Test - Aquifer

Program*
Note: If your program does not appear on this list please contact your Relationship Manager.
We require that this application be submitted by the main Aquifer contact, otherwise known as the Aquifer Program Service Administrator (PSA), at your program. The PSA has received an email notification from Aquifer indicating the grant amount for which your program is eligible.*
- I am the main Aquifer contact, otherwise known as the Aquifer Program Service Administrator, at my program.
- I have received an email notification from Aquifer indicating the grant amount for which my program is eligible.
My program requests access to the following grant for the amount indicated in my grant award email. In doing so, I agree to subscribe to all courses included with the full Aquifer course library for the 2020 -21 subscription year (beginning July 1) pending receipt of the grant.*
- Aquifer Full Course Library Grant
  Includes all five Aquifer Signature courses: Aquifer Family Medicine, Geriatrics, Internal Medicine, Pediatrics, and Radiology--and Aquifer’s five free courses, administrative interface and tools, and assessments.
- WISE Full Course Library Grant
  Includes WISE-MD (Surgery) and WISE-OnCall (Readiness for Practice), administrative interface and tools.
- Aquifer + WISE Full Course Library Grant
  Includes all five Aquifer Signature courses (Aquifer Family Medicine, Geriatrics, Internal Medicine, Pediatrics, and Radiology), WISE-MD (Surgery) and WISE-OnCall (Readiness for Practice)--and Aquifer’s five free courses, administrative interface and tools, and assessments.
Name*
First Last
Title
Email*
Enter Email Confirm Email
Phone*
Does your program have a paid institutional subscription to Aquifer during the 2019-20 subscription year (ending June 30, 2020)?*
- Yes
- No.
- No, but my PA/MD/DO program had free institutional access via the COVID-19 response offer.
- No, but my NP, international, or other program that had free learner-level access via the COVID-19 response offer.
New Subscriber Details
Single WISE Course Subscription
If you would like to subscribe to a single WISE course in addition to your Aquifer Full Course LIbrary, please select the course below:
- WISE-MD (Surgery)
- WISE-OnCall (Readiness for Practice)
Additional Aquifer Course Subscriptions
In addition to the full WISE Course Library, I would like to subscribe to the following Aquifer courses:
- Aquifer Family Medicine
- Aquifer Geriatrics
- Aquifer Internal Medicine
- Aquifer Pediatrics
- Aquifer Radiology
Main Program Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Billing Contact Name*
First Last
Billing Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Billing Email*
Enter Email Confirm Email
Billing Contact Phone*
IT Contact Name*
First Last
IT Contact Email*
About the COVID-19 Pandemic Impact on Health Professions Education at Your Institution
Please share with us some information about how health professions education at your program is being impacted by the pandemic and how Aquifer cases are being used to meet this need. This information will help us better understand your environment and inform new ways to meet your needs.
What methods is your program likely to use for students in your pre-clinical / didactic courses between July and December 2020?*
Check all that apply.
- Virtual instruction only
- Hybrid learning with some portion of each student’s instruction delivered in-person
- In-person instruction only
- Not sure
What methods is your program likely to use for students in your clinical clerkships / courses between July and December 2020?*
Check all that apply.
- Virtual instruction only
- Hybrid learning with some portion of each student’s instruction delivered in-person
- In-person instruction only
- Not sure
Which of the following challenges do you expect to have a significant impact on health professions education at your institution over the next six months.*
Check all that apply.
- Overall reduction in available clinical training sites
- Insufficient training sites available to meet demand
- Shortages of patients available for clinical student learning
- Shortage of sufficient PPE available for students
- Surge in student number due to returning students overlapping with rising students
- Faculty shortages impacting didactic education
- Faculty shortages impacting clinical education
- Difficulty providing adequate / appropriate student assessment
- Difficulty meeting accreditation standards
- Administrative staff furloughs impacting course administration/coordination
- Reduced faculty travel to national meetings and workshops
- Insufficient opportunities for faculty and/or student scholarship
Are there other challenges that you anticipate will have a substantial impact on education at your program? If so, please describe.
About Your Use of Aquifer Content During the COVID-19 Pandemic
How have you used Aquifer content to support online learning during the COVID-19 pandemic? (check all that apply)
Check all that apply.
- Increased use in established clinical clerkships / courses currently using Aquifer cases
- New use in established clinical clerkships / courses not previously using Aquifer cases
- Creation of new electives or clinical courses using Aquifer cases
- New / increased use of cases to support pre-clinical / didactic education
- Creation of new electives or pre-clinical / didactic courses using Aquifer cases
- New / increased use of Aquifer for remediation
- New / increased use of Aquifer for assessment activities
- No change
- Don’t know
How valuable have Aquifer content and resources been in supporting your program during the COVID-19 pandemic?*
- 1- Not at all valuable
- 2- Not so valuable
- 3- Somewhat valuable
- 4- Very valuable
- 5- Extremely valuable
- Don't know
How likely would you be to recommend Aquifer courses to a colleague?*
- 1- Highly Unlikely
- 2- Unlikely
- 3- Neutral
- 4- Likely
- 5- Highly Likely
What else can you tell us about your use of Aquifer during the COVID-19 pandemic?
What other things should Aquifer be considering to support you at this time?
I understand that:*
- This is a one-time grant for the 2020-21 subscription year only.
- This grant, and subscription, are applicable to a single accredited program within my institution. Learners, faculty, and administrators from other accredited programs may not be added to this account.
- After a quote approval process, my program will be invoiced for the amount indicated on my grant letter corresponding to my grant selection above.
Email
This field is for validation purposes and should be left unchanged.

New Subscriber Details

About the COVID-19 Pandemic Impact on Health Professions Education at Your Institution

About Your Use of Aquifer Content During the COVID-19 Pandemic

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