On January 25, the Coalition for Physician Accountability (CPA) released updated recommendations on medical student away rotations in the 2021-22 academic year. The CPA is comprised of several national organizations including the AAMC, ACGME, AMA, LCME, NBME, and FSMB.
The CWRU Committee on Medical Education met on January 28 and affirmed that the School would abide by the CPA's recommendations listed below.
For the 2021-22 academic year, away rotations will resume no earlier than August 1, 2021, with the following guidance:
- After April 15, learners may begin applying for and scheduling in-person away rotations with a start date of August 1, 2021, or later.
- Away rotations in any specialty are limited to one per student, except in cases where additional rotations are needed to complete graduation or accreditation requirements. The CPA is encouraging Residency programs to take into consideration if an applicant exceeded the one away rotation limit during the residency selection process.
- Programs may continue to offer virtual electives to provide opportunities for students to explore the specialty and program.
The CPA working group will continue to monitor the available information and will provide an update to the community no later than April 15, 2021, either confirming that August 1 remains an acceptable start date, or creating a new start date.
Unlisted electives are generally clinical electives not listed in the on-line course catalog and can take place anywhere away in the domestic U.S and includes unlisted electives at CWRU affiliated hospitals. While an unlisted elective can also be considered an away rotation, senior students should not use the Unlisted Elective Form to register for rotations outside of the domestic U.S. See scheduling information for more details about how to register for international rotations.
Effective with the Class of 2021, students will only receive AI credit for away rotations if the course is explicitly designated as an Acting Internship or Sub-internship in the course title by the host institution.
Instructions for scheduling Unlisted Electives
- Students can also pre-arrange a clinical elective at an affiliated hospital or away location that is not listed in the Course Catalog. Electives not listed in the Course Catalog cannot be submitted through the Electives Request Site. Instead, after an unlisted elective (UNEL) has been confirmed by the host institution, students must submit a completed Unlisted Elective Form with supporting documents to your Society Dean for review and signature. The completed form should be submitted at least 30 days prior to the proposed start date. Cleveland Clinic Lerner College of Medicine (CCLCM) students will use the internal College portal to submit the “Unlisted Elective Form”.
- When submitting the Unlisted Elective Request Form be sure to sign it and attach the required supporting documents before submitting to your Society Dean at firstname.lastname@example.org. Your Society Dean will review and sign the form then forward everything in one packet to the School Of Medicine Registrar for enrollment in the Student Information System. Please do not email documents separately. Submit one complete request with the full course description (directly from the host institution) and written confirmation from the host sponsor for the scheduled period. CCLCM students will use the internal College portal to submit the “Unlisted Electives Form”. Some host facilities may inform students that an affiliation agreement is required. In such instance, please contact the School of Medicine Registrar’s Office for assistance and allow at least 3 months for legal review and approval.
- Students must use the Clinical Assessment System (CAS) throughout all clinical rotations. See Using the Clinical Assessment System for full instructions. The rotation will be available to add into CAS 24-hours after you are enrolled through the School Of Medicine Registrar. Students must manually add the Unlisted Elective rotation in CAS, it will not automatically appear. In cases where a host institution requires the use of their own End Of Rotation Assessment Form, the completed form must be forwarded to the School Of Medicine Registrar to add the final grade.
Please note: Students must notify Kim Hatch when any Unlisted Elective has been confirmed at MetroHealth Medical Center. Students must notify Andrea Beyer when any Unlisted Elective has been confirmed at the Cleveland Clinic. This must be done at least 2 weeks prior to the start of the rotation regardless if you have rotated at either location previously.