4.8: Selective Clerkship Requirement

Students will complete one month of clerkships in two categories chosen from a designated list. Qualifying clerkships are approved by the Committee on Curriculum and Academic Policy (CCAP) and may be removed from the list of approved clerkships at any time. Additions to the approved lists of clerkships take effect immediately for all students; deletions from the lists take effect for the students who begin clerkships in the next clerkship year.

Students wishing to substitute another clerkship not on the list may petition the CCAP for approval prior to enrolling in (i.e. beginning) the clerkship. Students should know that approval of substitutions for selective clerkships is rarely given. Retroactive approval of selective clerkship substitutions will not be granted.

Faculty Authorization Form: Request for Substition for Selective Clerkship Form

Selective I: Fundamentals of Clinical Care
Students complete one month of clerkship(s) from the Selective I List.

Students will broaden their professional education by participating in clinical experiences in areas not covered in a core clerkship. This requirement may be met through completion of either a general clerkship that meets the selective requirement OR completion of a clerkship in an intensive ambulatory setting.

Students will:

  • Achieve excellence in command of the fundamentals of clinical medicine, with an emphasis on acquiring the skills required of all physicians.
  • Gain a solid foundation in general medicine as a basis for understanding and treating disease.

Selective clerkship should:

  • Emphasize common problems in an area essential for a generalist practice.
  • Provide knowledge, skills, and attitudes that will enhance development as a well-rounded physician.

OR

Through an intensive ambulatory experience, students will:

  • Become competent at managing problems in an ambulatory setting.
  • Strengthen ability to perform a directed history and physical examination.
  • Build an understanding of longitudinal management of chronic disease.
  • Apply time management skills to patient encounters.
  • Develop a commitment to public health and well being.

Selective clerkship should:

  • Provide at least 75% of student experience in an ambulatory/outpatient setting.
  • Accept direct responsibility for patients including serving as the first to encounter the patient, perform procedures, counsel patients, and write notes and orders.
  • Provide opportunities for patient follow-up.

Selective II: Subinternship
Students complete one clerkship from the Selective II List.

Students will broaden their professional education by participating in clinical experiences in areas not covered in a core clerkship. This requirement may be met through completion of a clerkship in an intensive inpatient setting.

Through an intensive inpatient experience, students will:

  • Assume a high level of patient care responsibility in preparation for residency.
  • Strengthen their clinical and procedural skills.
  • Improve their ability to manage and provide care to complex, acutely ill patients.
  • Become a productive member of the larger healthcare team.

Selective Clerkship should:

  • Allow student to be responsible for direct management and care of patients, with a significantly higher level of responsibility than during core clerkships.
  • Support students in building upon knowledge and skills learned during the core clerkships.
  • Provide students Internship-like responsibilities: primary workup of new patients, write orders, perform procedures, participate in daily care, take night call, write notes, and dictate discharge summary.

updated August 2014

Stanford Medicine Resources:

Footer Links: