Z Request Form

Fields denoted by an asterisk (*) are required.

The information below must be completed by the student wishing to take the course in conjunction with their proposed supervisor. The student and supervisor must review the completed form together.
Student Name Student Name First Last
Student Number

9-digit student ID
Student email
Supervisor Name Supervisor Name First Last
Supervisor Department
Supervisor Email
Supervisor University
Term

F (Fall, Sept-Dec) G (Winter, Jan-Apr) Z (non-traditional 0.5 term dates, e.g. Sept-Apr)
Medical Sciences 3383F/G/Z MEDICAL SCIENCES INDEPENDENT STUDY
Students carry out research under the direction of a faculty member, gaining practical experience in medical science. Experimental design, critical thinking, and scientific communication will be emphasized, and students will develop skills at reading and reviewing primary scientific literature.

Antirequisite(s): Biochemistry 3383F/G, Medical Biophysics 3980E, Neuroscience 3996F/G, Scholars Electives 2200E, Scholars Electives 3305E, the former Medical Sciences 3999A/B/Y.
Prerequisite(s): Registration in a BMSc degree and permission of the Associate Dean.
- The experience is designed to enable the application of knowledge and skills in a workplace, or realistic workplace scenario.
- The experience is designed to strengthen students’ transferable skills, career competencies, and citizenship.
- The experience emphasizes ethical approaches to partnership and student engagement.
- The experience includes learning outcomes.
- The experience includes active, continuous supervision and mentorship.
- The experience is designed to facilitate reciprocal connections between theory and practice.
- The student engages in guided reflection.
- The experience includes formal evaluation of learning outcomes by the institution (and partner, where applicable)
- The student receives recognition for the experience on their curricular record.
To qualify as an experiential learning opportunity for Med Sci 3383 F/G/Z, the activity must align with one of the definitions below and meet all of the above-mentioned experiential learning principles.
Industry Project: A course that involves students working with an external partner on a specific project to propose strategies that address an organizational challenge or idea (e.g. consulting project).

Research/Scholarly Creation: A supervised/mentored project extending over at least a term, during which the student engages in original research or scholarly creation.
Title of Project
Description of Project
Maximum of 500 words allowed. Currently Entered: 0 words.
Learning Outcomes

Minimum 5 outcomes required*
Supervision Plan
Maximum of 500 words allowed. Currently Entered: 0 words.
How will student interact with supervisor and team
Evaluation Plan: To pass the course each of the components below must be completed. The supervisor is responsible for submitting grades for all components below to the Associate Dean within 14 days following the last day of the term. The supervisor is also responsible for grading up to two final reports from other students in the course. The final report must receive a passing grade from all evaluators to receive a passing grade in the course. If the student receives a failing grade on the final report, they will be given one opportunity to revise the report.

Written Proposal (2 pages): 15% due September 30 for MedSci 3383F/MedSci 3383Z and January 30 for MedSci3383G
E-portfolio: 15% due on the last day of the term
Project Engagement grade (participation, attendance, work ethic, independence, attitude): 30%
Final Paper: 30% due on the last day of the term
Seminar: 10% to be presented to the lab group/team in the last two weeks of the term
Expectations for each graded component:

Written Proposal: A written proposal (approximately 2 pages) including an introduction to the topic area, their research question/hypothesis and an overview of the approaches and methodologies. Students are expected to include a visual timeline of the proposed work.

E-portfolio: Weekly chronicling of progress and setbacks of the work, along with personal reflection on learning experiences. A guideline for the ePortfolio will be provided by the BMSUE office and will be marked by the supervisor.

Project Engagement: A portion of the course grade will be dedicated to the students’ commitment to and progress in the project. This will be assessed based on: (i) regular and reliable attendance and participation in group meetings, (ii) competency in skills, and (iii) a developing ability to demonstrate sound reasoning and critical thinking. Where experiments are involved, they DO NOT have to be successful to achieve competency in these areas.

Final Paper: The final paper will be approximately 10 pages in length and will include an Abstract (~250 words), Introduction, Methods/Approaches, Results/Deliverable and Discussion. The content must include enough detail to provide the reader with background, findings and impact of the findings in the context of the existing literature.

Seminar: This should be a 10-15 minutes oral presentation going over the background and findings . The oral presentation will be given to the mentor and other members of the team and is usually presented in the last two weeks of the term.
Student: I understand that by enrolling in this course I agree to complete the project proposed above. I understand that each graded component described above must be completed in order to pass the course.

Student: I understand that by enrolling in this course I agree to complete the project proposed above. I understand that each graded component described above must be completed in order to pass the course. Student agrees
Supervisor: I agree to mentor the above named student in this course and provide a supportive and encouraging environment for completion of this project. I agree to the grading structure proposed and will send grades to the Associate Dean within 14 days of the end of the term. By participating in this class I agree to grade up to two final reports from other students in the class.

Supervisor: I agree to mentor the above named student in this course and provide a supportive and encouraging environment for completion of this project. I agree to the grading structure proposed and will send grades to the Associate Dean within 14 days of the end of the term. By participating in this class I agree to grade up to two final reports from other students in the class. Supervisor agrees

Medical Sciences 3383 F/G/Z Request Form

Medical Sciences 3383 F/G/Z Request Form

The information below must be completed by the student wishing to take the course in conjunction with their proposed supervisor. The student and supervisor must review the completed form together.

To qualify as an experiential learning opportunity for Med Sci 3383 F/G/Z, the activity must align with one of the definitions below and meet all of the above-mentioned experiential learning principles.