1. Meet with your Academic Advising Dean to discuss your plans for participating in the international away elective clerkship (Advising Dean will be asked for approval as part of the approval process).
2. Review the Travel Health Alerts page to learn about the most up-to-date health alerts and to determine the risk level for the country where the clerkship will take place.  Follow the University policies based on the risk level. 
   1. Enter the country and its risk level on the International Away Elective Clerkship Approval Request Form
      
3. Obtain a letter from the host institution, which includes the following details:
   1. Emergency care will be available to the student
   2. Provisions are in place to ensure both student and patient safety. Any potential risks to the health and safety of patients, students, and the community are to be explained, along with an outline of the possibility of natural disasters, political instability, and exposure to disease the student may encounter.
   3. Any student need for additional preparation prior to, support during, and follow-up after the elective should be explained
   4. The level of student supervision is appropriate and adequate
   5. The tenets of professional ethical conduct endorsed by the Stanford University School of Medicine are shared by the facility. Any potential challenges to the code of medical ethics adopted by the School should be stated.

Have the following ready to upload when completing the International Away Elective Clerkship Approval Request Form:

1. Copy of institution/program’s acceptance notification and letter (as described above in Step 1, #3)
2. Current Travel Risk Level for the away elective clerkship country
3. Away clerkship name, location, start and end dates, equivalent clerkship period(s) and total weeks

1. Request change to Clerkship Schedule (Fishbowl) by emailing medregistrar@stanford.edu
2. Plan to enroll in the international away elective clerkship in Axess during open enrollment for the applicable quarter
3. Book travel through a Stanford Travel provider
   1. Review policies and services at Stanford Travel Program
4. Review Stanford's International Travel Assistance Program information
   1. International SOS
   2. Prepare for Travel
   3. Emergencies Abroad
5. Look up the country's travel risk rating
6. Submit your information, including your Emergency Record, in which you may store vital personal health information, and MyTrips, in which you may store flight and hotel information
   
7. Print the International SOS card
8. Make an appointment with Vaden’s Travel Clinic, which provides consultation and immunizations to meet the needs of Stanford students traveling overseas. Complete evaluations are customized to patient’s health status and travel plans.
9. If the country's travel risk is High or Extreme:
   1. Register through the U.S. Department of State's Smart Traveler Enrollment Program (STEP) for U.S. citizens to receive information from the Embassy about safety conditions in their destination country and be contacted by the U.S. Embassy in the event of a natural disaster, civil unrest, or a family emergency.
   2. Sign the University Travel Release and Waiver (“Assumption of Risk, Release of Claims, and Holds Harmless Agreement”)

Gather the following information to be submitted on the International Away Elective Clerkship Checklist Form:

1. Travel itinerary, including description of travel plans to and from the site, including air and ground transportation information as appropriate.
   
2. Confirmation of Emergency Record and MyTrips completion
3. Copy of Passport
4. Copy of Visa (if applicable)
5. If High or Extreme travel risk:
   1. Confirmation of registration of travel with the U.S. Department of State
   2. Signed University Travel Release and Waiver 
6. Preceptor/Administrator’s contact information. Individual who will be on-site at the elective; include name, job title, instiution address, telephone, and email address.
   
7. Expected international address, email address (if different than Stanford email), and phone number while participating in the clerkship; contact and residence information with whom you will be staying (if applicable).
8. Details for pre- or post- away clerkship travel plans (if applicable)
9. The location and phone number of the closest United States Embassy or consulate
10. A US-based emergency contact person and their contact information (phone/address/email)

1. Submit clerkship evaluation to SoM Registrar’s Office (medregistrar@stanford.edu), or an evaluation form for the away institution's clerkship will be scheduled in MedHub.
2. Meet with Academic Advising Dean to discuss the experience and how it impacted academic and career plans.