Fourth Year Handbook Class of 2020medicine.cnsu.edu › shareddocs › Academic › 2020-M4-Handbook_2-… · E. Students must pass USMLE Step 2 CK and Step 2 CS exams to qualify

Last Updated 2/26/19 1

Fourth Year Handbook Class of 2020


Table of Contents Introduction ................................................................................................................................................................4

Faculty & Staff ............................................................................................................................................................5

Graduation Requirements Checklist ...........................................................................................................................6

Timeline to Graduation ..............................................................................................................................................7

Dates to know during the Third Year .....................................................................................................................7

Dates to know during the Fourth Year ...................................................................................................................8

Scheduling USMLE Step 2 CS ................................................................................................................................... 10

“SIT BY” Deadline:................................................................................................................................................ 10

Know The Rules: .................................................................................................................................................. 10

Apply for a Scheduling Permit ............................................................................................................................. 10

Selecting a Test Date ........................................................................................................................................... 10

Selecting a Test Site ............................................................................................................................................. 11

USMLE Step 2 CS Score Reporting: ...................................................................................................................... 12

Scheduling Courses in the Fourth Year .................................................................................................................... 14

Student Scheduler ............................................................................................................................................... 14

Required Course Scheduling Notes ................................................................................................................. 14

Scheduling Electives ................................................................................................................................................ 14

Time for Interviews.................................................................................................................................................. 15

Method of Communication ..................................................................................................................................... 16

Frequently Asked Questions:................................................................................................................................... 16

Frequently Used Abbreviations and Terms ............................................................................................................. 17

Fourth Year Student Policies ................................................................................................................................... 18

Step 2 Policy Statement....................................................................................................................................... 19

Fourth Year Attendance Policy ............................................................................................................................ 19

Attendance Expectation .................................................................................................................................. 19

PROCESS FOR REQUESTING ABSENCES ........................................................................................................... 20

General Policies ................................................................................................................................................... 21

Electives Policy .................................................................................................................................................... 22

Non-Clinical Electives Policy ................................................................................................................................ 23

Honors Medical Research Elective .................................................................................................................. 23

Wellness - Leadership, Healers Art, Mindfulness and Compassionate Conversations ................................... 23

Teaching Assistant Electives ............................................................................................................................ 24

Sub-Internships (Acting Internship) Policy .......................................................................................................... 24

Career Track - Specialty of Interest Rotation Policy ............................................................................................ 25


Submission of Elective, Preceptor, Institution Evaluations ................................................................................. 25

Creation of New Electives or Changes of Existing Electives ................................................................................ 26

Credit Allocation by the Registrar ....................................................................................................................... 26

M3 Clerkship Deferrals ........................................................................................................................................ 27

AAMC Medical Specialties ....................................................................................................................................... 29

STATEMENT OF UNDERSTANDING .......................................................................................................................... 31

FORMS ..................................................................................................................................................................... 32


Introduction Dear Class of 2020, Congratulations! You have successfully completed half of your third year clerkships. It is now time to start planning for your fourth and final year of medical school. The fourth year is very different from third year. You will have the opportunity to finalize your choice of specialty and do some electives that are of particular interest to you. This ability to build your own schedule combined with the residency application process can seem quite overwhelming at times. Rest assured that everyone in the Office of Medical Education is here to help you through these stressful times. Over the next few months, you will begin to build your plan of study for next year. The materials provided in this document will provide all the important resources, deadlines, and procedures that you will need to complete your schedule. Please keep in mind that there is no “right way” to do this. You will find that you have a very different schedule than your classmates, even those classmates going into the same specialty. The increasing competitiveness of the match will make it important for you to be thoughtful and plan strategically. I encourage you to utilize all the available resources including faculty, mentors, the Office of Medical Education, including the Office of Student Affairs, and the Careers in Medicine tool to guide you through this process. As always, we are here to meet with you to address individual issues as they arise. Do not hesitate to contact us. Lastly, try to enjoy your fourth year of medical school while it will be stressful at times, it is a great year to just enjoy what you are doing and prepare for residency. Sincerely, California Northstate University, College of Medicine

Fourth year students and their advisers work to tailor each student’s fourth year experience to prepare them for residency. Students get the clinical and academic experience from the third year, but they have more freedom in choosing their schedules. The scheduling freedom of the fourth year gives students the opportunity to schedule time to prepare for the USMLE Step 2 exams, Clinical Sciences (CS) and Clinical Knowledge (CK) in addition to preparing for residency interviews. Students must also participate in the Phase Three OSCE during the final year of medical school.


Faculty & Staff Faculty

Peter W. Yip, M.D., M.P.H. Chair, Department of Clinical Medicine Associate Professor of Internal Medicine & Occupational Medicine Ph (direct): (916) 686-8522 Ph: 916-686-7400 ext 122 [email protected]

Vijay P. Khatri, MBChB, MBA, FACS Assistant Dean of Faculty Affairs Director, M4 Elective and Internship Professor of Surgery and Oncology Ph (direct): (916) 686-7850 [email protected]

Darilyn Campbell Falck, MD FACEP Assistant Dean of Student Affairs Associate Professor of Emergency Medicine Cardiovascular Pulmonary Course Director Office: 916-686-7914 Cell: 916-202-0213 [email protected]

Administration

Aaron Dang Clerkship Coordinator (916) 686-7380 [email protected]

Linda Inthongpradith Clerkship Coordinator (916) 686-7465 E: [email protected]

Jamie Nguyen Administrative Assistant (916) 686-7689 [email protected]

Frances Higoy Administrative Assistant (916) 686-7856 [email protected]

Annie Xiong Admissions and Student Services Coordinator (916) 686-7860 [email protected]

Ariana Mueller, MA Admissions and Student Services Coordinator (916) 378-3491 [email protected]

Kelsy Harris Administrative Assistant of Admissions and Student Affairs (916) 378-3497 [email protected]

OFFICE FAX: 1-916-686-7310

mailto:[email protected]











Graduation Requirements Checklist Below is a list of all requirements that must be met to be eligible for graduation. (Draft in Progress)

The following certifications must be completed:

The following exams must be completed prior to graduation:

Passage of the USMLE Step 2 Clinical Skills exam Exam must be scheduled before November 1st, 2018 to ensure delivery of scores

Passage of the USMLE Step 2 Clinical Knowledge exam Exam must be scheduled before November 1st, 2018 to ensure delivery of scores

Successful passage of the following fourth year course requirements:

4 weeks Core Specialty Sub-Internship

27 weeks Elective: Must be qualifying electives that apply toward 4th year graduation requirements

(Draft in Progress) From the Progression Policy:

A. A maximum of four years are required to complete Phase A which includes passing USMLE Step 1.

B. Students must complete a minimum of 150 credit hours in the medical program, including all Phase A courses, all required clerkships in Phase B, and necessary Phase C sub-I and electives. No more than 27 credit hours of electives can count towards the 150 credit hours for graduation. Phase B and C must be completed within a maximum of four years.

C. Students must pass USMLE Step 1 and present supporting documentation by Feb 1st in the winter of

their third year of training.

D. Total time from matriculation to graduation cannot exceed 7 years.

E. Students must pass USMLE Step 2 CK and Step 2 CS exams to qualify for graduation. It is strongly recommended but not required that Step 2 CK is passed by the end of the 1st semester of Phase C.

F. Failure to meet these requirements will result in review by the Student Promotions Committee.

G. Students must attain the knowledge and skills, and develop capacity and behaviors required of a

physician.

H. Students must attain a level of clinical judgment which warrants entrustment by the Faculty as required for entry to residency.

I. Students must demonstrate a sense of responsibility and social accountability to patients and the

community.


J. Students must comply with the School's standards of conduct, professionalism, and academic integrity.

K. Students must comply with the laws of the United States; the laws of the State of California; local city, county, and municipal ordinances; the policies, rules and regulations of the California Northstate University and the COM.

Timeline to Graduation (Draft in Progress)

Dates to know during the Third Year FALL

□ M3/M4 advisor assignments released

□ Review CiM Specialty Data and meet with your M3/M4 advisor to assess your competitiveness & specialty choice

□ VSLO token transmitted by the Office of Student Affairs

□ Log in to VSLO and complete your profile

□ Research away rotations/electives and explore VSLO website

□ Prepare or update your CV and Personal Statement

□ Register for Step 2 CK and Step 2 CS

□ Attend workshops WINTER/SPRING

□ M4 at home elective options to be released

□ January 11: Deadline to register for Step 2 CK and Step 2 CS

□ Feb 1: Submit Noteworthy Characteristics & Personal Assessment

□ Research residency programs through FREIDA

□ Review first draft of your CV and Personal Statement with M3/M4 career advisor

□ M4 home elective options to be released

□ March 1: register for home CNUCOM electives & sub-internships

□ Feb/March/April/May: Research and schedule away rotations/electives through VSAS

□ Study for Step 2 CK

□ Attend workshops MAY/JUNE

□ Mid-May: ERAS token transmitted by the Office of Student Affairs

□ June 1: Register for early match program- ophthalmology through sfmatch (e.g. San Francisco Match)

□ June 1: CCSE

□ June 10 & 11 (tentative dates): attend practice Step 2 CS sessions

□ June 6 (estimated): MyERAS opens to applicants to begin entering residency application information

□ Identify faculty & ask for Letters of Recommendation (LoRs)

□ Provide LoR authors with letter request form, instructions, and release form


□ LoR authors load letters directly to ERAS

□ Research residency program deadlines and requirements

□ Complete ERAS application

□ EM applicants practice for & schedule Standardized Video Interview (SVI)

□ Study for Step 2 CK

□ Take and pass Step 2 CK & CS

□ Attend workshops

Dates to know during the Fourth Year JULY/AUGUST

□ Early July: EM applicants complete SVI

□ August 1: Deadline to submit flight plan for M4 year

□ Submit Supporting ERAS Documents (photo and transcript) to the registrar

□ Track and confirm “designated” letters received via ERAS

□ Research residency program deadlines and requirements

□ Apply to military positions

□ Review final drafts of CV, personal statement, ERAS application & MSPE with M3/M4 advisor

□ Review residency program selections with M3/M4 advisor

□ August 30: Register for early match program- plastic surgery

□ Take and pass USMLE Step 2 CK & CS SEPTEMBER

□ September 6 (for 2019 Match): NRMP Registration Opens- start applying to residency programs through ERAS

□ September 15: Deadline to submit ERAS application and letters of recommendation

□ September 15: Residency programs start receiving applications through ERAS

□ Confirm that LoRs are uploaded to ERAS

□ Apply to programs through ERAS (you don’t have to wait for letters to apply)

□ Follow up on LoRs not yet received

□ Attend an Interview Preparation Workshop

□ Begin scheduling interviews OCTOBER

□ October 1: MSPEs are released by medical schools to all residency programs

□ Mid-October: Military Rank List deadline

□ Develop a calendar system to organize your interviews

□ Go to residency interviews

□ Monitor number of interview invitations received; if fewer than 10 by late October, meet with M3/M4 advisor to discuss options

□ Promptly send thank you notes following interviews


NOVEMBER

□ November 14 (for 2019 Match): CAS Target date for early match program- plastic surgery

□ November 30 (for 2019 Match): Deadline for early registration for the Main Residency Match

□ Continue with residency interviews DECEMBER

□ Continue with residency interviews

□ Meet with advisor to discuss how to rank your programs

□ Mid-December: Military Match results released JANUARY

□ January 3 (for 2019 Match): Ophthalmology Rank Order List submission deadline

□ January 10/11 (for 2019 Match): Ophthalmology Match results released to schools/applicants

□ January 15 (for 2019 Match) at 9PM PT: NRMP Rank Order List Entry Opens

□ Update USMLE scores (must send CK & CS) to all programs FEBRUARY

□ Send final communication to programs reiterating your continued interest

□ Meet with your advisor to review your Rank Order List

□ February 20 (for 2019 Match), 6PM PT: NRMP Rank Order List Certification deadline

□ February 20 (for 2019 Match), 6PM PT: Match withdrawal deadline MARCH

□ March 11 8AM PT- March 15 8AM PT (for 2019 Match): Supplemental Offer & Acceptance Program (SOAP)

□ March 14: SOAP concludes at 8AM PT

□ March 15 (for 2019 Match): Match Day!!

□ Order regalia from the Office of Student Affairs

□ March 22: Deadline to order regalia from the Office of Student Affairs APRIL - MAY

□ May 2 (for 2019 Match): plastic surgery rank list submission deadline

□ May 9 (for 2019 Match): plastic surgery Match results released

□ Sign contract with your residency program

□ Save your application and CV for your records before ERAS season ends on May 31

□ May 10: Graduation Clearance Day

□ May 11: Graduation Day


Scheduling USMLE Step 2 CS Because there are only 5 test centers (in the country), and also because many other med schools have similar “sit by” deadlines, there are not enough scheduling appointments available for every medical student in the nation. To gain the advantage you need to start scheduling as soon as you get your financial aid for the spring semester. Approximately 1 month prior to your scheduled Step 2 CS exam, you are required to meet and review your MS3 Final CCE performances. These meetings will be set up by an administrator of the Clinical Skills Center.

“SIT BY” Deadline: You must pass both the USMLE Step 2 CS and Step 2 CK in order to graduate. The “SIT BY” DEADLINE for both of these exams is November 1st. Any student who is delayed 2 rotations may sit for CS, prior approval must be obtained by Dr. Vijay Khatri, Dr. Peter Yip, and Dr. Darilyn Falck. This sit by date is REQUIRED to ensure that we get exam results reported in time to certify you on the Official University Graduation Report with the main campus Registrar’s office. You should also have your scores in time to be reported MATCH.

Know The Rules: Before applying for the USMLE Step 2 exams you must become familiar with policies and procedures in the USMLE Bulletin of Information published for the specific year you will be taking the exam. This bulletin provides information on the following topics:

• Overview • Eligibility • Examination Content • Preparing for the Test • Applying for the Test and Scheduling Your Test Date • Testing • Scoring & Score Reporting • Indeterminate Scores and Irregular Behavior • Communicating With USMLE

Apply for a Scheduling Permit Once you have reviewed the Bulletin, you may apply for the USMLE Step 2 CS by logging into the NBME website for Licensing Examination Services. The permit eligibility period for the USMLE Step 2 CS is 12 months. Per the USMLE Bulletin, there is no fee to reschedule within your eligibility period if you cancel and reschedule more than 14 calendar days before (but not including) your scheduled test date. So scheduling an exam early will not cause you to incur any additional costs should it become absolutely necessary to reschedule (provided you give appropriate cancellation notice). The scheduling permit includes instructions on how to contact Prometric to schedule a test date appointment.

Selecting a Test Date You cannot take the Step 2 CS during your third year, but you may schedule the exam for a date occurring as soon as your third year ends. There is NO advantage to selecting a LATE test date (for example, after the deadline in November or December). Graduates have consistently reported that readiness for this exam is at its optimal level upon completion of the third year and diminishes as you get further into the fourth year. If you take the exam at a later date and do not pass, you may not be able to reschedule it in time to graduate in May. In the event, you should need to reschedule and the calendar shows no openings, applicants who are registered for the exam can


participate in an email notification system. You are notified by email when a testing appointment becomes available due to cancelation. Be advised that there is a lot of competition for the cancelled slots; and there is no guarantee you will get an exam appointment.

Selecting a Test Site There are Five Clinical Skills Evaluation Centers located in the country: Atlanta, Georgia Clinical Skills Assessment Center Two Crown Center 1745 Phoenix Boulevard, Suite 500 Atlanta, GA 30349-5585 Chicago, Illinois Crossroads Center at O’Hare 6th Floor 8501 West Higgins Road Chicago, IL 60018

Houston, Texas Clinical Skills Assessment Center 400 North Sam Houston Parkway, Suite 700 Houston, TX 77060 Los Angeles, California Clinical Skills Assessment Center Pacific Corporate Towers 100 North Sepulveda Boulevard El Segundo, CA 90245 Philadelphia, Pennsylvania Clinical Skills Assessment Center 3624 Market Street Philadelphia, PA 19104

Check the AAMC website for Clinical Skills Hotel Rates negotiated by the AAMC to assist students with travel expenses associated with the Clinical Skills exam.


USMLE Step 2 CS Score Reporting: USMLE exam scores are always reported on Wednesdays. Results for the USMLE Step 2 CS are reported in batches for examinees testing over a defined period of time. As shown in the table below the USMLE Step 2 CS reporting schedule for 2018 includes test dates through December 31st, however the Deadline for May Graduates is November 1st, 2018.

2019 Reporting Schedule – Step 2 CS

Testing Period Reporting Period

For examinees who test Reporting start date Reporting end date

January 1 through January 26 March 6 March 27

January 27 through March 23* April 24 May 22

March 24 through May 18* June 19 July 17

May 19 through July 13 August 14 September 11

July 14 through September 7 October 9 November 6

September 8 through November 2 December 11 January 8 (2020)

November 3 through December 31 January 29 (2020) February 19 (2020)

*No Step 2 CS exams will be delivered March 22 through March 30. Note: In each scoring cohort there will be occasional dates when individual test centers or the entire testing network are unavailable. These are typically known in advance, and the dates will be displayed as unavailable when examinees schedule appointments.


For each “Testing Period” in the above schedule, Step 2 CS scores are released every Wednesday over a corresponding four-to five-week “Reporting Period.” It is expected that results for the vast majority of examinees who take the exam during the testing period will be reported on the first Wednesday of the Reporting Period. Results for 98%-99% of examinees who take the exam during the testing period are reported by the third Wednesday in a Reporting Period. For a small percentage of examinees (1%-2%), scoring and quality assurance may be not completed in time for these examinees to be reported by the first three reporting dates; these will typically be examinees who took the exam in the latter part of the testing period. Results for these examinees will be reported each week throughout the reporting period, and should be reported no later than the last day of the score reporting period. This schedule allows USMLE staff to enhance the quality assurance and data collection/scoring procedures performed prior to score reporting. Additionally, it provides examinees, as well as others who rely on Step 2 CS results, with guidelines regarding when a result will be reported for a given exam date. These guidelines allow examinees to plan their exam registration and scheduling in order to have their results in time to meet specific deadlines, such as those related to graduation or participation in the National Resident Matching Program (NRMP), or “the Match.”


Scheduling Courses in the Fourth Year

Student Scheduler (Draft in Progress) In the NOTES section you can specify if you are seeking a certain preceptor for a letter of recommendation or other notes you want the coordinator to take into consideration for processing your request. A structured process is being established for the M4 electives/sub-internship which is as follows:

A 12-block system has been created for the next academic year 2019-2020. Each block is comprised of 4 weeks.

When the M4 Elective schedule is opened for enrollment, student will be allowed to select 4 home rotations. These rotations will be on a “first come first basis.” Waiting list will be established.

Please use the M4 Elective Planner to develop your M4 rotation calendar

Please complete an add/drop form and email it to [email protected]. The clerkship administration will forward your request to the course directors.

Required Course Scheduling Notes (Draft in Progress)

Scheduling Electives (Draft in Progress)



Time for Interviews There are 44 calendar weeks available during the fourth year. You are required to schedule weeks’ worth to 31 credits. It is expected that you will utilize the 8-13 extra weeks for board exams and interviews. Use the chart below to determine when your peak interview season will be and avoid scheduling electives during that period. Hopefully, Required Courses will not conflict with your peak interview period. If that happens, you will likely need to reschedule those courses. Should that be necessary, contact the coordinator directly since the Sub-I and ICU courses will no longer be available on the Student Scheduler. Interviews are not counted as excused absences. If you will need to miss more than three or four days of a rotation, you must reschedule that rotation or work out a makeup schedule with the department.


Method of Communication The point of contact for all M4 related questions will be the clerkship coordinators. All communication and inquiries about M4 matters must include the special email: [email protected]. This email is always checked by one of the coordinators or administrative assistants and therefore ensures that your queries are addressed in a timely fashion. We would like queries not to be sent to individual faculty or admin just in case if they are not available in the office. It can delay the response and resolution of any issues. Hence the reason why we have established this process. During the M4 year we will arrange monthly/bi-monthly (according to the need) M4Connect Webinar to communicate back any of your rotation concerns. Dr. Vijay Khatri will be present at these sessions. If you need to have a specific clerkship director present at this webinar please inform the clerkship coordinators.

Frequently Asked Questions: (Draft in Progress)

Q: What if don’t get an interview at a program that I’ve applied to for a subinternship? A: Once you’ve accepted a subinternship, you should attend. A school has offered you a position that could have otherwise gone to another student. Dropping an elective when you find out that an interview is not going to be offered is considered unprofessional, and is strongly discouraged. Q: What if I am scheduled for a required course during the appointment for a USMLE Board exam? A: The attendance policy permits you to be excused one day for the USMLE Step 2 CK and up to three days for the USMLE Step 2 CS. Q: How much does it cost to use VSAS? A: The first institution is $35.00. Each subsequent institution is $15.00. (It does not matter how many elective requests you submit to each institution). For example if you submit four different requests to WVU and 6 requests to Wake Forest the fee is $50.00. Institutions might charge application fees in addition to the VSAS fees. If so, payment is usually not required until approval is confirmed.



Frequently Used Abbreviations and Terms

CiM

AAMC Careers in Medicine (https://www.aamc.org/students/medstudents/cim/)

FRIEDA

Fellowship and Residency Interactive Electronic Database (http://www.ama- assn.org/ama/pub/education-careers/graduate-medical-education/freida-online.page)

ERAS

Electronic Residency Application Service (https://www.aamc.org/students/medstudents/eras/)

NRMP

National Resident Matching Program (http://www.nrmp.org/)

ROL

Rank Order List—preferences submitted by you and your selected programs in February

MSPE

Medical Student Performance Evaluation (https://www.aamc.org/download/139542/data/mspe.pdf.)

SOAP

The process through which positions offered by unfilled programs are accepted by unmatched applicants during Match Week (formerly known as the Scramble).

It is important to understand the types of residency training available as you choose a specialty and begin applying for residency positions. There are different types of training programs depending on your specialty choice. Some of the positions offered through the NRMP Main Residency Match include:

• Categorical-C: programs that begin in the PGY-1 year and provide the full training required for specialty board certification.

• Primary-M: categorical programs in primary care medicine and primary care pediatrics that begin in the PGY-1 year and provide the full training required for specialty board certification.

• Advanced-A: programs that begin in the PGY-2 year after a year of prerequisite training. • Preliminary-P: one-year programs that begin in the PGY-1 year and provide prerequisite training for

advanced programs. • Physician-R: programs that are reserved for physicians who have had prior graduate medical

education. Reserved programs offer PGY-2 positions that begin in the year of the Match and thus are not available to senior medical students.

• Some specialties may offer both categorical and advanced type positions. Examples are Dermatology, Anesthesiology, Neurology, Physical Medicine and Rehabilitation, and Diagnostic Radiology.

More information can be found at: http://www.nrmp.org/intro-to-main-residency-match/

https://www.aamc.org/students/medstudents/cim/

http://www.ama-assn.org/ama/pub/education-careers/graduate-medical-education/freida-online.page



https://www.aamc.org/students/medstudents/eras/

http://www.nrmp.org/

https://www.aamc.org/download/139542/data/mspe.pdf

http://www.nrmp.org/intro-to-main-residency-match/


Fourth Year Student Policies


Step 2 Policy Statement MS-IV students MUST sit for both the USMLE Step 2 CS and Step 2 CK no later than the Sit By Date designated on the Academic Calendar for the year they complete their 4th year requirements in order to be eligible for graduation in May of their designated class year. Passing both Step 2 CS and Step 2 CK is required in order to graduate. Students who delay taking the exam after the Sit By Date, whether compelling reasons were granted or not, will not be guaranteed eligibility for graduation in May of their designated class year. It is the student’s responsibility to register to take the exams and to make any necessary transportation and housing arrangements. The earlier a student registers for the Step 2 exams, the more choices a student will have in terms of testing location and dates. There are limited test sites where the Step 2 CS exam is administered and students are encouraged to register for the examination as soon as possible due to limited space availability. Only those students who can demonstrate compelling reasons (such as personal or family illness, tragedy) for not sitting for the exam by the Sit By Date will be allowed to register after the Sit By Date. Students requesting a delay must submit a written statement to the Office of Student Affairs explaining the reason(s) along with any requested documentation no later than August 15th to be considered. Emergent compelling conditions will be considered on a case-by-case basis. Unacceptable compelling reasons include lack of exam preparation, testing anxiety or difficulty in scheduling a preferred testing site or date. Students have three attempts to pass Step 2 CS and three attempts to pass Step 2 CK. Failure to successfully complete either of these two exams on the third attempt will result in automatic dismissal from the School of Medicine. Additional attempts to take the exams may be given at the discretion of the Dean. If you have any questions, please contact [email protected] or the Office of Student Services and Student Affairs.

Fourth Year Attendance Policy (Draft in Progress)

Attendance Expectation Students are expected to attend every day of their scheduled fourth year rotations as directed by their course director. This includes:

• 4 weeks of required Subinternship Selective • 27 weeks of electives • Students are allotted additional weeks to accommodate residency interviewing, Step 2 CK and CS,

vacation and time for issues associated with residency relocation.



PROCESS FOR REQUESTING ABSENCES (Draft in Progress) Students must request advance approval for ANY ABSENCE (INCLUDING RELEASE TIME FOR STEP 2 CK and CS AND RESIDENCY INTERVIEWING) from their course director at least four weeks before the start of the rotation. If properly arranged and approved by the Course Director in advance, students will be excused one day for Step 2 CK and up to three days for Step 2 CS. Students cannot schedule both examinations during the same required rotation or elective. Course Directors may determine that the multiple absences will be detrimental to students’ educational experiences and require that the course be rescheduled if openings are available. For elective courses, course directors will have the discretion to assigned make up days or supplemental readings or assignments to account for the missed days. Failure to properly arrange the excused absence before the start of the rotation, unless emergent due to a last minute scheduling opportunity as defined below, may result in the makeup of missed time with penalty or denial of request. Emergent Absences for Interviewing or Step 2 Scheduling Students may request an emergent absence for an interview invitation if the invitation is received less than four weeks in advance of the start of the rotation. WRITTEN Documentation of the invitation for the interview must be submitted to the Course Director and Clerkship Department prior to approval. Emergent scheduling of the Step 2 CS or Step 2 CK may also be approved as an excused absence if documentation of an exam opening of less than four weeks is provided to the Course Director. Failure to provide WRITTEN documentation will result in automatic denial. Unexcused Absence Students with unexcused absences (defined as any absence that is not approved by the Course Directors in advance) will be required to make up and may be subject to an incident or critical incident report. Nothing in this policy statement should be construed as students having an allotment of personal days in which absences can occur. The Course Directors will determine how the unexcused absence is to be made up. Reoccurring Patterns Questions or concerns regarding a student's attendance pattern are to be brought by the course director to the attention of the Clerkship Department and Office of Student Affairs. All absences are to be reported as part of the student’s evaluation and the Honor Council and Student Promotion Committee will discuss reoccurring absence patterns with the student. In the case of reoccurring patterns, the Honor Council and Student Promotion Committee will determine the appropriate course of action.

Students must complete and submit the Absent Form to the clerkship coordinators.

You are allowed to miss up to: 4 days / 4 week rotation 2 days / 2 week rotation

Unexcused absences will result loss of credits for the rotation.


Excused Absence Unexcused Absence

Definition Absences or lateness due to unexpected medical and/or personal issues are unavoidable. Examples of an emergency or unexpected absence include personal illness, family emergency, or death in the immediate family. Family obligation, employment, travel and previous plans are not generally accepted as excused absences. Excused absences not addressed specifically in this policy are considered and granted on a case-by-case scenario by the Deans of Student Affairs.

Absence and repeated tardiness to class and clinical rotations are considered unprofessional conduct and will be taken into consideration by the Honor Council and Student Promotion Committee. Repeated tardiness, excessive absences and unreported absences may result in make-up days and remediation.

Students’ responsibility Students must complete the Excused Absence Request Form and send it to the Course Instructor and Course Director no later than two business days following an unanticipated absence. Meeting with Course Director to review the missing content to come up a makeup plan

Students missed the mandatory session without approved excused absence should reach out to the course director and instructor to make up the content. Repeated tardiness, excessive absences and unreported absences may result in failing of the course.

Content make up Couse director will arrange the appropriate makeup assignment based on the content and availability of schedule and resources.

It is up to the course director’s discretion. School is not responsible for the missing content of unexcused absence.

Make up time Must be within the term Strongly recommend to be within the term

General Policies (Draft in Progress)

One week of clinical elective rotation = 1 credit unit (except for TA electives)

One week of clinical sub-internship rotation = 1.5 credit unit

Minimum of 31 M4 credit units are required for graduation. There are twelve 4-week blocks in the 4th year. Students should be able to earn 31 credits with enough time to broaden their education and expertise with a variety of clinical rotations.

All “Home” electives and sub-internships will be either 2 or 4 weeks long only as indicated in the syllabus.

Students cannot change the duration of the rotation on their own accord, including away rotations.

Maximum Away Rotations: 5 rotations


International Away Rotation: You must discuss with Dr. Yip or Dr. Khatri at least 120 days (4 months) in advance for approval.

Two courses cannot be taken at the same time.

ONLY Exception: COM 901 Honors Medical Research Elective can be paired with the following electives: Mindfulness, Healer's Art, or Leadership, these are all part-time evening courses. COM 901 Honors Medical Research elective cannot be taken concurrently with any other electives as there will not be enough time to perform a clinical rotation. If a student is found to have taken two courses or rotations at the same time, the student will be given zero credits for the duration of the overlap.

Students must complete any remediation of core clerkship before beginning M4 rotations.

Students must complete any deferred clerkships no later than April 1st.

M4 Flight Plan, which lays out your planned rotations and showing you’ll receive 31 credits for graduation, has to be submitted and finalized by July 1st.

Maximum number of non-clinical rotations: 8 weeks I.e. Wellness, Research, Nutrition, TA/OSCE

Required minimum number of Inpatient rotation: 8 weeks + 1 Sub-Internship

Electives Policy (Draft in Progress)

All home electives will comprise the following learning objectives:

1. Perform, document, and present complete history and physical exam and interpret laboratory, radiologic, and other relevant data to develop a differential diagnosis, assessment and evidence-based management plan, that includes procedural or operative management if indicated.

2. Perform and document a concise and well-organized daily progress note that includes relevant laboratory, radiologic data and incorporates pertinent 24-hr events.

3. Describe the management of common disorders in the core discipline, including procedures and operative management if indicated.

4. Research the clinical condition of a given patient with appropriate evaluation of literature and other available resources.

5. Recognize patients who are critically ill or require emergent care and develop appropriate initial steps of care for stabilization

6. Demonstrate sensitivity to the concerns of patients and their families regarding the patient’s illness and communicate plans of care with compassion and empathy (including benefits, side-effects of therapy, quality of life and end-of-life issues).


7. Demonstrate collaborative and respectful approach to other specialty professionals (consultations, referrals, procedures, diagnostic studies) required for team-based interdisciplinary management.

8. Demonstrate ability to provide high quality “hand-offs” that is concise, accurate, timely, and complete to facilitate patient-centered safe transition of care.

9. Attend and participate in procedures and operations on assigned patients (with appropriate supervision); assist in obtaining informed consent for procedures or operations performed by the team.

10. Demonstrate knowledge of the key components of a safe discharge process. 11. Use feedback to improve learning and performance 12. Develop a knowledge of “systems of care” to enhance common quality initiatives relevant to the

core discipline (i.e. deep vein thrombosis, healthcare associated infections, and patient safety protocols)

13. Apply the principles of cost-effective healthcare in patient care (i.e. ABIM Choosing Wisely initiatives for the core discipline http://www.choosingwisely.org/).

Non-Clinical Electives Policy

Honors Medical Research Elective Maximum credits that can be earned for Research Elective: 4 credit units To register for COM 901 Honors Medical Research elective:

1. Complete the COM 901 Research Request Form. 2. Students must provide in a few sentences or an abstract (as noted in the form) of the

scholarship/research project to in order to be considered by the Assistant Dean of Research and M4 Director.

3. Return the COM 901 Research Request Form to the clerkship coordinators.

Wellness - Leadership, Healers Art, Mindfulness and Compassionate Conversations

HLT 810 Wellness - Leadership, Healer’s Art, Mindfulness and Compassionate Conversations COM 903 Leadership COM 904 Healer’s Art

The elective HTL 810 Wellness composes multiple electives in one rotation. The elective includes COM 903: Leadership and COM 904: Healer’s Art. You cannot earn duplicate credits for HTL 810 Wellness, COM 903 Leadership, and COM 904 Healer’s Art.

For example: You’ve taken COM 903: Leadership prior to your M4 year and would like to take HTL 810: Wellness.

HTL 810 COM 903

Total Credit Earned

4.0 credit unit - 2.0 credit unit 2.0 credit unit

http://www.choosingwisely.org/


However, credits earned for the courses Wellness, Leadership, Healers Art will count towards the 31-credit graduation requirement.

Teaching Assistant Electives

MED 810 OSCE Program Assistance COM 907 Endocrinology Teaching Assistant COM 908 Cardiovascular & Pulmonary Teaching Assistant COM 909 Behavioral Medicine Teaching Assistant

To provide some flexibility in the schedule during the interview months, several Teaching Assistant (TA) M4 elective rotations have been established. Maximum credits that can be earned for TA electives: 4 credit units Credit calculation for TA electives are as follows:

Unit of Credit: 1 credit for every 15 lecture hours and 30 preparation/homework hours (LEC). 1 credit for every 25 workshop hours and 25 preparation/homework hours (AL).

On the spreadsheet if a student attended 3 OSCE sessions per day for 2 days, the formula would be: 8 hours for 3 sessions/day*2(preparation/study) =16*2(the total number of days) =32 hours/25(per credit) =1.30.

MED 810: OSCE Program Assistance: To sign up for the OSCE sessions, you must contact the clerkship coordinators. Do not approach the OSCE course directors to enroll or sign up. If any changes occur to your schedule that you cannot make it to the OSCE session, please contact the clerkship coordinators to cancel or reschedule. If there is no show, no call, the OSCE course directors will notify the coordinators of your absence and will be considered as an unexcused absence.

Sub-Internships (Acting Internship) Policy A Sub-internship also known as Acting Internship is a M4 clinical experience completed at CNUCOM-affiliated hospital systems or through VSLO in which the medical student is expected to demonstrate the knowledge, skills, and attitudes expected of a first-year resident. Any home, away or VSLO rotation that is labelled as a Sub-Internship/Acting Internship and the syllabus SHOULD reflect the higher level of clinical care responsibility.

Minimum Sub-internship: 1 core specialty (General Internal Medicine, General Surgery, General Pediatrics, Ob/Gyn, Family and Community Medicine, Emergency Medicine)

Sub-internship can be completed at an “away’ site. Due to the increased level of effort and responsibility required by the medical student during a sub-

internship, the credit units awarded are 1.5 units /week. Minimum number of sub-internship required to graduate= 1 Maximum number of sub-internship= 3. Hence the maximum credits that can be earned from sub-

internship is 18 credit units. Keep in mind that there is a specialty limit of 12 weeks, including electives and sub-internships.


Rotation requirements to classify an elective as Sub-Internship: Required Components

1. Contain an inpatient component 2. The rotation should be 3-6 weeks in length 3. Provide the student with primary responsibility for a panel of his/her own patients and direct

supervision by preceptor 4. Students should have a patient load comparable to the PGY-1 resident on service. 5. Students must take in-house call (daytime or nighttime)—and may be required to take call at the

current ACGME frequency of residents. Optional Component

1. Students have first call responsibility for patients, with adequate supervision 2. Students receive “ sign-out” from house-staff so they are involved with care transitions and cross-

coverage responsibilities 3. Students may be allowed to enter patient orders that are then signed off by the supervising preceptor

or resident.

Career Track - Specialty of Interest Rotation Policy Specialty of interest refers to the specialty the student is interested in pursuing as a career and securing a residency in that field. It is very important that the residency does not begin in the M4 year. You will gain in depth education for this field of choice during your residency and if necessary during the fellowship.

1. Maximum weeks for a specialty: 12 weeks. The AAMC Medical Specialties categories will assist the student in understanding how specialty limit is defined. Hence if a student selects rotation in Cardiology, Pulmonary and Infectious disease this will be considered 12 weeks in the Internal Medicine and thus reach the maximum allowed.

2. “Non-specialty of interest” rotation tracks given by Dr. Khatri and Peter, requirements will provide a guide of recommended exposure of clinical rotations that will help and support your career, 8 weeks.

Submission of Elective, Preceptor, Institution Evaluations (Draft in Progress)

Students must complete Preceptor and Institution evaluation within 1 week from the last day of the rotation. Once you have completed your evaluations, the school will be able to release your evaluation from the Preceptor by request through the clerkship coordinators. Grades will not be released until the evaluations from both the student and preceptor have been completed. In order for the student to receive credit for the rotation, an evaluation will need to be completed by the attending(s). If an evaluation is not received for the rotation, credit is not awarded to the student.


Creation of New Electives or Changes of Existing Electives Any changes to an “existing elective” or to “create a new elective” must be performed by the Preceptors. Students cannot make any changes to “existing electives or sub-internships,” such as length of rotation, location, preceptor. All new electives are established through the office of the Chair of Clinical Medicine, Dr. Peter Yip, and the Director of M4 electives/sub-internships, Dr. Vijay Khatri. This process allows the clerkship coordinators and the Registrar to ensure that the students are registered for a CNUCOM-approved course. The process of establishing an elective is performed by the faculty and is as follows:

1. A standardized syllabus has been established so that the necessary CLO/PLO are addressed for mapping. Similarly, for sub-internship’s we have to ensure that they meet the specific requirements to deem a rotation as a sub-internship.

2. Once syllabus is provided, it is review by the M4 Director for completion of content and appraisal for mapping language by Office of Assessment.

3. Administration forwards the syllabus to the Phase B+C committee for voting and thereafter to the Curriculum Committee.

4. At the same time we request a detailed CV from the preceptor to rank them at CNUCOM. Preceptors are required to complete a Faculty Assessment Form (teaching, clinical, research, service components) to allow the Rank and Promotion Committee to judge the teaching and clinical experience.

5. Rank and Promotion Committee then reviews and submit their recommendation to Dr. Gordon Wong and Dean Joseph Silva.

6. An institutional or individual physician affiliation agreement process is initiated. 7. Our coordinators then inquire about the on boarding process and requirements. 8. Finally the Registrar assigns the CNUCOM-approved course a course number and we add it to the M4

Catalogue. 9. We ask the Preceptor which BLOCKs they wish to host our students and how many student/month.

This entire process can take up to 120 days (4 months) for completion. If students or faculty are aware of any community clinicians who may be interested in serving as a preceptor they should send the contact information to the Chair of Clinical Medicine (Dr. Peter Yip) as this office begins the process, stated above. CNUCOM will not approve special ONE TIME ONLY electives.

Credit Allocation by the Registrar

Students must be enrolled in an approved elective found in the M4 Elective Catalogue or through VSAS/VSLO to receive credits.

Any electives or sub-internships that are not approved by the registrar and M4 committee, will not receive credits.

Students may choose to do electives and sub-internships that exceeds the maximum amount of specialty and away limits.


Any electives or sub-internships that exceed the limit will not count towards graduation credit requirements but will be shown on your transcript. This will not count against you.

M4 Flight Plan, which lays out your planned rotations and showing you’ll receive 31 credits for graduation, has to be submitted and finalized by July 1st. This ensures ample time for the M4 committee to review and authorize clinical rotations that meet the requirements for graduation and allow the Registrar to conduct a preliminary degree audit.

Once your M4 Flight Plan is approved and finalized, the Registrar will be able to register you to the electives, sub-internships, and rotations.

Students who are not enrolled or registered for electives for certain amount of time and credits will impact the student’s financial aid and student loans.

M3 Clerkship Deferrals There shall be a fair and equitable process for students to defer clerkships to allow pursuit of other educational activities in the M3 year. Policy: Voluntary deferral of M3 core clerkships to M4 is not allowed (OB/GYN, Pediatrics, Surgery, Internal Medicine, Psychiatry, and Family Medicine). Deferral of M3 core clerkships in the M4 year will occur for remediation purposes (students MUST complete the remediation clerkship before beginning M4 rotations). VSLO (formerly VSAS) away electives require that the OB/GYN, Pediatrics, Surgery, Internal Medicine, Psychiatry, and Family Medicine clerkships be completed. Deferral of Neurology and/or Emergency Medicine (CNUCOM non-core clerkship) requires submission of the Deferral Request Form and completion of a DEFERRAL PROCEDURE outlined below. Procedure: As deferrals of clerkships can impact various aspects of scheduling, it is imperative that the students follow the Deferral Policy and Process.

1. Students who wish to postpone M3 clerkship time should make initial inquiry with Linda Inthongpradith.

2. The student should complete and submit a Deferral Request Form. 3. Requests are reviewed by the DEFERRAL EVALUATION COMMITTEE. Requests will be ranked by the

following priority list: a. Students deferring clerkships for academic, medical, or administrative reasons b. Students deferring clerkships for sub-internships in early match residencies (urology,

ophthalmology) c. Students deferring clerkships for sub-internships in small, competitive fields (dermatology,

ENT, neurosurgery, orthopedic surgery, radiation oncology, plastic surgery) d. Students deferring clerkships for other reasons

4. Within these groups, student requests will then be ranked in the order that the students have submitted the Deferral Request Form.

5. The coordinator will contact the students by email in order of rank to offer options for deferral. Each student will have 72 hours to respond with their selection, and changes can only be made after all other students’ initial deferral requests have been addressed. The Curriculum Office reserves the right to deny a student’s request at any time based on scheduling constraints or other logistical issues.


6. Deferral Request Form needs to be signed off by the: 1) Clerkship Director 2) Director M4 Electives/Sub-internships 3) Chair, Department of Clinical Medicine for final approval.


AAMC Medical Specialties AAI: ALLERGY AND IMMUNOLOGY CLINICAL & LABORATORY IMMUNOLOGY

ANE: ANESTHESIOLOGY ADULT CARDIOTHORACIC ANESTHESIOLOGY CRITICAL CARE MEDICINE OBSTETRIC ANESTHESIOLOGY PAIN MEDICINE PEDIATRIC ANESTHESIOLOGY PALLIATIVE MEDICINE

DER: DERMATOLOGY DERMATOPATHOLOGY PROCEDURAL DERMATOLOGY

EME: EMERGENCY MEDICINE MEDICAL TOXICOLOGY PEDIATRIC EMERGENCY MEDICINE SPORTS MEDICINE PALLIATIVE MEDICINE

FAM: FAMILY MEDICINE GERIATRIC MEDICINE SPORTS MEDICINE FAMILY PRACTICE GERIATRIC MEDICINE PALLIATIVE MEDICINE

INT: INTERNAL MEDICINE ADVANCED HEART FAILURE & TRANSPLANT CARDIOLOGY CARDIOVASCULAR DISEASE CLINICAL CARDIAC ELECTROPHYSIOLOGY CRITICAL CARE MEDICINE ENDOCRINOLOGY, DIABETES & METABOLISM GASTROENTEROLOGY GERIATRIC MEDICINE HEMATOLOGY HEMATOLOGY & ONCOLOGY INFECTIOUS DISEASE INTERVENTIONAL CARDIOLOGY NEPHROLOGY ONCOLOGY PULMONARY DISEASE PULMONARY DISEASE & CRITICAL CARE MEDICINE RHEUMATOLOGY

SPORTS MEDICINE TRANSPLANT HEPATOLOGY INTERNAL MEDICINE-PEDIATRICS PALLIATIVE MEDICINE

MEG: MEDICAL GENETICS BIOCHEMICAL GENETICS MOLECULAR GENETIC PATHOLOGY

NSG: NEUROSURGERY ENDOVASCULAR SURGICAL NEURORADIOLOGY

NEU: NEUROLOGY CHILD NEUROLOGY CLINICAL NEUROPHYSIOLOGY ENDOVASCULAR SURGICAL NEURORADIOLOGY NEUROMUSCULAR MEDICINE PAIN MEDICINE SLEEP MEDICINE PALLIATIVE MEDICINE

OBG: OBSTETRICS & GYNECOLOGY FEMALE PELVIC MEDICINE & RECONSTRUCTIVE SURGERY OPTH: OPHTHALMOLOGY OPHTHALMIC PLASTIC & RECONSTRUCTIVE SURGERY PALLIATIVE MEDICINE

ORTH: ORTHOPEDIC SURGERY ADULT RECONSTRUCTIVE ORTHOPEDICS FOOT & ANKLE ORTHOPEDICS HAND SURGERY MUSCULOSKELETAL ONCOLOGY ORTHOPEDIC SPORTS MEDICINE ORTHOPEDIC SURGERY OF THE SPINE ORTHOPEDIC TRAUMA PEDIATRIC ORTHOPEDICS

OTO: OTOLARYNGOLOGY OTOLOGY - NEUROTOLOGY PEDIATRIC OTOLARYNGOLOGY HEAD AND NECK SURGERY

PATH: PATHOLOGY-ANATOMIC & CLINICAL


BLOOD BANKING - TRANSFUSION MEDICINE CHEMICAL PATHOLOGY CYTOPATHOLOGY FORENSIC PATHOLOGY HEMATOLOGY MEDICAL MICROBIOLOGY NEUROPATHOLOGY PEDIATRIC PATHOLOGY

PED: PEDIATRICS ADOLESCENT MEDICINE CHILD ABUSE PEDIATRICS DEVELOPMENTAL-BEHAVIORAL PEDIATRICS NEONATAL-PERINATAL MEDICINE PEDIATRIC CARDIOLOGY PEDIATRIC CRITICAL CARE MEDICINE PEDIATRIC EMERGENCY MEDICINE PEDIATRIC ENDOCRINOLOGY PEDIATRIC GASTROENTEROLOGY PEDIATRIC HEMATOLOGY-ONCOLOGY PEDIATRIC INFECTIOUS DISEASES PEDIATRIC NEPHROLOGY PEDIATRIC PULMONOLOGY PEDIATRIC RHEUMATOLOGY PEDIATRIC SPORTS MEDICINE PEDIATRIC TRANSPLANT HEPATOLOGY PALLIATIVE MEDICINE

PMR: PHYSICAL MEDICINE & REHABILITATION NEUROMUSCULAR MEDICINE PAIN MEDICINE SPINAL CORD INJURY MEDICINE SPORTS MEDICINE PALLIATIVE MEDICINE

PLS: PLASTIC SURGERY CRANIOFACIAL SURGERY HAND SURGERY

PSY: PSYCHIATRY ADDICTION PSYCHIATRY CHILD & ADOLESCENT PSYCHIATRY FORENSIC PSYCHIATRY GERIATRIC PSYCHIATRY PALLIATIVE MEDICINE

RONC: RADIATION ONCOLOGY

RAD: RADIOLOGY ABDOMINAL RADIOLOGY CARDIOTHORACIC RADIOLOGY ENDOVASCULAR SURGICAL NEURORADIOLOGY MUSCOSKELETAL RADIOLOGY NEURORADIOLOGY NUCLEAR RADIOLOGY PEDIATRIC RADIOLOGY VASCULAR & INTERVENTIONAL RADIOLOGY NUCLEAR MEDICINE PALLIATIVE MEDICINE

SUR: SURGERY COLON & RECTAL SURGERY HAND SURGERY PEDIATRIC SURGERY SURGICAL CRITICAL CARE VASCULAR SURGERY CARDIOTHORACIC SURGERY THORACIC SURGERY PEDIATRIC CARDIOTHORACIC SURGERY SURGICAL ONCOLOGY TRANSPLANT SURGERY TRAUMA SURGERY SURGICAL CRITICAL CARE ACUTE CARE SURGERY PALLIATIVE MEDICINE

URO: UROLOGY PEDIATRIC UROLOGY


STATEMENT OF UNDERSTANDING (Draft in Progress) As a Senior Medical Student, I understand that it is my responsibility to ensure that my schedule is requested and approved on by the Clerkship Department at least 45 days in advance of my elective start date. Failure to maintain a correct schedule will result in no credit for the elective even if the elective was completed. I understand that once submitted and approved with the Registrar’s Office, it is my responsibility to obtain reporting information at least one week in advance and that I must complete the elective. If the elective is not completed, a grade of “F” may be recorded on my transcript. Cancellations of the elective are my responsibility and must be at least 45 days before the elective start date. Failure to notify the school about dropping electives will result in a “W” grade and will be not be removed from the transcript. I further understand that the 45 day rule will be strictly enforced starting June 10, 2019 and the Office of Medical Education will formally register me for the courses with the Registrar’s Office at the end of the month for that month’s courses. Student Signature:

Printed Name:

Date:


FORMS

9700 West Taron Drive｜Elk Grove, CA 95757

P: 916.686.7300｜F: 916.686.7310｜www.medicine.cnsu.edu

CNUCOM COURSE ADD/DROP FORM: Year 4 (Please fill out completely – incomplete forms will not be accepted.)

Do not approach clinical sites in order to make schedule changes. All requests must be submitted through the clerkship coordinators. Requests need to be submitted minimum 6-weeks prior to rotation start date.

Email form to [email protected]. Please include in the email Subject: CNU 4th year rotation request

Today’s Date: ________________________

Student Name:

Phone: Email:

COURSE(S) TO BE ADDED COURSE # COURSE TITLE LOCATION START DATE END DATE

COURSE(S) TO BE DROPPED COURSE # COURSE TITLE LOCATION START DATE END DATE

Reason for Drop:

Student Signature: Today’s Date: ________________________

CNUCOM Adminstration: Signature: Today’s Date: ________________________

For Office Use Only: Approved: Denied:


9700 West Taron Drive｜Elk Grove, CA 95757

P: 916.686.7300｜F: 916.686.7310｜www.medicine.cnsu.edu

AWAY COURSE ADD/DROP FORM: Year 4 (Please fill out completely – incomplete forms will not be accepted.)

Students must complete this form in order to be register for AWAY/VSAS/VSLO rotation by the registrar office. Drop requests must be submitted minimum 6-weeks prior to rotation start date. Failure to notify the school about dropping electives will result in a Withdraw (W) grade and will be not be removed from the transcript. Any Non-VSAS/VLSO rotations, you must provide the external institution’s program director or coordinator contact information on a separate sheet. If no contact information is provided along with this form, your request will be denied.

Email form to [email protected]. Please include in the email Subject: AWAY Rotation Registration

Today’s Date: ________________________

Student Name:

Phone: Email:

AWAY COURSE(S) TO BE REGISTERED

VSAS (Y/N)

COURSE # COURSE TITLE LOCATION START DATE END DATE

AWAY COURSE(S) TO BE DROPPED

VSAS (Y/N)

COURSE # COURSE TITLE LOCATION START DATE END DATE

Student Signature: Today’s Date: ________________________

For Office Use Only: Approved: Denied:


Honors Medical Research Request

COM 901 (1 cr; P/F) 9700 West Taron Drive, Elk Grove, CA 95757

REQUIREMENTS AND ELIGIBILTY

COM 901 provides students with an opportunity to collaborate

with faculty on medical research.

Requirements & Responsibilities

The student must have a minimum of one COM faculty advisor, but

can also have a non-COM faculty/community physician supervisor

with whom the research is conducted.

The supervisor should be familiar with research in the relevant

discipline (s), to ensure that the direction and monitoring of the

student's progress is informed by up to date subject knowledge

and research developments. Breadth of experience and knowledge

of the supervisor will mean that the student always has access to

someone with experience of supporting research students through

to successful completion of their scholarly project.

The student and supervisor must arrive to an agreement

regarding the research topic, the timeline, and the amount of

contact time for the progress of the project.

The student is responsible for taking the CITI courses (a basic

course for all students, and a more oriented course for those

students that need IRB approval).

The student is responsible for other aspects of the project,

including enlisting the aid of any required supervisor, coordinating

communication with the supervisor and the faculty advisor,

helping the supervisor in obtaining the necessary protocol

approvals (IRB, IACUCC, IBC) if needed, developing the hypothesis

of work, performing the planned study, preparing a document

with the results, data analysis, and conclusions, and preparing the

poster for the Research Day (check COM academic calendar for

event date).

The student is required to meet with the faculty advisor, weekly.

Specifics & Eligibility

Student must be in good academic standing and not on

academic probation;

Pre-requisite: COM623 Self-Directed Scholarly Project;

1 credit is assigned per 36 hour week of course participation;

Completed request form AND all supporting documentation

must be submitted to the Registrar to be officially registered for

the course.

STUDENT & COURSE INFORMATION (Please write legibly)

Student Name:

First Middle Last

Student ID #:

Class of (cohort):

Term & Year of Planned Course: Fall 20 Spring 20

COM Faculty Advisor: Dept:

Faculty Sponsor (responsible for assessment and grading): _____________

Company/Organization: _ _____________

Number of Credits (1 credit is assigned per 36 hour week of research): Number of Weeks: Number of Hours per Week:

Course Start Date: / _/ Course End Date: _/ _/

Course Description & Method of Evaluation

(Completed by student and instructor; attach separate document):

Agreement Signatures

Student Signature: _Date: ___

Faculty Advisor Signature: _Date: ___

Faculty Sponsor Supervisor Signature: Date:

Assistant Dean of Research: _Date: ___

OFFICE OF THE REGISTRAR USE ONLY COM901 Section_ (01, 02, etc.)

Date Received:

Date Registered: Processed By: Rev. 05/18 OR

CNUCOM Absence Request Form

Session Faculty for Signatures:

M1 Medical Skills: Dr. Holguin

M2 Medical Skills: Dr. Baranov or Dr. Al-Kayat

Masters Colloquium Approval: Dr. Glaser

Clinical Case: College Master

Clerkship Didactics: Clerkship Director

Masters Colloquium Completion: College Master

Elective: Course Director

Course Exam: Course Director

Mandatory Advising: Dr. Falck

Staff Member for Documentation:

M1: Alissa Loyola M2: Vivian Nguyen M3/M4: Sana Sayedi Mandatory Advising: Alissa Loyola

How to Complete and Submit This Form:

1. Students who desire to attend professional meetings and conferences must meet with Dr. Falck prior to registering for the conference and prior to completing this form for preliminary approval.

2. Meet with the designated faculty for the mandatory sessions you are missing (see above) to agree on a make-up plan.

3. If the absence is anticipated, notify the designated staff member (see above) to document your absence ahead of time.

4. Once your make-up plans are completed, ask each designated faculty member to sign this form verifying completion.

5. Submit completed form with all signatures to the designated staff member for final documentation.

Student Information:

Last Name: First Name:

Student ID: Class of: Date of Birth:

Email: Phone Number:

Dates of Absence:

Start Date: Return to Class Date:

Nature of Absence (Check all that Apply):

Medical Religious Holiday Emergency Leave Bereavement Military Duty

Jury Duty Legal Involvement in Traffic Accident Immigration and Naturalization

Special Consideration:

Unexcused Absence:

Absence Documentation:

Explain the reason for the absence (attach appropriate supporting documentation):

Mandatory Session Make-Up Plan (space for additional sessions on reverse):

Session: Date(s) Missed: Session Faculty:

Deadline to Complete Make-Up Plan:

Make-Up Plan:

Plan Approval: Faculty Signature: Date:

Plan Completion: Faculty Signature: Date:

Dr. Darilyn Falck: Assistant Dean of Student Affairs

Excused Unexcused Date:

Updated 11/7/2018

CNUCOM Absence Request Form

Mandatory Session Make-Up Plan:



Make-Up Plan:





Make-Up Plan:





Make-Up Plan:





Make-Up Plan:



Updated 11/7/2018

Steps to enroll in Kaiser South Sacramento electives:

1. Please email Michelle Ramirez to enroll in the electives of choice Michelle M.Ramirez GME Program Administrative Coordinator Medical Student Affairs Office [email protected]

2. Enrollment/Drop form must be submitted to Michelle 4 weeks prior of requested dates otherwise submission will be denied.

3. Please include in the email:

Subject: CNU 4th year rotation request

Body o Elective of choice/ course number o Preceptor’s name o Specific Dates o Specialty Pathway o Add/Drop form

4. “Specific Dates” requested must follow the block schedule:


CNU COURSE ADD/DROP FORM: Year 4 (Please fill out completely – incomplete forms will not be accepted.)

Do not approach clinical sites in order to make schedule changes. All requests must be submitted through the Medical Student Affairs Office, South Sacramento Kaiser. Requests need to be submitted 4-weeks prior to rotation start date. Fax form to 916-688-6813 or email form to [email protected]

DATE: E-MAIL:NAME: PHONE #:SIGNATURE

CURRENT PATHWAY:

COURSE(S) TO BE DROPPED (below)

START DATE END DATE COURSE TITLE COURSE NUMBER LOCATION

COURSE(S) TO BE ADDED (below)

START DATE END DATE COURSE TITLE COURSE NUMBER LOCATION

Kaiser Medical Student Affairs Office

Approved Signature: _________________________________ Date: ___/___/___

Approved Signature: _________________________________ Date: ___/___/___

California Northstate Administration