Documentation for Clinical Internship

Intern Clinic Time Card:

A student’s clinical internship hours must be accurately recorded every term in the Intern Clinic Time Card. Blank forms are kept in the clinic conference rooms or at the front desk.

At the end of the clinic shift, the supervisor must sign the intern’s time card. The time card records the number of clinical hours, the number of new patients and the total number of patients for each clinic shift. Clinic shifts not recorded or validated by a supervisor’s signature will not be counted toward the intern’s total tally for clinic hours.

Completed time cards must be turned into the ACM Clinic Coordinator at the end of each term, no later than the last day of the trimester.

Misrepresentation of time worked is grounds for disciplinary action, including dismissal from the program.