Patient recruitment for clinical teachingPlease enable JavaScript in your browser to complete this form.Thank you for your interest in the Rady School of Medicine Pediatric Clinical Skills Program. University of Manitoba medical learners who are studying pediatrics learn how to interact with children and their caregivers. Under the supervision of a physician, learners meet with a parent/legal guardian and the child. The sessions usually consist of either a general or specialty assessment that may involve asking questions to you and your child and/or examining your child, just like in a doctor’s office. However, these sessions will not provide any direct medical care and are purely for medical education. The sessions vary in time from 1 hour to 4 hours. Sessions occur throughout the year at the Basic Medical Science building (Brodie Centre, 727 McDermot Avenue), Clinical Learning and Simulation Facility (CLSF, also in Brodie Centre), or other sites within the Bannatyne Campus or HSC-Winnipeg Children’s Hospital. Children / Guardians who attend the program as practice patients are eligible to receive $22/hr as payment. An Educational Coordinator will be in contact to confirm your booking details and provide you with the location, date and time of your session. Please plan to arrive at least 15 minutes early. Guardian contact: Name (First Last) *Phone *Email *EmailConfirm EmailNumber of children participating in teaching *1234Age of child #1 participating *-Infant (0-18 months)Young child (18 months-6 years)Child (6-12 years)Adolescent (12-17 years)Med I Clinical Practice Assessment (CPA) I would be interested in being contacted about future sessions.This is a session where 1st year medical students, under the supervision of a faculty member, interview a caregiver and child, as well as perform a general physical examination. Med II Developmental Milestones I would be interested in being contacted about future sessions.This is a session where 2nd year medical students, under the supervision of a faculty member, interview a caregiver and child around specific developmental skills. They also perform a developmental specific examination. We are looking for children between the ages of 18 months and 6 years old who are currently meeting their developmental milestones.Med II Neurological Bedside ExaminationI would be interested in being contacted about future sessions.This is a session where 2nd year medical students, under the supervision of a faculty member, interview a caregiver and child around neurological health. They also perform a neurological specific examination. Your child does not need to have a neurological condition to participate.Med II Cardiorespiratory I would be interested in being contacted about future sessions.This is a session where 2nd year medical students, under the supervision of a faculty member, interview a caregiver and child around heart and lung health. They also perform a cardio/respiratory specific examination. Your child does not need to have a heart or lung condition to participate.Med II Clinical Practice Assessment (CPA) I would be interested in being contacted about future sessionsThis is a session where 2nd year medical students, under the supervision of a faculty member, interview a caregiver and child, as well as perform a general physical examination. Age of child #2 participating *-Infant (0-18 months)Young Child (18 m-6 years)Child (6-12 years)Adolescent (12-17 years)Med I Clinical Practice Assessment (CPA) I would be interested in being contacted about future sessionsThis is a session where 1st year medical students, under the supervision of a faculty member, interview a caregiver and child, as well as perform a general physical examination. Med II Developmental Milestones I would be interested in being contacted about future sessions.This is a session where 2nd year medical students, under the supervision of a faculty member, interview a caregiver and child around specific developmental skills. They also perform a developmental specific examination. We are looking for children between the ages of 18 months and 6 years old who are currently meeting their developmental milestones.Med II CardiorespiratoryI would be interested in being contacted about future sessions.This is a session where 2nd year medical students, under the supervision of a faculty member, interview a caregiver and child around heart and lung health. They also perform a cardio/respiratory specific examination. Your child does not need to have a heart or lung condition to participate.Med II Neurological Bedside ExaminationI would be interested in being contacted about future sessions.This is a session where 2nd year medical students, under the supervision of a faculty member, interview a caregiver and child around neurological health. They also perform a neurological specific examination. Your child does not need to have a neurological condition to participate.Med II Clinical Practice Assessment (CPA) I would be interested in being contacted about future sessionsThis is a session where 2nd year medical students, under the supervision of a faculty member, interview a caregiver and child, as well as perform a general physical examination. Age of child #3 participating *-Infant (0-18 months)Young child (18 m-6 years)Child (6-12 years)Adolescent (12-17 years)Med I Clinical Practice Assessment (CPA) I would be interested in being contacted about future sessions.This is a session where 1st year medical students, under the supervision of a faculty member, interview a caregiver and child, as well as perform a general physical examination. Med II Developmental Milestones I would be interested in being contacted about future sessions.This is a session where 2nd year medical students, under the supervision of a faculty member, interview a caregiver and child around specific developmental skills. They also perform a developmental specific examination. We are looking for children between the ages of 18 months and 6 years old who are currently meeting their developmental milestones.Med II Cardiorespiratory I would be interested in being contacted about future sessions.This is a session where 2nd year medical students, under the supervision of a faculty member, interview a caregiver and child around heart and lung health. They also perform a cardio/respiratory specific examination. Your child does not need to have a heart or lung condition to participate.Med II Neurological Bedside ExaminationI would be interested in being contacted about future sessions.This is a session where 2nd year medical students, under the supervision of a faculty member, interview a caregiver and child around neurological health. They also perform a neurological specific examination. Your child does not need to have a neurological condition to participate.Med II Clinical Practice Assessment (CPA)I would be interested in being contacted about future sessionsThis is a session where 2nd year medical students, under the supervision of a faculty member, interview a caregiver and child, as well as perform a general physical examination. Age of child #4 participating *-Infant (0-18 months)Young Child (18m-6 years)Child (6-12 years)Adolescent (12-17 years)Med I Clinical Practice Assessment (CPA)I would be interested in being contacted about future sessions.This is a session where 1st year medical students, under the supervision of a faculty member, interview a caregiver and child, as well as perform a general physical examination. Med II Developmental Milestones I would be interested in being contacted about future sessions.This is a session where 2nd year medical students, under the supervision of a faculty member, interview a caregiver and child around specific developmental skills. They also perform a developmental specific examination. We are looking for children between the ages of 18 months and 6 years old who are currently meeting their developmental milestones.Med II Cardiorespiratory I would be interested in being contacted about future sessions.This is a session where 2nd year medical students, under the supervision of a faculty member, interview a caregiver and child around heart and lung health. They also perform a cardio/respiratory specific examination. Your child does not need to have a heart or lung condition to participate.Med II Neurological Bedside ExaminationI would be interested in being contacted about future sessions.This is a session where 2nd year medical students, under the supervision of a faculty member, interview a caregiver and child around neurological health. They also perform a neurological specific examination. Your child does not need to have a neurological condition to participate.Med II Clinical Practice Assessment (CPA)I would be interested in being contacted about future sessionsThis is a session where 2nd year medical students, under the supervision of a faculty member, interview a caregiver and child, as well as perform a general physical examination. Submit