Please complete the following information necessary in moving forward with finishing your program.
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Course completed: Associate Project ManagementBusiness AdministrationClinical Medical Assistant Cloud Computing SpecialistCybersecurity AnalystDental AssistantEKG Technician Electronic Health RecordsHuman Resource SpecialistIT HelpDesk TechnicianIT Network TechnicianIT Security SpecialistMedical Administrative AssistantMedical Administrative Assistant with Business AdministrationMedical Administrative Assistant with Electronic Health RecordsMedical Administrative Assistant with Electronic Health Records and Medical Billing & CodingMedical Administrative Assistant with Medical Billing & CodingMedical Billing & CodingMicrosoft 365 Certified: Modern Desktop Administrator AssociatePatient Care TechnicianPayroll SpecialistPC TechnicianPersonal TrainerPharmacy Technician Phlebotomy TechnicianPhlebotomy-Cardio TechnicianSurgical Technologist
Eligible Observation/Externship Program and Requirements:
Clinical Medical Assistant (CMA): CPR/BLS Healthcare Certification (cannot be online test) & TB (Tuberculosis) skin test. (Hepatitis B vaccine, Drug Screening and Background Check might be necessary based on the facility). Proof of good standing with school loan, if tuition is financed.
Pharmacy Technician (PhT): CPR/BLS Healthcare Certification (cannot be online test). State Registration, Drug Screening and Background Check. Proof of good standing with school loan, if tuition is financed.
Dental Assistant (DA): CPR/BLS Healthcare Certification (cannot be online test) & Hepatitis B vaccination (Drug Screening and Background Check might be necessary based on facility). Proof of good standing with school loan, if tuition is financed.
Please select by initialing and signing your agreement.
Terms and Conditions of Not Participating in Optional Observation/Externship:
No, I am choosing to reject the optional observation/extern portion of this program and have read/understand the terms and conditions above for doing so.
Terms and Conditions of Participating in Optional Observation/Externship:
Yes, I am choosing to complete the optional observation/externship portion of this program and have read/understand the terms and conditions above for doing so.
Externship/Observation Syllabus and Guidelines:
The externship/observation provides an opportunity for students to experience working in a healthcare setting. The student will perform both clinical and administrative duties while being supervised and evaluated by the office staff and monitored by the instructor. All students enrolled in an observation/externship required program will complete 40 hours at their clinical site.
The Medical Institute of Kentucky only assumes responsibility for the performance and action of the clinical student while in a clinical facility during the times specified as a clinical learning experience and when under the supervision of the externship supervisor.
Within the setting of a healthcare facility the student will:
The grade for externship/observation is based upon the successful completion of the required 40 hours.
Students must complete the following in order to be considered a graduate:
After all the above requirements have been met, the student will then be scheduled for an exit interview with the admissions department 10 days from graduation date or the day all requirements are met within their allotted 6 months.
Statement of Acknowledgement of Externship Agreement:
I have read the syllabus/guidelines for externship including the course performance objectives and understand my responsibilities as a student. I fully accept the conditions of externship and agree to adhere to all policies set forth. I further understand that failure on my part to comply with these policies may result in failure of the externship portion of my academic program and/or forfeiture of my program certificate. I was given the opportunity to ask questions and those questions have been fully explained. I agree to make every effort to successfully complete these objectives and abide by the guidelines for conduct, skills, dress code and professionalism.
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Document Name: Course Completion
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