The Program Service Administrator (PSA) is the primary subscription manager for the program and has the highest level of permissions in the system. This is a required role. There can only be one Program Service Administrator for each program. Users in this role:

• Serve as Aquifer’s primary contact regarding subscription renewal
• Add administrative users to the system and assign roles and permissions, including assigning a Curriculum Administrator, IT Manager, and other key administrative roles as required by your program
• Manage (add, edit, and remove) all users—students and administrators
• Determine who will upload student rosters. students must be rostered in Aqueduct to gain access to Aquifer courses, and the Program Service Administrator, a separate Student Roster Manager, the Curriculum Administrator, or the Lead Course Administrator can do this. The Program Service Administrator should decide who will perform this task and make sure they are assigned one of these roles in the system and are prepared to upload the student roster
• Access the searchable Content Library to easily sort and filter cases and scripts and quickly view case synopses and learning objectives
• Have full authorization for tracking and reports at the program, course, case, and student levels
• Are at the highest level in the permission hierarchy—the Program Service Administrator can perform any role within the system as fits your program, including creating custom courses, viewing student cases, adding/deleting other educators, and performing any other role
• Access Calibrate formative assessment set up and reporting for provisioned courses

The Curriculum Administrator (CA) serves as an overall administrator for the educational content and has access to all courses, assessments, and reports. This role is often assigned to an educator responsible for program-level curriculum implementation (i.e. Curriculum Dean, Curriculum Committee Chair, Director of Health Professions Education) or to program staff responsible for overseeing the entire curriculum (i.e. program administrator to a Curriculum Dean).

Programs must have one (1) and may have up to three (3) Curriculum Administrators for their program. These users may identify and oversee subscriber program standards for incorporating curricular content into courses, including use for grading and assessment. Users in this role can:

• Manage (add, remove, and edit) most administrative users (Student Roster Managers, Lead Course Administrators, Custom Course Managers, and Teachers) and all student users
• Access all program, course, case, and student reports
• Create custom courses
• Access the searchable Case Library to easily sort and filter cases and quickly view case synopses and learning objectives
• View ungated case content—with the ability to see answers to embedded assessments, advance through a case, and access the case summary at the end of a case without having to click through each card or complete each answer as required in the student role
• Access Calibrate formative assessment set up and reporting for provisioned courses.

The Lead Course Administrator (LCA) serves as the administrator at your institution or program for each specific content area, and has access to all student progress reporting and assessments related to their course(s). This provides a more efficient and FERPA-compliant administrative experience using Aquifer products. Depending on your program, people appropriate for the LCA role may include educators in charge of specific courses or rotations (i.e. Clerkship Directors, Program Directors); educators serving as a site director for a given clinical rotation; or program staff responsible for managing the student experience for a specific course, rotation, or site.

Each program can have up to six (6) LCAs per subscribed Core Course– Family Medicine, Internal Medicine, Pediatrics, Geriatrics, Radiology, Neurology, and Obstetrics & Gynecology, as well as for the Clinical Excellence course case sets. At a minimum, institutions should assign at least one (1) individual as an LCA for each provisioned course, noting the same educator may serve as an LCA for multiple courses.

An LCA can:

• Create, populate, and assign custom courses
• Add and remove students/learners
• Add and remove course managers and teachers
• View course and case usage for Core Courses
• Access Calibrate formative assessment set up and reporting for their course(s).

The Custom Course Manager (CCM) can create and manage their own custom courses, including the assignment of other CCMs or Teachers. CCMs have teacher-level access to the Aquifer Signature Courses, meaning they can see student reports only for their custom courses and the custom courses created by others to which they are assigned.

Teachers (preceptors, didactic instructors, etc.) have ungated access to Aquifer courses, meaning they can view the student cases, the answers to embedded assessments, and the case summary without having to click through each card in a case or custom course to which they are invited. Teachers can view all Aquifer courses provisioned to your program. Additionally, they can view that content if assigned to a custom course. Teachers do not have access to view reporting. There is no limit to the number of Teachers a program may add to the system.

Teachers can:

• Access the searchable Content Library to easily sort and filter cases and scripts and quickly view case synopses and learning objectives
• View ungated case content—with the ability to see answers to embedded assessments, advance through a case, and access the case summary at the end of a case without having to click through each card or complete each answer as required in the student role

The IT Administrator serves as your program’s primary technical contact for Aquifer, helping to manage institutional user access, whitelist Aquifer emails and your program’s specific domain, and address technical integration issues as needed. This person will be your designated point of contact for resolving Aquifer-related IT problems and ensuring smooth access to educational resources for your students and faculty.

Each program must have one (1) and may have up to two (2) IT Administrative user(s). Users in this role can:

• Verify user permissions
• Resend email invitations to administrative and student users
• View all administrative and student users
• Access all courses, assessments, and reports

The Student Roster Manager is an optional role that can upload and manage student rosters for your program. Depending on how you choose to manage your subscription, the Program Service Administrator, Curriculum Administrator, or Lead Course Administrator may upload student rosters, or you may assign this role to a separate Student Roster Manager, perhaps in the Registrar’s Office.

Programs have permission to add one (1) Student Roster Manager. Users in this role can:

• Upload student rosters
• Manage (add, remove, or edit) all student users
• Schedule and re-send student email invitations
• View program-level reports on course and case usage

The Exam Proctor is the individual who supervises students using Aquifer Exams. This person can be any qualified individual the clerkship approves to supervise test-taking students. The exam proctor is not a specific role within Aqueduct.

For the Internal Medicine Clinical Decision Making Exam, this individual has the responsibility of:

• Starting the exam for each student utilizing the exam proctor dashboard
• Pausing the exam utilizing the exam proctor dashboard, if necessary
• Communicating with Aquifer’s exam support staff if any issues arise during the exam