Extramural Electives Policy

Policy ID Number: N/A
Policy Title: Extramural Electives
Classification: University
Approval Authority: Undergraduate Curriculum Committee
Responsible Entity: College of Medicine Undergraduate Medical Education
Policy Owner: Selectives and Electives Committee


I. Policy Statement

Medical University of South Carolina College of Medicine employs a process to review all proposed extramural electives prior to approval, to ensure the return of a performance assessment of the student, and to obtain an evaluation of the elective by the student.

II. Scope

This policy applies to all proposed extramural electives that MUSC students may be permitted to complete at other medical schools, institutions, or organizations.

III. Approval Authority

The Selectives and Electives Committee is responsible for periodic review of this policy and the Undergraduate Curriculum Committee is responsible for final approval.

IV. Purpose of This Policy

The purpose of this policy and guidelines are 1) to provide a framework for the oversight of extramural electives for medical students and 2) to provide guidance to MUSC College of Medicine students and administrators who receive requests from enrolled students to complete extramural electives as part of the requirements for their MD degree.

V. Who Should Be Knowledgeable about This Policy

College of Medicine MD Students
Selectives and Electives Committee
Undergraduate Curriculum Committee
Faculty and Administrative Staff in the College of Medicine


VI. The Policy

To be eligible for extramural electives, students must be full-time matriculated students in good academic standing with successful completion of all of their clinical core clerkships and promoted to the enrichment phase (year four) of training. While on extramural rotations, students are responsible for compliance with pertinent MUSC policies (ex. absence policy, professionalism policy, dress code policy etc.).

The Medical University of South Carolina College of Medicine reviews all extramural elective courses before approval and after receipt of student feedback in order to assess any potential risks to students as well as the educational quality of the experience. In particular, review of extramural electives considers:

• Potential risks to the health and safety of patients, students, and the community at large;
(e.g. infectious disease)
• The availability of, and support to, obtain emergency care while on site, particularly in the event of a needle stick, occupational exposure, or if the student should become ill during the elective
• The possibility of natural disasters, political instability, and exposure to disease (ex. hurricane warnings, potential for or reported violence, disease outbreaks, and travel warnings)
• The need for additional preparation prior to, support during, and follow up after the elective
• The level and quality of teaching and supervision
• Any potential challenges to the code of medical ethics adopted by the home school
• Appropriate provision of information to students to support their needs and education experience while on rotation (ex. name and contact information for course director, course coordinator, student affairs, dean of students, etc.)

The College of Medicine acknowledges that LCME and ACGME (Accreditation Council for Graduate Medical Education) accredited programs, by virtue of their accreditation status, will meet the standards listed above.

This policy applies to all elective experiences proposed by students at non-LCME or non-ACGME accredited institutions or programs and international sites. For all electives at non-LCME or non-ACGME approved institutions or sites, students must submit a description of the extramural elective with the learning objectives, patient experiences, curriculum vitae of the supervisor, level of supervision, potential safety issues, and expected responsibilities to the Director of Clinical Curriculum and Visiting Student Program. These are reviewed and approved by the Selectives and Electives Committee or their designee. Proposed rotations at international sites must also adhere to the MUSC COM International Electives Policy. It is the responsibility of the student to adhere to the Visiting Student Policies for the host institution.

MUSC requires that students who complete extramural electives have a formal performance assessment submitted to the Dean’s Office at the completion of their rotation. The Director of Clinical Curriculum and Visiting Student Program monitors, tracks, and reviews the submitted assessments.

MUSC requires that students complete an evaluation of their elective experience following completion of the rotation. Tracking of student evaluations is performed centrally. The Selectives and Electives Committee is responsible for ongoing monitoring of all extramural electives, periodic review of student evaluations by the committee, and provision of prior student feedback to students so they may make informed choices. Student feedback will be redacted or summarized to protect the anonymity of students.


VII. Special situations



VIII. Sanctions for Non-compliance

In cases where the policy is violated, the College of Medicine Dean’s Office staff will discuss with the accepting host institution and, if applicable, the student, to educate them about the policy. The student will receive a professionalism form regarding the non-compliance if applicable, and training will be mandated for the student to ensure that a breach does not recur. A second violation will be reported to the Office of Student Affairs and to the Progress or Professionalism committee, which will determine corrective action.


IX. Related Information

A. References

Reference Material (PDF)

B. Appendices

A. Applications:
• In order to apply to an extramural elective, students must be full-time matriculated students in good academic standing with successful completion of all of their clinical core clerkships and promoted to year four of training.
• Students in good academic standing will be provided with access to VSAS. The majority of extramural electives will be obtained through VSAS.
B. General Procedures while on elective:
• Students will be expected to fulfill all obligations and follow all procedures as specified to them by the host institution.
• Once a rotation has been scheduled any changes must be requested at least 30 days prior to the start of the rotation
• Students must know where to report in the event of a needle stick or blood/body fluid exposure or other emergent/urgent situations.
• Students must carry an ID badge identifying them as a medical student with them at all times, as well as their health insurance card.
• At any point that the student becomes aware of a threat to their learning environment or safety, they must contact administrative staff at MUSC for further assistance Office of Students Affairs at (011) 1-843-792-1184.
C. Grading of Extramural Coursework:
• Evaluation of student performance during the extramural elective is required. All evaluations are to be sent to the Director of Clinical Curriculum and Visiting Student Program.
• Students who do not receive a grade of pass/satisfactory during an extramural elective will fail the course.
• Some programs prefer to utilize internal institutional evaluation forms. These forms will be accepted but a grade adjustment may have to be made to comply with MUSC’s grading system.


X. Communication Plan

The policy will be reviewed at Year 4/Enrichment Phase Orientation and published on the COM policy website.


XI. Definitions


XII. Review Cycle

The Selectives and Electives Committee will review the policy every 2 years.


XIII. Approval History

Approval Authority Date Approved
Selectives and Electives Committee 05/28/19
UCC 09/20/19


I. Approval Signature

Donna Kern, MD Date
Title: Senior Associate Dean for Medical Education