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This report is being submitted by:



Learner Information


~ 1 ~


~ 2 ~

 Expanded Academic Deliverables

With reference to the list below, please describe the activities that preceptors at

your site engaged in during this quarter:

  • Professional Development & CME

  • CME Workshop Facilitation 

  • Research & Scholarship Activities

  • Clinical Innovation & Quality Improvement

  • Clinical Academic Program Development

  • Academic Faculty Leadership Development

  • Postgraduate Recruitment

  • File Assessment & Interview of Applicants


During this quarter, have any LEG members at your clinic received funding for academic activities not administered through the MICTA LEG?



If yes, please describe below:


Once you click submit, you will return to the LEC Reporting page.  If you had more than 2 learners at your site, you can choose to submit another report (leaving the EAD & Other sections blank).


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