Research Elective Approval Forms
Instructions
- If you haven’t already activated your UCSF DocuSign account, please follow these instructions:
- Login to MyAccess: https://myaccess.ucsf.edu
- Scroll down to “DocuSign – UCSF” and click on the link to DocuSign. This will initiate creating your account if you don’t already have one (the account creation takes a minute or so).
- Once signed in, you will see a status box, as well as help resources should you want more info about DocuSign.
- Select the link below for the corresponding department's research elective approval form. If you have two supervisors for your research project, use the link in the second box below; your form will be routed to both supervisors for approval.
- Follow the instructions for completing the form. It will be sent electronically the listed Instructor of Record.
- When the course is approved, you will receive an email confirmation.
- Additional information for international research work:
- You must email Michael Lipnick if you are doing international research work before you submit the Research Elective Approval form
- The International Emergency Packet and the International Student Travel Approval form: These forms are required of all students requesting credit or funding for time spent abroad doing clerkships or research work.
- The International Emergency Packet must be completed.
- The Student International Travel form must be completed, approved, and signed.
- Both forms (combined into one document) must be attached to your Research Elective Approval form (150.01/105.02)
One Research Supervisor
| Department Research Elective Approval Form | Instructor of Record |
|---|---|
| Anesthesia 150.01 | Kristin Breyer |
| Dermatology 150.01 | Erin Mathes |
| Emergency Medicine 150.01 | Aaron Harries |
| Family & Community Medicine 150.01 | Erica Brode |
| Medicine 150.01 | Cindy Lai |
| Neurology 150.01 | Megan Richie |
| Neurosurgery 150.01 | Manish Aghi |
| Obstetrics & Gynecology 150.01 | Naomi Stotland |
| Ophthalmology 150.02 | Neeti Parikh |
| Orthopaedic Surgery 150.01 | Nicole Schroeder |
| Otolaryngology-Head and Neck Surgery 150.01 | Chase Heaton |
| Pathology 150.05 | Raga Ramanchandran |
| Pediatrics 150.04 | Erica Lawson |
| Psychiatry 150.01 | Descartes Li |
| Radiology 150.01 | Maya Vella |
| Radiation Oncology 150.01 | Steve Braunstein |
| Surgery 150.01 | Matthew Lin |
| Urology 150.01 | Alan Shindel |
Two Research Supervisors
| Department Research Elective Approval Form | Instructor of Record |
|---|---|
| Anesthesia 150.01 | Kristin Breyer |
| Dermatology 150.01 | Erin Mathes |
| Emergency Medicine 150.01 | Aaron Harries |
| Family & Community Medicine 150.01 | Erica Brode |
| Medicine 150.01 | Cindy Lai |
| Neurology 150.01 | Megan Richie |
| Neurosurgery 150.01 | Manish Aghi |
| Obstetrics & Gynecology 150.01 | Naomi Stotland |
| Ophthalmology 150.02 | Neeti Parikh |
| Orthopaedic Surgery 150.01 | Nicole Schroeder |
| Otolaryngology-Head and Neck Surgery 150.01 | Chase Heaton |
| Pathology 150.05 | Dana Balitzer |
| Pediatrics 150.04 | Erica Lawson |
| Psychiatry 150.01 | Descartes Li |
| Radiology 150.01 | Maya Vella |
| Radiation Oncology 150.01 | Steve Braunstein |
| Surgery 150.01 | Matthew Lin |
| Urology 150.01 | Alan Shindel |