CLINICAL HANDBOOK

[Document subtitle]

Texila American University

College of Medicine Dr. Dheeraj Bansal
[Email address]

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 Table of Contents

1. Introduction .............................................................................................................................................. 3
2. General Information on Clinical Sites ...................................................................................................... 4

3. Clinical Rotation policy............................................................................................................................. 5

4. Clinical End Rotation Policy.................................................................................................................... 13

5. Clinical Exit Exam Policy ........................................................................................................................ 16

6. Relevant Information ............................................................................................................................. 22

7. Appendix………………………………………………………………………………………………………………………………………..…23

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INTRODUCTION
The clinical handbook provides the necessary information regarding the activities and policies applicable
during the clinical clerkships.

The clinical clerkships begins after the student has successfully completed all the courses from MD1 till
MD4, passed the Preclinical Exit Exam ( theoretical as well as OSPE) and have successfully completed the
Transition Semester.

The prerequisite for Clinical Rotation are as follows:

1. Passed Pre-Clinical Exit Exam

2. Completed and passed the Transition Semester
3. Completed all financial obligations to the University

Clinical students rotate in different affiliated sites that have been evaluated by TAU COM clinical faculty
to ensure that it can support the clerkship programs. Formal contracts and MOU (affiliation agreement)
have been signed with all the affiliated hospitals including clinical faculty and clinical administrators at
each site. The hospitals for rotations are likewise departmentalized with residency training enabling
support for core and elective rotations. The students from TAU COM can do their Clinical Rotations at
one of the following Clinical Sites:

A. Guyana
B. Philippines
C. USA

Guyana:

1. Georgetown Public Hospital Corporation (GPHC)

2. New Amsterdam Hospital (NAH) and New Amsterdam Psychiatric Hospital

Philippines:

1. Jose R. Reyes Medical Memorial Center (JRMMC), Manila

2. Region-1 Medical Center (R1MC), Dagupan

USA:

1. John Stroger Cook County Hospital, Chicago (JSCCH), Illinois

2. Tucson Medical Center (TMC), Tucson, Arizona ( beginning Summer 2019)

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General Information on Clinical Sites

NAME SIZE CORE ROTATIONS ELECTIVES

1. GPHC 500+ ALL MAJOR

2. NAH 180 ALL EXCEPT FM ER, ENT

3. R1MC 500+ ALL ALL

4. JRMMC 500+ ALL ALL

5. JSCCH 450 IM, Surg, Peds, OBGYN ALL

6. TMC* 600+ ALL ALL

* commencing summer 2019

The students of TAU COM are eligible to rotate at any of the clinical sites mentioned above
subject to immigration requirements of that country.

The students beginning rotations should be aware of the following TAU COM policies related to
the clinical rotations:

A. Clinical Rotation Policy

B. End Rotation Exam Policy

C. Clinical Exit Exam Policy

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 A. CLINICAL ROTATION POLICY
Definition:

Clerk, Medical Clerk – Students undergoing clinical rotations

Reason for Policy

To ensure the consistency of quality and uniform delivery of the clerkship program across all clinical sites,
the Clinical Rotations Policy (CRP) establishes the bases of the major activities occurring throughout the
clinical years of the medical clerks. It is aligned with the educational goals and program competencies of
Texila American University College of Medicine.

Purpose:
The purpose of the policy is summarized as follows:
1. Establishment of guidelines to fulfill the specific learning objectives of each rotations
2. Provide a framework for the schedule of activities for the medical clerk
3. Completion and submission of Clinical Logbooks
4. Rotation Assignment

This policy does not cover any financial related aspects of the rotation such as clearances nor any
pertaining to attendance, remedial rotation, the end rotation assessments or the clinical exit exams.

Scope:

The scope of this policy pertains to the Clerks, Clinical Head of Departments and Clinical Faculty, Clinical
Office, Clinical Administrator, Assc Dean Clinical, Dean College of Medicine, Department of Medical
Education, SPGC, Registration Department and Department of Student Affairs

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Policy Statement:

Rotation Assignment

The pre-requisite before placement into clinical rotation is passing the Pre-Clinical Exit Examinations
(PCEE) with a grade of at least 60% in the theoretical component and 60% in the Objective Structured
Practical Examinations (OSPE) and at least 80% attendance of the Clinical Transition Training (CTT).

There will be NO transfer student accepted directly into clinical rotations.

Core Rotations

All Core rotation should be ideally taken at the clinical site where the Clinical Exit Exam shall be held.

The clerks are to be assigned in the clinical sites on the basis of their unique student number, those with
the lower series placed first in that particular CTT batch cleared for rotation. Late joiners shall be placed
last, regardless of student number on a first-come, first serve basis.

There are slots available per Core Rotation for remedial clerks, but may be accommodated along with
regular rotators.

Elective Rotations

Elective rotations provide students an exposure to medical specialties and sub-specialties and provide
opportunity to further their education and experience in these areas. They also play an important role in
the residency selection process for medical students. Elective rotations may be taken after completion of
core clerkships during the third and fourth academic year.

Electives may focus on patient care at the level of a third- or fourth-year medical student, or on research
related to topics of clinical relevance (e.g. epidemiology, clinical trial, translational science).

There shall be two tiers of electives:

1. Required Electives: These are comprised of rotations that are considered compulsory based on the
discretion of TAU COM. They have been identified as necessary extensions to further reinforce
principles, gain additional competencies and exposure to cases; as they form the majority of clinical
practice for the basic physician. They may likewise be specialties that currently seen as necessary for
the completion of training as a general practitioner. This is in-line with TAU-COM’s educational goals
of producing well rounded, competent physicians who may practice in most settings around the globe.

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2. Free Electives: These are specialties or subspecialties that are not required or formally offered in the
available roster of electives. Clerks need prior approval from the Associate Dean for Clinical Affairs in
choosing their Free Electives and should be adequately counselled by their assigned clinical mentors,
clinical HoDs or clinical faculty. The Free Electives should ideally align with future plans for residency
training, post-graduate studies or clinical fellowship studies.

Approval of Electives

1. Electives are chosen at the discretion of the student, under the guidance of the Clinical Office
(Associate Dean of Clinical Affairs), based on the student’s academic and career goals and objectives.
Pre-requisites for the desired elective must be completed prior to enrollment for the elective

2. A clerk may choose to do any electives in any clinical site as long as s/he meets the academic
requisites required in that particular elective at that particular site.

3. Upon completion of the request for elective rotation (appendix 1), approval must be taken form
Associate Dean for Clinical Affairs before commencement of rotations through the Clinical
Administrator.

4. There will be no rotations in other hospitals without formally established working and academic
relationship through contracts, MOU or bilateral student exchange programs

5. Prior approval from the Associate Dean for Clinical Affairs through a letter, certificate of registration
and good standing from the sending institution shall be requisites for the external elective clerks.
Approval also is based on the availability of slots at the given time of application.

6. Students may engage in shadowing experiences but these experiences do not replace elective
rotations to fulfill the graduation requirements.

7. Special approval by the Associate Dean for Clinical Affairs is needed before the same elective rotation
can be taken the second time.

8. All electives are intended to last a minimum of four (4) weeks.

Rotation Deferrals

A clerk may defer rotation on approved application for leave. Prior advice must be given before returning
to duty, from the clerk to the Student Affairs and the Clinical Office for placement in a rotation. No
deferral shall be granted without successful completion and submission of requirements in the current
rotation. Emergency leave without completion of rotation and fulfillment of requirements shall be subject
to the 90% attendance rule.

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Clerks shall not be allowed to continue further rotations under the following scenarios:

 Failure of submission of Clinical Case Studies

 Failure of ERE OSCEs – clerk shall be scheduled for remedial rotation in remedial
slots
 Two consecutive failure of ERE Theoretical – after end of current rotation, clerk
returns for remedial rotation in remedial slot

Schedule of Daily Activities

The regular hours of clerks shall be 8 hours between 7 am to 6 pm daily, Monday to Friday excluding on
call and duty status.

The clerk should attend all scheduled didactic lectures, journal club, grand rounds and clinic-pathologic
conference or any activities needing the active participation of the student.

The daily schedule shall include the following but not limited to:

 Morning teaching rounds, ward work, laboratory and diagnostic correlations.

 Afternoon teaching rounds and laboratory and diagnostic correlations; and ward
work.

 Ambulatory care - Clinics/OPD, including Specialty Clinics, Out Patient Surgeries,

endoscopy lab and special diagnostics.

 Didactic lectures – with small group discussions

 Surgical Suite* - applicable only in surgical specialties

 Admission/Handover Conference

 Discharge conference

 Grand Rounds*

 Clinico-pathologic Conference*

 Journal Club*

 Morbidity & Mortality Conference*

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 *Does not occur on a daily basis. Scheduling dependent on individual hospital and/or
departmental policy.

Daily activities are governed by the nature of the rotation; however, each rotation must present a daily
schedule to be followed that is updated periodically and incorporated into the rotation logbook.

The dynamic nature of clinical practice is inherently understood and often dictated by patient needs.

Patient Exposure

The clerks shall be assigned at least two to three new patients weekly in Core Rotations in the inpatient
and ambulatory and emergency setting. In elective rotations, one new patient daily shall be seen in the
in-patient, ambulatory or emergency care setting with and similarly limited to a total of seven patients
(wherever applicable).

The patient(s) are not limited to new admission or consults, and shall include patients wherein a complete
history and physical examination must be done, such as in the cases of transfer of service and
interdepartmental referrals. The clerks must, at the minimum, complete a comprehensive history,
physical examination, progress notes, chart review (including diagnostic correlation and review of meds),
and discharge summary.

Class Contact Hours

To ensure maximum patient exposure, class contact hours shall be limited to no more than eight hours
per week. These hours include but not limited to: didactic lectures, morbidity mortality conference, tumor
board, article critique (journal club), clinic-pathologic conference and grand rounds.

Teaching and Evaluation of Clerks

 Orientation

Clerks shall be oriented on the clinical rotation logbook, educational objectives, competencies,
academic requirement, clinical case requirements, daily schedule, attendance policy and
evaluation process.

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 Training

Periodic training, workshops and seminars on medical education shall be conducted by the
Medical Education Department (MED) through the Faculty Development Program. This shall
include career counselling, seminars or workshops on various clinical & research topics.

 Evaluation

Clerks are evaluated during the clerkships by observing their bedside manners, bedside
presentations, clinical procedures, demonstrations and OSCE, utilizing standardized rubrics and
metrics.

Advisable Minimum Number of Cases

A minimum number of at least twenty different non-procedural and procedural cases (planned
management & diagnostic), shall be determined by the Clinical Head of Department in each rotation and
approved by the Dean College of Medicine. This shall be mapped with the rotation course outline, learning
objectives, common morbidity and mortality for the region; and available cases.

The cases shall be classified as:

Procedural

 Observed (O) – Seen during bedside teaching or rounds. Numbers may include those
under (A) and (P). (see below)
 Assisted (A)
 Performed (P) - basic clinical skills all physicians should be competent and confident
in such as incision and drainage usually seen in the minor OR or ambulatory setting.

Non-Procedural

 Observed (O) – Seen during bedside teaching or rounds. Numbers may include those
under AP and M. (see below)
 Active Participation (AP) – clerk’s assigned patient with history, PE, progress notes
and discharge summary done by clerk. Ambulatory (OPD) patients are not included.

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  Co-Managed/Managed - (M) - usually Ambulatory (OPD) patients with simple cases
or follow-up patients

Clerks who do not fulfill the minimum case requirements in a given rotation shall need to submit clinical
case study (ies) pertaining to the deficient case/procedure.

Number of cases will vary slightly from rotation to rotation depending on the frequency of complex
cases in that rotation.

Clinical Logbooks

The clinical logbooks constitute the complete record with in built assessment and evaluation tools for that
clinical rotation. These logbooks are issued to each clinical clerk at the beginning of rotation and shall be
made available at the Clinical Office for the clerk’s convenience. This is an official document that remains
the property of the TU COM at all times and circumstance. This must be surrendered to the proper office
at the end of rotations.

Each logbook bears a unique serial number, security stamps with signature of the Dean, College of
Medicine along with other security feature to deter spurious copying and to ensure authenticity.

The logbook shall contain the educational goals of the Mission & Vision of the TAU COM, Course outline
for the rotation, Clerks Assessment, Daily Schedule, Mid and End-term Evaluation, Advisable Minimum
Case, Rotations Logsheet and Attendance.

The clerk is the custodian of their clinical logbook(s) and hence has the sole responsibility for its upkeep
and completion. It shall be kept in good condition and protected as it forms part of the clerk’s scholastic
records.

Erasures and white correcting inks are to be avoided. A single line with initials will suffice if and when
corrections are necessary.

 Completion & Submission of Logbooks

Upon conclusion of a rotation, five days will be allotted after the End-Rotation Exams (ERE) for logbook
completion. All relevant spaces and areas must be signed and duly filled. It is imperative that the
following areas be counter-checked for signatures:
1. Clinical Rotation Documentation Checklist

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 2. Course Evaluation
3. Advisable Minimum Required Cases
4. Rotations Log-sheets
5. Clinical Competence Grade Sheet – the Narrative Evaluation portion MUST be filled out
6. Mid-Rotation Evaluation Cores – must bear clerk’s signature found at the bottom of the
sheet.
7. End-Rotation Evaluation (in ALL rotations) – must bear clerk’s signature found at the bottom
of the sheet.
8. Attendance Sheet(s)

Logbooks shall not be accepted in the following instances:

1. Incomplete assessments or without signatures as mentioned previously

2. Tampered or spurious logbooks
3. Falsified records, signatures

Lost logbook shall constitute a repeat rotation

The duly filled and completed logbook shall be submitted to the Clinical Office. An acknowledgement
receipt shall be signed by the clerk and the receiving person in authority. A copy of shall be given to the
clerk and an office copy retained by the receiving person. This is proof of submission and transfer of
custodianship to the university. Henceforth, the university is fully liable for the logbook

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B. END ROTATION POLICY

Definition:
The End Rotation Examinations (ERE) are a set of continuous assessment for the clinical clerk
taken after the end of rotations.

Reason for Policy

The policy aims to establish clear, well-documented and standardized guidelines for the End
Rotation Examinations. The ERE not only evaluates if the learning objectives, competencies and
skill sets have been met, but also prepares the candidates for the Clinical Exit Exams

Purpose:
To provide an effective and appropriate End Rotation Examination evaluation formatted for
students in a consistent manner to be instituted according to the Texila American University
College of Medicine’s policy

Scope:
This policy applies to all clinical students, clinical faculty and clinical administrative staff, as it
relates to the End Rotation Examination.

Policy Statement:
All clinical students at clinical sites shall undertake the ERE.

The End Rotation Exams shall be held one week before the end of core rotations.

ELIGIBILITY:

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The submission of the required Clinical Case Studies is mandatory before the ERE. Without the
submission of Clinical Case Study, ERE and progression to next rotations will not be allowed.

VENUE:

The ERE Theory shall be conducted at the TAU COM campus or allocated center, on scheduled
dates. The MCQ is computer based, the SAQs maybe either computer or paper based.

The ERE OSCE shall be held in the clinical site

POINTS ALLOCATION:

The ERE Theory consists of fifty MCQs worth 1 point each for a total of 50 points and three
short answer questions worth 5 points each for a total of 15 points. The Theory total score is
65 points which transmuted to 30 total points.

The ERE OSCE is worth 50 points and may be divided into a number of stations according to the
examiners’ discretion, but shall follow the principle of utilizing set rubrics as used in the CEE
Exam.

COMPUTATION AND PASS CRITERIA OF ERE:

The candidate must pass both the theoretical (SAQ & MCQ) with a minimum mark of no less than
60% and the OSCE component with a minimum mark of 60%

Overall ERE grade comprises of 60% from the OSCE and 40% from the Theory

FINAL ROTATION GRADE:

The overall rotation grade is the sum of the following components and converted to percentage:

Rotation Evaluation: 20 points

ERE OSCE: 50 points
ERE Theoretical: 30 points

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The Rotation Evaluation is worth 20 points, distributed according to the prime competencies
listed in the Clinical Rotation Logbook. The candidate MUST complete this evaluation BEFORE
the ERE and vetted/signed out by the Clinical HoD

ERE FAILURE

Theoretical component: a supplementary exam in the NEXT scheduled ERE with a maximum
allowable score of 79% shall be taken. Student may be allowed into the next rotation.

Two (2) theoretical failures shall necessitate remedial as per guidelines. Student may complete
current rotation but must clear the last rotation and proceed with remedials.

OSCE component: automatically constitutes remedial rotations as per guidelines and shall be
barred from rotating further.

Remedial rotation for failed ERE is as follows:

First-time Failure OSCE:

 Six weeks of remedial rotation in a 12 week core

 Three weeks of remedial rotation in a 6 week core

Second-time Failure:

 Theory - Six weeks of remedial rotation in the respective core

 OSCE - Eight weeks of remedial rotation in a 12 week core
- Repeat rotation in a 6 week core

Third-time Failure OSCE and Theory:

 If less than two subject failure – repeat rotation(s) in twelve weeks

per core
 If three or more failures – repeat of the entire core, sixty weeks
 Failures thereafter – subject for retake approval or dismissal

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C. CLINICAL EXIT EXAM POLICY
Definition:
Clinical Exit Exam: A test which a student is required to pass in order to eligible for graduation
after the Clinical Rotations. The exit examination requires the demonstration of knowledge and
skills gained during the clinical rotation.

Reason for Policy

To provide a well-documented and standardized guideline for the Clinical Exit Examination, for
all clinical students, their preceptors and other administrative staff.

Purpose:
To provide an effective and appropriate Theoretical and Practical evaluation formatted for the
students in a consistent manner to be instituted according to the TAU COM policy

Scope:
This TAU COM Policy applies to all clinical administrative staff, clinical students and clinical
faculty.

Policy Statement:
THE EXAMINERS:

1. External Observer

During Clinical Exit Exam the University is required to have an external observer

Identification of External Observer

External Observers are:

 Any professional with a medical degree who is not connected or employed in TAU
COM in a full time or part position in the academe with recognized university and
in the industry practicing and carrying out his/her specialization.
 Must possess post-training their specific field of specialization.

Qualifications of External Observer:

 Not employed by TAU COM in full time or part time status.
 At least master’s degree holder in the field of his/her specialization

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  Working as professor in a recognized university or industry which he/she
practice his/her profession and expertise.
 Must have conducted clinical examination for the MD level students

Roles and Responsibility of the External Observer:

The main role of the external examiner is to oversee the conduction of the examination to ensure
good practice, protocol and processes are adhered to for a fair, impartial and valid examination.
The observer may, at any given time, invalidate the examination should there be gross deviance
from norms and protocols. The main areas (but not limited to) of monitoring are the following:
 Eligibility of candidate
 Relevance and validity of rubrics
 Blue print of questions
 Security of examination
 Publication of grades

The external examiner may recommend disqualification or deferral of any candidate based on
existing processes, policy or protocols set forth by Texila American University, College of
Medicine (TAU COM)

Principal Examiners
They are the Head of Department, of TAU COM’s affiliated hospitals who will be
responsible for the over-all supervision during the clinical exit exam

Internal Examiners
They are TAU COM Clinical Faculty working under different clinical departments of TAU
COM affiliated hospitals.

EXAMINATION ELIGIBILITY CRITERIA

The following academic criteria MUST be fulfilled before the undertaking the CEE:

1. Successful completion of the formative and summative assessments (END ROTATION

EXAMS) of all core rotations and with a minimum of two electives pending.

2. That there are no pending remedial rotations from previous CEE or ERE

3. That the logbooks are all duly completed, signed and vetted by the respective Clinical
Department Head of Departments and passed to the Dean’s Office

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 4. That the Candidate has submitted all required Clinical Case Studies and/or Research

**Failure to fulfill ALL criterion shall disqualify the candidate from taking the CEE**

EXAMINATION FRAMEWORK

2 Pass:
1
GRADUATION
AFTER PASSING THE
During Clinical Years (at MD 8 level): CCSSA:

Students are required to take and Take the TAU Clinical Fail:
pass the Comprehensive Clinical Exit Exam (OSCE)
Science Self-Assessment (CCSSA) Re-take of Clinical
Exam

Note:

All students taking the CCSSA exam should have passed the CCBSA.

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 Effective from March’2021 onwards

1 2 3 4

AFTER PASSING After passing the Pass: USMLE STEP 2-CS :

THE CCSSA: NBME Clinical Students can take it
During Clinical Years (at comprehensive GRADUATION
after graduation.
MD 8 level): Take the NBME Shelf EXAM:
Clinical
Students are required Comprehensive Clinical Exit Exam
to take and pass the
Shelf Exam (OSCE)
Comprehensive
Fail:
Clinical Science Self-
Assessment (CCSSA) Re-take of
Clinical Exam
Note: No student
shall be allowed to
≥ 2 WEEKS take the clinical Exit
exam without
passing the CCSSA
and NBME
Comprehensive
Shelf

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CLINICAL EXIT EXAMINATION COMPONENTS
A. COMPREHENSIVE CLINICAL SCIENCE SELF-ASSESSMENT (CCSSA)
 CCSSA uses multiple-choice items based on information typically covered during the clinical
clerkship.
 Student should get a score of 480 in CCSSA set forth by the National Board of Medical
Examiners (NBME).
 The CCSSA exam should be taken by the student only after they have completed all the
core clinical rotations, making sure it will be before the set Clinical Exit Exam Schedule
(OSCE)

B. NBME COMPREHENSIVE CLINICAL SHELF EXAM: 40% weightage of total exit exam grade
 NBME Shelf exam is the exam prepared and sent by the NBME at the centers approved by
it to conduct NBME Exams
 The student will have to PASS the Comprehensive Shelf Exam to be eligible for the OSCE
 The result of NBME Shelf Exam will be valid for a period of one year. If a student fails to
clear OSCE for one year, he/she will have to retake the NBME Shelf to be eligible of OSCE
exam.

C. CLINICAL EXAMINATION (OSCE): 60% weightage of total Exit exam

Objective Structured Clinical Examination [OSCE] is designed to test:
 Communication skills
 History taking skills
 Physical Examination
 Diagnostics [Interpretation of Radiographs, EKG’s, Lab Investigation]
 Differential Diagnosis
 Management

Components of OSCE:
 Medicine and allied subjects (including Psychiatry): 5 stations, 10 minutes in each of
4 stations with internal examiner and 20 minutes in 1 station with external examiner
for 20 marks. The total time should be approximately 1 hour per student.

 Surgery and allied subjects (including Orthopedics): 5 stations, 10 marks, 10 minutes

in each of 4 stations with internal examiner and 20 minutes in 1 station with external
examiner for 20 marks. The total time should be approximately 1 hour per student.

 Obstetrics and Gynecology: 5 stations, 10 minutes in each of 4 stations with internal

examiner and 20 minutes in 1 station with external examiner for 20 marks. The total
time should be approximately 1 hour per student.

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  Pediatrics: 5 stations, 10 minutes in each of 4 stations with internal examiner and 20
minutes in 1 station with external examiner for 20 marks. The total time should be
approximately 1 hour per student.

Passing Criteria for each component:

CCSSA- The passing grade for 480

NBME Comprehensive Shelf Exam: Based on NBME directives, student will have to pass the exam.

OSCE: The student must score 60% or above in each component to pass OSCE

Once the students have passed all the exams, the final grade for Clinical Exit exam will be calculated by
taking 60% of OSCE grade and 40% of NBME Comprehensive Shelf grade.

1. First Time Failure:

The student has to attend 6 weeks of remedial clinical rotations in the respective
subject/component (s).

2. Second Time Failure:

The student has to attend 12 weeks of remedial clinical rotations in the respective
subject/component (s)

3. Third Time Failure:

a) If he/ she fail in one or two components, he/she needs to repeat 12 weeks per subject.

b) If he / she fail in three or more component, he/she has to repeat the entire clinical rotation of 60
weeks and take the final attempt.

4. Fourth Time Failure:

Academic Dismissal

All failed candidates will be reviewed by the respective HODs and they will advise the student on the
particular area of deficiency in the clinical competency. He / She will be advised to focus on those specified
areas before retaking the clinical exit exam.

A recommendation letter should be signed by the HOD and the Dean, which contains the result of exam,
recommendations such as: eligible for another clinical exit exam or recommended for remedial clinical
rotation which will include the weeks to be completed during the remedial clinical rotation.

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Remedial clerkships will expose the student to all aspects of the subject relevant to the final examination.
Students who do not satisfactorily complete the prescribed remedial work will not be allowed to sit in the
repeat examination.

RELEVANT INFORMATION:
Relevant information could be found in: Student Handbook, Clinical Curriculum, Immunization Policy,
Communicable Disease Policy, Sexual Harassment Policy, Bullying and Cyber Bullying policy.

**All the policies are also available at the Clinical Office**

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 Appendix 1

Request for Elective Rotation

Texila American University College of Medicine

Rotation requests must be submitted one month in advance from your elective start date.

Clerks are required to attend all mandatory program activities during electives and shall be required
to pass the End-Rotation Exams and completion of their respective logbooks.

In the case of away-rotations, the Dean’s office will complete the Confirmation of Registration /
Letter of Good Standing. It is the Clerk’s responsibility to ensure that all immunizations are current
up to date.

CLERK’S NAME LEVEL DATE OF SUBMISSION

Please check the appropriate box

Clinical Electives of Choice
☐ Emergency Medicine ☐ Infectious Disease
☐ Ophthalmology ☐ Otorhinolaryngology
☐ Dermatology ☐ Physical Medicine & Rehabilitation
☐ Cardiology ☐ Pulmonology
☐ Nephrology ☐ Neurology
☐ Radiology ☐ Infectious Disease
☐ Nuclear Medicine ☐ Family Medicine
☐ Anesthesia

Other Electives ________________________________________________________

For out-of-country: prior to the elective, the clerk must seek approval from the Associate Dean for
Clinical Affairs who will provide a letter of support to the program coordinator of the receiving
hospital. The elective should be in an institution wherein TAU-COM has established bilateral working
and academic relationship through MOUs and contract. The electives must be unique in that it is not
available in any of TAU-COM’s clinical sites.

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 CLINICAL ELECTIVE ROTATION CURRENTLY APPLIED FOR:

DATE OF ROTATION from: to: _

CLINICAL PRECEPTOR: First name Last Name_ ________________

PRECEPTOR’S EMAIL: _______________________

HOSPITAL/UNIVERSITY ADDRESS:

Telephone No: Fax No:

Approved by:

Academic Advisor

Print Name: Signature: Date:

Associate Dean for Clinical Affairs: Date:

Please return completed form to the Clinical Administrator

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