Visiting Medical Student Clerkship Program

Home	Welcome! Academic Year 2008 / 2009 For telephone explanation of application Please contact Anna Chapman 608-263-9585 L. Ramirez M.D. 608-263-9585 The University of Wisconsin School of Medicine and Public Health Department of Neurological Surgery accepts medical students in their final year of training for clerkships lasting from 2 to 4 weeks.  All academic fees are covered by Neurosurgery Dept. This site contains all the information you need to apply for a visiting clerkship.  Please read and follow all instructions. Your entire application must be received by our office at least 4 weeks before your clerkship begins. Visiting Student Clerkship Catalog Clerkship Calendar Eligibility Requirements-U.S. Students  Eligibility Requirements-International Students  Application Instructions  Application  Immunization Report --Only UW Immunization Report with titers will be accepted. Housing HIPAA BACKGROUND INFORMATION DISCLOSURE form* SIC Training Certificate PLEASE NOTE: * If you answer YES to Question 3 in Section B of the Background Information Disclosure form--Have you been discharged from a branch of the US Armed Forces, including any reserve component?--You must submit a copy of your Discharge Papers (DD214)
Neurosurgery Course Information
Eligibility Requirements - U.S. Students
Application Instructions
Application
Immunization Report
Housing
HIPAA
Background Information Disclosure form
SIC Training
	UW-School of Medicine and Public Health reserves the right to terminate immediately, the enrollment of any visiting student who violates any policy or procedure regarding misconduct or professional behavior.

This page was last updated:  May 23, 2008

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