PURPOSE
To inform students of clinical training requirements, site assignments, and related travel.

AUDIENCE
All medical students

LCME STANDARD

  • 6.2 Required Clinical Experiences
  • 8.6 Monitoring of Completion of Required Clinical Experiences
  • 9.7 Formative Assessment and Feedback

POLICY

  1. The School of Medicine curriculum incorporates clinical experiences across all four years of the curriculum at training sites throughout the Central and Northern California region.
  2. All students receive a transportation budget in their financial aid package in part to cover the cost of transportation to and from clinical site experiences. Students are responsible for making appropriate travel arrangements (e.g. driving their own car, ride share, public transportation, etc.) to and from these sites. No site assignment or transportation budget adjustments will be made due to transportation-related concerns.
  3. Students may not switch clinical training sites with one another.
  4. Travel expectations for required Pre-Clerkship Clinical Training Experiences
    1. Year 1: up to 20 half days, up to 60 miles from the School (UC Davis, Sacramento campus)
    2. Year 2: up to 20 half days, up to 60 miles from the School
    3. This is subject to change based on curriculum modifications and site needs
    4. Students in Pathway programs will be required to go to sites at a greater distance for experiences in their program-focused communities
  5. Travel expectations for Clerkship Clinical Training Experiences
    1. The clerkship curriculum is primarily within the clinical setting. Students will be assigned to both inpatient and outpatient sites throughout the Central and Northern California region for their clerkships
    2. 7 rotations, 6 weeks per rotation, up to 60 miles from the School
    3. This is subject to change based on curriculum modifications and site needs
    4. Students in Pathway programs may be required to go to sites at a greater distance for experiences in their program-focused communities
  6. Travel expectations for Post-Clerkship Clinical Training Experiences
    1. All required post-clerkship curriculum can be completed at UCD
    2. Students may choose to go on Away Rotations or electives at other institutions at their own expense

DEFINITIONS

  • Away-rotation: an acting internship or advanced clinical clerkship taking place at a different institution other than UC Davis

PROCEDURE

Pre-Clerkship Site Assignment Process

  1. Students will be assigned one or more clinical experience locations at the start of the academic year.
  2. Students may not switch clinical training sites with one another.
  3. No sites will be reassigned unless the Site Appeal Process (below) is completed.

Clerkship Site Assignment Process

  1. When possible, clerkship staff will collect site preference forms in advance of a clerkship rotation. Any special site preference requests must be submitted on the form or to clerkship staff at the time the form is submitted.
  2. For students’ site preferences to be considered, the site preference form must be turned in by the given deadline.
  3. Each individual clerkship has its own process for assigning sites. Student site preferences are one of many considerations.
  4. Other considerations to site assignments include, but are not limited to, balanced block schedules, site preceptor requests and input from the Instructors of Record, and background check results. If a student knows of an item (e.g. misdemeanor) on their background check, the student should notify the clerkship manager as a precautionary placement measure.
  5. Clerkship staff will assign students to sites using all applicable site and student information and provide the assignments to the students as soon as possible prior to the beginning of the rotation.
  6. Students in Pathway programs will have a separate site assignment process.

Clerkship Distant Site Assignments

  1. In addition to sites within the greater Sacramento area (within 60 miles from the School), students may be assigned to a distant site (more than 60 miles from the School). These sites will first be assigned to students who have:
    1. Indicated interest on their preference forms
    2. Volunteered to go to the site upon a request for volunteers from the clerkship coordinator
  2. If no students volunteer to go to a distant site, students will be assigned based on a lottery. Notification of the need for a lottery will occur at least 4 weeks before the start of the clerkship phase and the lottery and site assignment process will occur at least 2 weeks before the start of the clerkship phase.
  3. Students who have a dependent that requires them to remain in Sacramento may request an exemption from distant site lotteries prior to the start of the Clerkship curriculum phase.
    1. Students must inform the Clerkship Curriculum Manager of their request for exemption at least one week prior to the Clerkship Lottery. All exemptions must be approved by the Dean of Students.
  4. All distant site assignments are permanent once the site has been notified. Failure to adhere to training site assignment will result in a course/clerkship deferral.

Site Assignment Appeal Process

  1. Any student who believes they may be unable to complete their required clinical experience at their assigned site due to hardship, within 1 week of site assignments being posted, must:
    1. Notify the a) course coordinator, b) appropriate curriculum manager [pre-clerkship or clerkship], and c) Course/Clerkship Director
    2. Petition the Dean of Students
  2. If reassignment is granted an alternative assignment will be arranged. This replacement assignment may occur later than the original assignment and may mean delay in graduation.
  3. When site reassignment is not possible, the student must complete the required clinical experience with the originally assigned preceptor or defer the clerkship.

RESPONSIBILITY
Office of Medical Education Curriculum Managers

REFERENCES
UC Davis School of Medicine Bylaws and Regulations, Regulation 60: Requirements for the Degree Doctor of Medicine

RELATED POLICY/POLICIES
Background Check Policy
Pre-Clerkship Attendance, Participation and Absence Policy
Clerkship Attendance, Participation and Absence Policy

POLICY OWNER
Office of Medical Education – Associate Dean for Students

REVIEWED BY
Associate Dean of Students*
Curriculum Managers
Pathway Program Director
Curriculum Steering Subcommittee

REVIEWED DATE and REVIEW CYCLE
May 2022; annual review cycle