6/10/11

Hackensack University Medical Center

Office of Academic Affairs
30 Prospect Avenue Room G236
Hackensack, N.J. 07601
Phone (201) 996-2016 Fax (201) 996-3976


4
th
Year Electives Policy and Procedures

Scheduling:
Students are welcome at all times to do their electives at Hackensack University Medical Center provided they
have completed the parent cores and have not been scheduled for the same time frame at another hospital.

Electives are open to all students and are granted on a first-come, first-serve basis. Preference is given to
students who have completed their Core rotations at HUMC.

All electives begin on Monday and end on a Friday.

Students should email all requests for electives to Sonia Gonzalez, SGUSOM Student Coordinator at
soniagonzalez@humed.com. If you have any questions please call (201) 996-2016. Response to request(s) will
be sent via email upon verification of preceptor availability. It is the students responsibility to notify
SGUSOM of the approved elective(s) at HUMC.

Sonia must receive written approval from SGUSOM along with the following documents 2 weeks prior to the
start of your elective.

Letter of Good Standing Proof of US Citizenship
Criminal Back round Check Proof of Health Coverage
USMLE Step 1 Score Transcript
Health Compliance Certificate Student ID Number

Cancellations:
To cancel or change an elective; students must email Sonia Gonzalez at least 4 weeks before the scheduled
elective.

ELECTIVES:
Anesthesia 2 or 4 weeks Medicine Sub I 4 weeks
Cardiology 2 or 4 weeks OB GYN Sub I 4 weeks
Gastroenterology 2 weeks Pediatric Sub I 4 weeks
Geriatrics 4 weeks Surgery AI 4 weeks
Infectious Disease 4 weeks
Pulmonary/CCM 2 or 4 weeks
Nephrology 2 weeks
Otolaryngology 2 weeks
Pathology 4 weeks
Pediatric I.D. 4 weeks
Plastic Surgery 2 or 4 weeks
Psychiatry in Pt 4 weeks
Urology 4 weeks
6/10/11



Hackensack University Medical Center Student Rules:

Attire: All students must dress in professional attire, which includes a short white lab coat at all times. HUMC
requires personal cleanliness and good grooming, as well as attention to footwear and clothing. Unacceptable
attire includes but not limited to dungarees, blue jeans, shorts, halter tops, revealing clothing or any clothing
with profanity, fad messages or emblems.

Absenteeism: Absences/ illnesses must be called in to the Office of Academic Affairs at (201) 996-2016 no
later than 1 hour prior to your start time. If we are not in the office please leave a voice mail message and a call
back number. You are also required to contact the Preceptor of your rotation (1 hour prior to the start of your
shift). Emailing is NOT acceptable.
All absences are documented and become part of your permanent file.

Punctuality: It is your responsibility to be at all lectures and at start of their shift at your assigned times, on
time without exception. You will be required to swipe in with your HUMC assigned badge daily upon entering
the facility (this is mandatory). This will allow us to track your attendance and punctuality.

Compliance: We expect all medical students to comply with Hackensack University Medical Centers policies
and regulations. The student will be given this information at the initial start of the elective.




























6/10/11

Hackensack University Medical Center
SGUSOM 4
TH
Year Electives
Request/Approval Form

**Please complete 1 form per elective request**


Date of Request: ________________________


Name: ____________________________________________Phone# ______________________

Email: ________________________________________ Last 4 digits SSN# ________________

SGUSOM Student ID# ___________________________________________________________


Elective Requested: ____________________________________________________________

Department ____________________________________________________________
Preceptor ____________________________________________________________
# of Week(s) or
Dates of choice:
1
st
from ______________________________ to _____________________________
2
nd
from ______________________________ to _____________________________
3
rd
from ______________________________ to _____________________________
Academic Affairs Use ONLY
We _____have ____ have not approved your Elective Request:
1
st

nd
3
rd

__________________________________________________________________________________________________

Em Date ____________________________

Spoke to ___________________________________________________________________________________________
Department Chair/ Preceptor Signature (if request for approval sent via fax)
_________________________________________________________________Date _____________________________
Student is to report to:

Email the completed form to SoniaGonzalez@humed.com SGUSOM Student Coordinator
or fax it to (201) 996-3976