Clinical Enrichment Experiences
The Clinical Enrichment Experience form is required for participation in an enrichment experience outside of a scheduled rotation (ex: weeknights, weekends). Students should submit one Clinical Enrichment Experience form per rotation, per experience. For instance, if a student is on an internal medicine rotation, he/she will need to submit one Clinical Enrichment form while on this rotation. If the student wishes to continue an enrichment experience, but is now on an emergency medicine rotation, he/she will need to provide a second Clinical Enrichment form. This is the case for each rotation and each separate experience.
There is no credit given for a clinical enrichment experience, nor will it appear on a student’s schedule or transcript. Submission of this form will allow MSUCOM to provide students with liability insurance while participating in an enrichment experience. Please note that if this form is not completed and returned to the MSUCOM Office of the Registrar before the enrichment experience begins, the student WILL NOT be covered under liability insurance.
To complete a Clinical Enrichment Experience form, please follow these steps:
1. Section 1- To be completed by the student:
- Provide information for the rotation you are currently on, including dates, service, location, and Supervising Physician.
- Provide information for the enrichment experience you are interested in doing, including date(s), service, location, and Supervising Physician.
- Sign and date the form.
2. Section 2- Approval of the scheduled rotation hospital
- Bring the form to the facility in which you are currently rotating. Obtain the signatures of both the DME and Supervising Physician for your rotation.
- Obtaining the DME and Supervising Physician signatures allows the hospital in which you are rotating to know and approve that you are participating in an extra-curricular enrichment.
3. Section 3- Approval of enrichment hospital/clinic
- Bring the form to the facility in which you wish to do the enrichment experience. Obtain signature from the DME (if participating in a hospital) and the Supervising Physician.
- Obtaining the DME and Supervising Physician signatures allows the enrichment facility to know that you are currently on a Clerkship rotation and that your first priority is your regularly scheduled rotation.