Extramural Course or Clerkship Application Forms

Away Rotations (VSAS Program) 2021 - 2022 Update

UCSF will allow Away Rotations for the 2021 - 2022 Cycle and will be following guidelines set by The Coalition for Physician Accountability’s Work Group on Medical Students Moving Across Institutions for Post Graduate Training.

Please note the following program dates, which are subject to change or cancellation:

  • Beginning on April 15th, UCSF medical students may apply for and schedule in-person away rotations with a date that concludes in July or later. This means students may start an away rotation as early as June, providing the rotations ends in July or later.
  • Currently you will only be allowed to do one Away Rotation.
  • International away rotations have not been approved at this time. 
  • You will need to adhere to current UCSF Travel Guidelines

The dates above and the reopening of Away Rotations are all subject to change or be cancelled depending on the pandemic and final recommendations by the Coalition. Please contact the Visiting Student Program manager Valerie Jones (Valerie.Jones2@ucsf.edu) for any questions or your Career Launch Advisor Wenia Lee (Wenia.Lee@ucsf.edu) for scheduling support.




  1. 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.
  2. Select the link below for the corresponding department's extramural course form (Domestic OR International).
  3. 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. 
  4. 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 Sara Buckelew
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

Department International Extramural Course Approval Form Instructor of Record
International form forAnesthesia and Perioperative Care Mark Rollins
International form forDermatology Tim Berger
International form forEmergency Medicine Eric Silman
International form forEpidemiology George Rutherford
International form forFamily & Community Medicine Norman Hearst
International form forMedicine Cindy Lai
International form forNeurology Vanja Douglas
International form forNeurosurgery Manish Aghi
International form forObstetrics & Gynecology Naomi Stotland
International form forOphthalmology Jacque Duncan
International form forOrthopaedic Surgery Nicole Schroeder
International form forOtolaryngology-Head and Neck Surgery Anna Meyer
International form forPathology Raga Ramachandran
International form forPediatrics Tim Kelly
International form forPsychiatry Descartes Li
International form forRadiology Emily Webb
International form forRadiation Oncology Penny Sneed
International form forSurgery Matthew Lin
International form forUrology Kirsten Greene