Request an OASIS Account If you need a new user (faculty, resident, preceptor, etc.) added to OASIS please use this form to make a request. Last name: First name: Email address: Phone number: Primary Department: Select a department AN - Anesthesiology and Critical Care APCS - Applied Clinical Skills B - Biochemistry and Molecular Biology CAP - Capstone Courses (all depts) CE - Career Exploration D - Dermatology EL1 - Pre-clerkship electives EM - Emergency Medicine EPI - Epidemiology and Biostatistics FCM - Family and Community Medicine HCE - Center for Health Care Ethics IM - Internal Medicine LC - Learning Communities MD - Multidisciplinary MED - Medicine MEDC - Medical Education MIM - Medical Information Management N - Neurology NDPT - No Department NS - Neurosurgery OB - Obstetrics, Gynecology, and Women's Health OP - Ophthalmology ORTS - Orthopedic Surgery OT - Otolaryngology- Head and Neck Surgery PA - Pathology PED - Pediatrics PMR - Physical Medicine and Rehabilitation PS - Psychiatry and Behavioral Neuroscience R - Radiology RMED - Research in Medicine RO - Radiation Oncology S - Surgery SD - Specialty Designed Electives - Year 3 & 4 SIM - Simulation Laboratory SP - Special Events Courses Address 1 Address 2 Role: - Select - 1.1 Core Clerkship Coordinator 1.2 Core Clerkship Director 1.3 Course Director 1.4 Education Coordinator 1.5 Course Contact 2.1 Basic Science Faculty 2.2 Clinical Faculty Evaluators 2.4 Resident Evaluator 2.5 Fellow Evaluator 2.7 SLU Main Campus Evaluator 2.8 SLUSOM CE/Elective Evaluator 3.1 Clinical Adjunct Faculty 3.2 Clinical Adjunct Vol Faculty 3.9 Extramural Faculty Evaluator Evaluator Student Visiting Applicant Employee ID If replacing someone, list his/her name: Provide contact info for your department administrator Last name: First name: Email: Phone: