question 1

Co-Curricular Program PCOM Georgia School of Pharmacy

Post Activity Form – White Coat Ceremony

Please note FULL completion of this document is REQUIRED.

Student’s Full Name:

Graduating Class:

Date of Event:

Start Time of Event:

Total Hours Spent at Event (Minimum of 1 Hour Required):

Please describe the co-curricular activity that you participated to provide context for the faculty advisor reviewing your reflections (what, when, where, how).

For this activity, please answer the questions related to the completed Co-Curricular Activity and mark the Self-Awareness and Professionalism Educational Outcomes in the table. Reflective writing on what you learned from the experience will build your foundation knowledge in essential skills while adding to your commitment to being a lifelong learner.

For this activity, what did you want to learn from the experience PRIOR to participating ? Please address one of the two learning outcomes for this event.

Educational Outcome/Key Elements	Yes	No	Explain WHAT you learned.	Explain HOW you learned it.	How has this activity help you prepare for your future as a pharmacist?
Self-Awareness: Objectives: •Student will develop an accurate sense of self. •Student will develop an understanding of personal and professional responsibility. •Student will practice skills to become a lifelong learner. •Student will develop a commitment to continual personal reflection and reassessment. •Student will identify their strengths and weaknesses, and how to develop these in preparation for residency. •Student will recognized the key personal and professional attributes to be a pharmacist.
Professionalism: Objectives •Student will demonstrate principles of integrity, trustworthiness, humility and respect within professional setting. •Student will demonstrate active participation in community service. •Student will describe the essential aspects of professionalism required of student pharmacists and pharmacists. •Student will summarize how principle of integrity, trustworthiness, humility and respect are keys for preparation for post graduate residency training.

After completion of this activity, did you gain what you had hoped based on objectives for Self-Awareness and Professionalism? If not, what steps will you take for the next event you participate to ensure this occurs (100 – 200 word count)?

Student Acknowledgement Statement: By submitting this Co-Curricular Activity information, I attest that this a truthful representation of what I learned and the time spent completing the activity.

Selection	Option
	Agree
	Disagree

Faculty Academic Advisor Acknowledgement Statement: I attest that I have reviewed the student responses for this completed Co-Curricular Activity and provided feedback on the students’ effort toward the educational outcomes indicated above.

Selection	Option
	Agree
	Disagree