4th year Medical Students (Canadian & International)
2008-2009 Applications are currently being accepted and reviewewd for approval.
2008-2010 Applications will be accepted and reviewed for approval beginning: April 20, 2009
After completing the application packet you must mail it directly to the department where you are applying to take the elective.
The application consists of:
- Subinternship Rotation Application Form
- Student Clerkship Evaluation (Visiting students need an evaluation form from their school for UCSF to fill out)
- Health Requirement Form http://www.medschool.ucsf.edu/visitingstudents/applications/
- Application for an Elective (Canadian Student Application Form) http://www.medschool.ucsf.edu/visitingstudents/pdf/application_canadian.pdf
- Application for an Elective (International Student Application Form) http://www.medschool.ucsf.edu/visitingstudents/pdf/application_international.pdf
- A letter signed by your UCSF Department of Neurology Rotation Sponser
- 2” x 2” passport-sized photograph
- Check or money order for $825.00 per each 4 week elective made payable to the “UC Regents” in U.S. currency (this includes $500.00 for EACH 4 week rotation; a one-time $300.00 payment covering Services to International Students and Scholars processing fee. In addition, there will be a $25.00 fee for priority mailing of international documents)
- A letter of good standing signed by the Dean of the applicant’s school
- Completion of HIPAA training at home school or web-based module (module three) provided by UCSF at the following website:
http://hipaa.ucsf.edu/education/student/default.html
*NOTE:
Due to the Department of Homeland Security regulations, there will be a $300 processing fee for international students (including Canadian students) covering Services to International Students and Scholars.
International students who apply to two or more departments must clearly state this on the application and inform the department. If visa documents are delivered by courier, applicants should expect to pay between $15 - $25 for this service.
The requirements are:
1. Core Neurology: In order to be successful on the UCSF Department of Neurology clerkship/subintern rotations, you must complete a minimum of 4 weeks core neurology prior to the rotation.
2. Health Insurance: If you do not have personal health insurance coverage, you must obtain it from the Student Health Service, in Millberry Union, MU-H005, prior to the start of the elective. If you have questions about coverage, please call (415) 476-1281.
3. Malpractice Insurance: You must show proof that you are covered for Malpractice Insurance by your home school.
Minimum coverage: $1,000,000 per incident/ $3,000,000 aggregate.
4. Registration:
- You will arrive at 7:55 to join the Moffitt team at Morning Report on Monday. The location will be 505 Parnassus Ave., Room M-793. At this time, you will need to sign the Certificate of Completion for your HIPPA training.
- After Morning Report on the first day of your elective, you must register with the Office of Curricular Affairs, 513 Parnassus, S-221 (map of parnassus campus: http://www.ucsf.edu/maps/parnassus.pdf ). You will be issued a visiting student identification card that will give you access to computing facilities and the Milberry Union Fitness Center. Also, if you are working at either Moffitt Hospital or Mt. Zion Hospital, the Office of Curricular Affairs will assign you an ID# to access the patient database system.
- Once you have registered, you will need to get your visiting UCSF ID within 72 hours after registration.
Questions:
Contact: Carol Piunti
476-1489
piuntic@neurology.ucsf.edu