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8/11/2019 HackensackPoliciesandProcedures (1)
1/3
6/10/11
Hackensack University Medical Center
Office of Academic Affairs30 Prospect Avenue Room G236
Hackensack, N.J. 07601
Phone (201) 996-2016 Fax (201) 996-3976
4th
Year Electives Policy and Procedures
Scheduling:Students are welcome at all times to do their electives at Hackensack University Medical Center provided they
have completed the parent cores and have not been scheduled for the same time frame at another hospital.
Electives are open to all students and are granted on a first-come, first-serve basis. Preference is given to
students who have completed their Core rotations at HUMC.
All electives begin on Monday and end on a Friday.
Students should email all requests for electives to Sonia Gonzalez, SGUSOM Student Coordinator at
[email protected] you have any questions please call (201) 996-2016. Response to request(s) willbe sent via email upon verification of preceptor availability. It is the students responsibility to notify
SGUSOM of the approved elective(s) at HUMC.
Sonia must receive written approval from SGUSOM along with the following documents 2 weeks prior to thestart of your elective.
Letter of Good Standing Proof of US CitizenshipCriminal Back round Check Proof of Health Coverage
USMLE Step 1 Score Transcript
Health Compliance Certificate Student ID Number
Cancellations:To cancel or change an elective; students must email Sonia Gonzalez at least 4 weeks before the scheduled
elective.
ELECTIVES:
Anesthesia 2 or 4 weeks Medicine Sub I 4 weeks
Cardiology 2 or 4 weeks OB GYN Sub I 4 weeksGastroenterology 2 weeks Pediatric Sub I 4 weeks
Geriatrics 4 weeks Surgery AI 4 weeks
Infectious Disease 4 weeksPulmonary/CCM 2 or 4 weeks
Nephrology 2 weeks
Otolaryngology 2 weeks
Pathology 4 weeksPediatric I.D. 4 weeksPlastic Surgery 2 or 4 weeks
Psychiatry in Pt 4 weeksUrology 4 weeks
mailto:[email protected]:[email protected]:[email protected]8/11/2019 HackensackPoliciesandProcedures (1)
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6/10/11
Hackensack University Medical Center Student Rules:
Attire: All students must dress in professional attire, which includes a short white lab coat at all times. HUMCrequires personal cleanliness and good grooming, as well as attention to footwear and clothing. Unacceptable
attire includes but not limited to dungarees, blue jeans, shorts, halter tops, revealing clothing or any clothing
with profanity, fad messages or emblems.
Absenteeism: Absences/ illnesses must be called in to the Office of Academic Affairs at (201) 996-2016 no
later than 1 hour prior to your start time. If we are not in the office please leave a voice mail message and a call
back number. You are also required to contact the Preceptor of your rotation (1 hour prior to the start of your
shift). Emailing is NOT acceptable.
All absences are documented and become part of your permanent file.
Punctuality: It is your responsibility to be at all lectures and at start of their shift at your assigned times, on
time without exception. You will be required to swipe in with your HUMC assigned badge daily upon enteringthe facility (this is mandatory). This will allow us to track your attendance and punctuality.
Compliance: We expect all medical students to comply with Hackensack University Medical Centers policiesand regulations. The student will be given this information at the initial start of the elective.
8/11/2019 HackensackPoliciesandProcedures (1)
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6/10/11
Hackensack University Medical Center
SGUSOM 4TH
Year Electives
Request/Approval Form
**Please complete 1 form per elective request**
Date of Request: ________________________
Name: ____________________________________________Phone# ______________________
Email: ________________________________________ Last 4 digits SSN# ________________
SGUSOM Student ID# ___________________________________________________________
Elective Requested: ____________________________________________________________
Department ____________________________________________________________
Preceptor ____________________________________________________________
# of Week(s) or
Dates of choice:
1st from ______________________________ to _____________________________
2nd from ______________________________ to _____________________________
3rd
from ______________________________ to _____________________________
Academic Affairs Use ONLY
We _____have ____ have not approved your Elective Request:
1st
nd 3
rd
__________________________________________________________________________________________________
Em Date ____________________________
Spoke to ___________________________________________________________________________________________
Department Chair/ Preceptor Signature (if request for approval sent via fax)
_________________________________________________________________Date _____________________________
Student is to report to:
Email the completed form [email protected] SGUSOM Student Coordinatoror fax it to (201) 996-3976
mailto:[email protected]:[email protected]:[email protected]:[email protected]