SP Recruitment Interview Screener

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Oakland University William Beaumont School of Medicine employs Standardized Patients in the training and
evaluation of medical students and other health care professionals. Standardized Patients of varying ages, races/ethnicities, backgrounds, body types, and states of health are needed to help prepare our students to work with a diverse patient population. Please complete this form as an application to our Standardized Patient program.

Full name *

Email address *

Phone number *

Please tell us about your previous experience as a Standardized Patient.
*

None

1-50 hours

51-250 hours

250 + hours

Current or former occupation(s) *

Please describe your comfort level with computers and technology.
*

I use a computer daily for work, school, calendars, email, and/or browsing the internet

I primarily use my phone to get online

I do not have regular access to a computer or internet

I am comfortable wearing a patient gown.
*

Yes

I am comfortable with having non-invasive physical examinations conducted on me (including: listening to the heart and lungs with a stethoscope, pressing on abdomen, neck, face, and limbs, use a scope to inspect ears, eyes, nose, and throat, assess pulse and blood pressure, check muscle strength, reflexes, range of motion, and gait).
*

Yes

I understand casual employment does not guarantee hours.
*

Yes

I have reliable transportation to OUWB campuses (Troy Beaumont & Oakland University in Rochester).
*

Yes

Do you know anyone currently attending or planning to attend OUWB School of Medicine.
*

Yes

How did you learn about the standardized patient program? If through a referral, may we contact them? *

What interests you about working as a standardized patient at OUWB?
*

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