- mse - MSE

You should select at least one visit

Visit Day

Full Name *

Email *

Campus Address *

Office Phone *

Rank/Title *

Department *

Do you currently have a faculty appointment with the IU School of Medicine? *

Please indicate if you would prefer to be placed with a specific co-instructor

Name of Clinical Assistant/Scheduler

Clinical Assistant/Scheduler Work Email

2024-2025: FCP1 Small Group Facilitator