The Family Medicine Clerkship and the Department of Family Medicine reaffirm the University of Washington's policy of equal opportunity in education regardless of race, color, creed, religion, national origin, sex, sexual orientation, age, marital status, disability, disabled veteran or Vietnam era veteran status.

While most students report that their family medicine Clerkship is an excellent one, we hope you will share any concerns you have with us so we can keep the Clerkship a rewarding experience for those who follow you.

If you have concerns, you are encouraged to do one or more of the following:

1. Speak with one or more of the following:

Your Site Coordinator

Tom Greer, MD, MPH
Co-Director for the Clerkship
tomgreer@u.washington.edu
(206) 543-9425

Amanda Keerbs, MD, MSHS
Co-Director for the Clerkship
akeerbs@fammed.washington.edu
(206) 543-9425

2. Use this form to send us your confidential comments. We strongly encourage you to include your name and contact information so that we can better respond to your concerns. However, you may choose to complete this form anonymously.

3. Outside of the department you may wish to talk to:

Susan L. Neff, M.Ed., University Ombudsman for Sexual Harassment and Dispute Resolution at 206.543.6028

To file a formal complaint you may wish to contact University Complaint Investigation and Resolution Office at 206.616.2028 or MEDCON 1.800.326.5300.

Coordination of the compliance efforts of the University of Washington with respect to all laws and regulations* is under the direction of Dr. Helen Remick, University of Washington, Equal Employment and Affirmative Action Office, 4045 Brooklyn Avenue N.E., Box 354560, Seattle WA 98195 (Telephone 206.543.1830 or use MEDCON, 1.800.326.5300).

*Discrimination is prohibited by Presidential Executive Order 112246, as amended, Washington State Gubernatorial Executive Orders 89-01 and 93-07, Titles VI and VII of the Civil Rights Act of 1964, Washington State Law Against discrimination RCW 49.60, Title IX of the Education Amendments of 1972, State of Washington Gender Equity in Higher Education Act of 1989, Sections 503 and 504 of the Rehabilitation Act of 1973, Americans With Disabilities Act of 1990, Age Discrimination in Employment Act of 1967 as amended, Age Discrimination Act of 1975, Vietnam Era Veteran's Readjustment Assistance Act of 1972 as amended, other federal and state statutes, regulations, and University policy.