/Program/Camp/Intern/Conference (In-Person and/or On line)

Basic Information

Program Title Observership for High School Student - Kavin Puviarasu

Unit ID Division

Link to Program Registration https://med.umn.edu/pediatrics/education/observersvisiting-trainees

Description During this 1 week of observation, Kavin will be observing how the medical system works, its structure and infrastructure, how doctors work, their ethics, how they interact with patients and what it takes to be a medical student and resident.

Phone 612-598-2065

Email (point of contact for participants) [email protected]

Program Director/Leader Dr. Archana Bhaskaran

Program Leader Email [email protected]

Program Information

Start Date Mon, 04/08/2024 - 00:00

End Date Fri, 04/12/2024 - 00:00

Months Offered Apr

Age 16

Estimated number of participants 1

Subject Health, Nutrition, and Human Development

Program Location Twin Cities/Central MN- In-person

Publish on Youth Central website? No

Staffing Information

Have all covered staff/volunteers passed a background check within the last three years? Not yet

Have all covered staff/volunteers completed the Safety of Minors mandatory training via the Training Hub? Yes

Will there be a minimum of two program staff on duty at all times who are 18 or older and two years older than the oldest participant? Yes

Will all program staff/volunteers/student workers receive an orientation? Yes

Safety of Minors Information

Have you planned appropriate physical environments to ensure quality learning environments and help prevent illnesses and accidents? Yes

Is there a plan to change facilities or modify activities for participants with special needs? Not applicable

Is there a plan to change facilities or modify activities in case of extreme weather? Yes

Have you assessed the environment to determine if minors need to be accompanied to the bathrooms? Yes

Is there a plan for the safe movement of minors? Yes

Do minors attend without a parent or other caretaker? No

Does the program lodge people overnight? No

Has the program operated previously? Yes

Were any incidents of suspected abuse known to have been reported to or by staff in the last year? No

Notification Date Thu, 03/07/2024 - 00:00

Will a minor be present in lab environment? No

Virtual Program Information

Is this a virtual program? No

I agree to the terms of service. Yes