The Quillen College of Medicine cares about its students, faculty and staff. We have created several forms below so that we can recognize important exciting events and engagement. We also want to support our students during times of growth and learning with forms to recognize concerns about our students. Please help us stay in touch!
Exciting Event Forms
Have something exciting to share? Tell us about something exciting that has happened to you personally or professionally! We want to hear about these events, and with your permission, let our Quillen family know about them too!
Want to give a shout out to recognize a Quillen student, faculty or staff member for going the extra mile? Use the Quillen kudos form to recognize somone for going above and beyond! They will be recognized in the newsletter with a kudo and be part of a lunch for two monthly drawings.
General Suggestion Box
Have a general suggestion for improvement at the medical school or clinical site? Please be candid and professional. State the facts and please explain a possible solution and how it will make Quillen College of Medicine at East Tennessee State University a better place to grow and learn.
CARES & Concerns
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CARE Forms
CARE forms are an online form that anyone associated with Quillen can complete to call attention to concerns regarding a student. Any concern about a student’s welfare may be reported. This includes medical, mental health, academic and physical health issues.
CARE Forms should not be used in an EMERGENCY situation or if immediate attention is needed. In case of Emergency, please dial 911.
CARE reports can be confidential, but you are encouraged to provide information in case additional information is needed. A limited number of student affairs staff have access to the form.
The reporter’s identity will not be disclosed to the student of concern.
CARE reports are reviewed daily by student affairs staff. If it is determined that further action is needed, the student will be contacted and interviewed in person to assure safety. Depending on the severity of the concern, additional steps will be taken based on the college's policy to include Fitness for Duty.
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Concerns or Complaints
Quillen College of Medicine is committed to upholding a safe, respectful, inclusive, and effective learning environment, free of mistreatment, discrimination, humiliation or harassment.
Such a learning environment is essential to learning and promotes the ability of all students, residents, fellows, faculty, and healthcare and administrative staff to work together productively and collaboratively.
This form is used to report concerns about Quillen medical student, graduate student, resident, faculty, fellow, and staff mistreatment. Reports will go to the College of Medicine Grievance Officer and will be reviewed at least weekly. -
Professionalism Forms
The Quillen College of Medicine fully supports ETSU’s values statement:
People come first, are treated with dignity and respect, and are encouraged to achieve their full potential; relationships are built on honesty, integrity, and trust; diversity of people and thought is respected; excellence is achieved through teamwork, leadership, creativity, and a strong work ethic; efficiency is achieved through wise use of human and financial resources; and commitment to intellectual achievement is embraced.
The Quillen College of Medicine is dedicated to helping future physicians develop and maintain professional behaviors. Professionalism may encompass communications between patients and providers, appropriate attire/appearance, reliability, motivation and responsibility, interpersonal relationships, ability to accept instruction and feedback and integrity.
The Quillen College of Medicine professionalism policy and procedures support the ongoing development of learners and provide a framework for reporting unprofessional behaviors and correcting any deficiencies.
The Student Professionalism Report is designed to allow faculty, staff or students to document an incident or trend of student unprofessional or unethical behavior. It is also used to measure institutional success in accomplishing the Quillen College of Medicine’s Professionalism Institutional Educational Objective.