Colorado AHEC    
   
 
Home About Us Students Health Professionals Program Areas Events FAQ
 
Model Data Home
Search Model Data
 

Health Information Distance Education

Course Data

 

Please use the form below to enter data about individual courses. Contact Scott Moore at scott.moore@uchsc.edu or 303.724.1131 with any problems or concerns.

Thanks

Please provide information about the course.

*Select course from list:

If course is not in the list, then enter information below.

Other, if not listed above, course name:

Course category:

Other category:

Identify any grants that program/course is associated:



Please check if this course was Consumer/Community Education related:

 

Enter the information below for all courses:

*Sponsoring AHEC:

 

*Course delivery method:

Other delivery method:

*Start time:

make sure you enter the time like this 9:30am, note it is a lowercase am or pm and there is no space between the number and the am or pm

*End time:

*Date (mm/dd/yyyy):

*Contact hours:

*Training community:

Other town
(you can list all the sites that you connect to via ITV) :

*Training site type:

Other facility type:

*Target group:

Other target group:

 

*Select instructor from list:

If instructor is not listed, please enter the instructor information below:

If not listed aboveInstructor first name:

Last name:

Instructor degree:

Other degree:

Instructor's city:

Other instructor city:

Instructor discipline:

Other instructor discipline

Instructor ethnicity:

 

List other instructors (include their degree, discipline and ethnicity):

 

Please enter numeric data on class participants. If you don't have the information just leave the area blank.

Thanks

*Total # participants

Gender

# females:

# males:

Age

# younger than 20yo:

# between 20-29

# between 30-39

# between 40-49

# between 50-59

# older than 60yo:

 

Ethnicity

# Native American or Alaskan Native

# African American

# Asian

# Hispanic

# White

 

HPSA

Please indicate number of participants who live or work in a designated HPSA.

To find out if a community is a HPSA, click here.

# from HPSA

Work Type

# from Community Health Center

# from Migrant Health Center

# from Health for the Homeless

# from Public Housing Primary Care Grantees

# from Rural Health Clinic

# from NHSC

# from Indian Health Services

# from Federally Qualified Health Center

# from Health Department

# from Ambulatory Practice Sites

Other work type

Discipline

# of Physicians

# of Nurses

# of Advanced Practice Nurses

# of Physician Assistants

# of Pharmacist

# of Dentist

# of Dental Hygienist

# of Mental Health

# of Physical Therapist

# of Occupational Therapist

# of Public Health Nurses

# of Community Health Workers

# of Allied Health

# of Public Health Specialist/ Professionals

# of Others

 

 
Home | About Us | Students | Health Professionals
Program Areas | Program Areas | Events | FAQ

Copyright 2000, All rights reserved - Disclaimer - EOE - Acceptable use - Mail webmaster