Extramural Course or Clerkship Application Forms
PLEASE NOTE THAT DUE TO COVID-19 AWAY ROTATIONS HAVE BEEN SUSPENDED EFFECTIVE MAY 15, 2020
The safety of our students, patients, and community is paramount. With the release of the report and recommendations released earlier this week by the Coalition for Physician Accountability, effective immediately ALL Away Rotations have been cancelled for the 2020 - 2021 season.
Please contact the Visiting Student Program manager Valerie Jones (Valerie.Jones2@ucsf.edu) for any questions or concerns.
- If you haven’t already activated your UCSF DocuSign account, please follow these instructions:
- Login to MyAccess: https://myaccess.ucsf.eduhttps://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 extramural course form (Domestic OR International).
- Follow the instructions for completing the form at least 4 weeks prior to the start of the rotation. Please note that you are required to attach a description of the rotation. Your form will be sent electronically to the listed Instructor of Record.
- When the course is approved, you will receive an email confirmation. If you have attached documents that require a seal, please come by S-245 to pick up your documents after you have received a COMPLETED application email notification.
For questions contact Wenia Lee.
Domestic Courses and Clerkships
|Department Domestic Extramural Course Approval Form||Instructor of Record|
|Domestic form forAnesthesia and Perioperative Care||Kristine Beyer|
|Domestic form forDermatology||Tim Berger|
|Domestic form forEmergency Medicine||Eric Silman|
|Domestic form forEpidemiology||George Rutherford|
|Domestic form forFamily & Community Medicine||Mike Potter|
|Domestic form forMedicine||Cindy Lai|
|Domestic form forNeurology||Vanja Douglas|
|Domestic form forNeurosurgery||Manish Aghi|
|Domestic form forObstetrics & Gynecology||Naomi Stotland|
|Domestic form forOphthalmology||Jacque Duncan|
|Domestic form forOrthopaedic Surgery||Nicole Schroeder|
|Domestic form forOtolaryngology-Head and Neck Surgery||Anna Meyer|
|Domestic form forPathology||Raga Ramachandran|
|Domestic form forPediatrics||Tim Kelly|
|Domestic form forPsychiatry||Descartes Li|
|Domestic form forRadiology||Emily Webb|
|Domestic form forRadiation Oncology||Penny Sneed|
|Domestic form forSurgery||Matthew Lin|
|Domestic form forUrology||Kirsten Greene|
International Courses and Clerkships