International Visiting Student Application
Thank you for your interest in completing an elective at the Icahn School of Medicine at Mount Sinai (ISMMS). All electives open to International Students are listed on our website. Please do not contact the clinical department directly. Not all students will be accepted for an elective and this is based on multiple factors, including availability. If any portion of the application is not completed or not translated into English, the application will be automatically rejected. Students will be notified of their acceptance or rejection for an elective at least two months in advance of the start date. Please refer to our website and review it thoroughly. If you have any questions regarding this application, please email visiting-students@mssm.edu.
Name
*
First Name
Last Name
Email
*
example@example.com
Date of Birth
*
-
Month
-
Day
Year
Date
Current Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Please Select
United States
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
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Botswana
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Brunei
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Burkina Faso
Burundi
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Central African Republic
Chad
Chile
China
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Cocos (Keeling) Islands
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Croatia
Cuba
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Denmark
Djibouti
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Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
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Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
Uruguay
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Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Country
Phone Number
*
-
Country Code
-
Area Code
Phone Number
Citizenship
*
Gender
*
Please Select
Male
Female
Nonbinary
Other
Prefer not to say
Medical School
*
Location of Medical School
*
City, Country
What year of medical school will you be in during the dates you are applying for?
*
Please Select
3rd
4th
5th
6th
7th
8th
Eligible students must be in their second to last or final year of medical school if accepted for an elective at ISMMS.
How long is the program you are in?
*
Please Select
4 years
5 years
6 years
7 years
8 years
Select the Core Clerkships you will have completed at the time of your proposed elective. Core Clerkships are CLINICAL ROTATIONS that every student must complete at their home school before they can graduate. (Select all that Apply)
*
Anesthesiology
Dermatology
Emergency Medicine
Family Medicine
Internal Medicine
Neurology
Obstetrics and Gynecology
Pediatrics
Psychiatry
Radiology
Surgery
Other
Official School Transcript
Official School Transcript
The Official School Transcript must list all courses you have completed so far in medical school. If the original document is not in English it must be officially translated to English.
Official School Transcript
*
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Letter of Good Academic Standing
Letter of Good Academic Standing
This letter must be in English on the school's letterhead with a signature of a school official. The letter must state that you are in good academic standing and must include your expected graduation date.
Letter of Good Academic Standing
*
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Letter of Recommendation
Letter of Recommendation
At least 1 letter is required, only 2 will be accepted. These recommendations should be from faculty members who have directly observed your clinical skills and abilities from an inpatient setting. The Letter of Recommendation must be on the official school letterhead and in English.
Letter of Recommendation #1
*
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Letter of Recommendation #2 (Optional)
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Curriculum Vitae (CV)
Curriculum Vitae (CV)
The CV is a summary of your qualifications and experience. This should be uploaded in English.
Curriculum Vitae (CV)
*
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Biographical Passport Page
Biographical Passport Page
A scan or picture of the biographical passport page must be uploaded.
Biographical Passport Page
*
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TOEFL Test Score
TOEFL IBT Test Score
Only students who are from non-English speaking countries AND go to a medical school that does not teach in English are required to submit their TOEFL IBT Test Score. A minimum of 22-30 in each category is required applications to be considered for acceptance. If you are from an English speaking country and/or go to a medical school that teaches in English, an official letter from the Dean of your school confirming your English Language Proficiency should be submitted instead.
TOEFL Test Score or Letter of English Proficiency
*
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Personal Statement of Interest
Personal Statement of Interest
This statement succinctly details your motivations and goals. This is not required but some electives do recommend it.
Personal Statement of Interest (Optional)
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USMLE Step 1 Score Report
USMLE Step 1 Score Report
If you have taken the United States Medical Licensing Examination (USMLE) Step 1 Exam, submit a copy of your score. This is not required but some electives do recommend it.
USMLE Step 1 Score Report (Optional)
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Elective Requests
In this section you will select the elective(s) you're applying for and the date block. There is no guarantee that you will be accepted for an elective, this is based on qualifications and availability. Dates of electives may also change based on availability. If you are applying for more than one elective, these must be taken consecutively. We only offer elective to be taken during the designated dates below.
How many electives are you applying for?
*
1 (4 weeks)
2 (8 weeks)
3 (12 weeks)
Elective Date Range
If you are applying for more than one elective please select different, consecutive date ranges below.
Start Date of Elective (Must Start on a Monday)
-
Month
-
Day
Year
Date
End Date of Elective (Must End on a Friday)
-
Month
-
Day
Year
Date
Elective Date Range # 1
*
Please Select
01/08/2024 - 02/02/2024
02/05/2024 - 03/01/2024
03/04/2024 - 03/29/2024
04/01/2024 - 04/26/2024
04/29/2024 - 05/24/2024
05/28/2024 - 06/21/2024
Elective Date Range # 2
*
Please Select
01/08/2024 - 02/02/2024
02/05/2024 - 03/01/2024
03/04/2024 - 03/29/2024
04/01/2024 - 04/26/2024
04/29/2024 - 05/24/2024
05/28/2024 - 06/21/2024
Elective Date Range # 3
*
Please Select
01/08/2024 - 02/02/2024
02/05/2024 - 03/01/2024
03/04/2024 - 03/29/2024
04/01/2024 - 04/26/2024
04/29/2024 - 05/24/2024
05/28/2024 - 06/21/2024
If you have any comments you'd like to add regarding your date availability please add them here.
Elective Preferences
If you are applying for more than one elective, please select different electives below.
Elective Preference #1
*
Please Select
ANE 0006 Basic Course In Anesthesia
ANE 0385 Anesthesiology at Mount Sinai West and Mount Sinai Morningside
DER 0021 Dermatopathology
DER 0072 Pediatric Dermatology
DER 0073 Clinical Dermatology at Mount Sinai Health System
EMR 0026 Introduction to Pre-Hospital Medicine
EMR 0058 Introduction to Emegency Toxicology
MED 0023 Clinical Cardiology
MED 0035 Clinical Renal Disease
OPH 0120 Clinical Ophthalmology at Bronx Care Health System
ORT 0007 Introduction to General Orthopaedics
PAT 0095 Introduction to Gastrointestinal Surgical Pathology
PAT 0100 Introduction to Surgical Pathology
PAT 0137 Tranfusion and Cellular Medicine
PED 0017 Neonatology
PED 0052 Infectious Diseases in Pediatrics (MSMC)
PED 0055 Pediatric Nephrology
PED 0087 Child Abuse Identification and Treatment
PED 0236 Pediatric Endocrinology & Diabetes
PED 0344 Neonatal-Perinatal Medicine Subinternship at Mount Sinai West
PED 0457 Pediatric Cardiology
PSY 0192 An Introduction to Electroconvulsive Therapy
PSY 0274 Outpatient Child and Adolescent Psychiatry at Mount Sinai Beth Israel
PSY 0280 Personality Disorders/Ambulatory Advanced Clerkship at Mount Sinai West
RAD 0208 Musculoskeletal Radiology
SUR 0005 Cardiac Surgery
SUR 0022 General Thoracic Surgery
SUR 0030 Plastic and Reconstructive Surgery
SUR 0041 Kidney and Pancreas Transplantation
SUR 0054 Liver Transplantation
SUR 0311 Clinical Wound Care
SUR 0316 Liver Surgery
SUR 0332 General Thoracic Surgery/Robotics at MS West
SUR 0378 Vascular/Endovascular Surgery Sub-Internship at Mount Sinai Hospital and MS West
SUR 0537 Clinical Neurosurgical Care Acting Internship
Elective Preference #2
*
Please Select
ANE 0006 Basic Course In Anesthesia
ANE 0385 Anesthesiology at Mount Sinai West and Mount Sinai Morningside
DER 0021 Dermatopathology
DER 0072 Pediatric Dermatology
DER 0073 Clinical Dermatology at Mount Sinai Health System
EMR 0026 Introduction to Pre-Hospital Medicine
EMR 0058 Introduction to Emegency Toxicology
MED 0023 Clinical Cardiology
MED 0035 Clinical Renal Disease
OPH 0120 Clinical Ophthalmology at Bronx Care Health System
ORT 0007 Introduction to General Orthopaedics
PAT 0095 Introduction to Gastrointestinal Surgical Pathology
PAT 0100 Introduction to Surgical Pathology
PAT 0137 Tranfusion and Cellular Medicine
PED 0017 Neonatology
PED 0052 Infectious Diseases in Pediatrics (MSMC)
PED 0055 Pediatric Nephrology
PED 0087 Child Abuse Identification and Treatment
PED 0236 Pediatric Endocrinology & Diabetes
PED 0344 Neonatal-Perinatal Medicine Subinternship at Mount Sinai West
PED 0457 Pediatric Cardiology
PSY 0192 An Introduction to Electroconvulsive Therapy
PSY 0274 Outpatient Child and Adolescent Psychiatry at Mount Sinai Beth Israel
PSY 0280 Personality Disorders/Ambulatory Advanced Clerkship at Mount Sinai West
RAD 0208 Musculoskeletal Radiology
SUR 0005 Cardiac Surgery
SUR 0022 General Thoracic Surgery
SUR 0030 Plastic and Reconstructive Surgery
SUR 0041 Kidney and Pancreas Transplantation
SUR 0054 Liver Transplantation
SUR 0311 Clinical Wound Care
SUR 0316 Liver Surgery
SUR 0332 General Thoracic Surgery/Robotics at MS West
SUR 0378 Vascular/Endovascular Surgery Sub-Internship at Mount Sinai Hospital and MS West
SUR 0537 Clinical Neurosurgical Care Acting Internship
Elective Preference #3
*
Please Select
ANE 0006 Basic Course In Anesthesia
ANE 0385 Anesthesiology at Mount Sinai West and Mount Sinai Morningside
DER 0021 Dermatopathology
DER 0072 Pediatric Dermatology
DER 0073 Clinical Dermatology at Mount Sinai Health System
EMR 0026 Introduction to Pre-Hospital Medicine
EMR 0058 Introduction to Emegency Toxicology
MED 0023 Clinical Cardiology
MED 0035 Clinical Renal Disease
OPH 0120 Clinical Ophthalmology at Bronx Care Health System
ORT 0007 Introduction to General Orthopaedics
PAT 0095 Introduction to Gastrointestinal Surgical Pathology
PAT 0100 Introduction to Surgical Pathology
PAT 0137 Tranfusion and Cellular Medicine
PED 0017 Neonatology
PED 0052 Infectious Diseases in Pediatrics (MSMC)
PED 0055 Pediatric Nephrology
PED 0087 Child Abuse Identification and Treatment
PED 0236 Pediatric Endocrinology & Diabetes
PED 0344 Neonatal-Perinatal Medicine Subinternship at Mount Sinai West
PED 0457 Pediatric Cardiology
PSY 0192 An Introduction to Electroconvulsive Therapy
PSY 0274 Outpatient Child and Adolescent Psychiatry at Mount Sinai Beth Israel
PSY 0280 Personality Disorders/Ambulatory Advanced Clerkship at Mount Sinai West
RAD 0208 Musculoskeletal Radiology
SUR 0005 Cardiac Surgery
SUR 0022 General Thoracic Surgery
SUR 0030 Plastic and Reconstructive Surgery
SUR 0041 Kidney and Pancreas Transplantation
SUR 0054 Liver Transplantation
SUR 0311 Clinical Wound Care
SUR 0316 Liver Surgery
SUR 0332 General Thoracic Surgery/Robotics at MS West
SUR 0378 Vascular/Endovascular Surgery Sub-Internship at Mount Sinai Hospital and MS West
SUR 0537 Clinical Neurosurgical Care Acting Internship
If you have any comments you'd like to add regarding your elective preferences please add them here.
Application Fee
An application fee of $1000 is required. If you have trouble completing payment online we also accept Bank Draft, Money Order, Cashier's Check or Traveler's Check which can be sent to Icahn School of Medicine at Mount Sinai, Re: International Visiting Student- Application Fee, One Gustave L. Levy Place, Box 1255, New York, NY 10029
Payment Method
*
Credit or Debit Card
Bank Draft
Money Order
Cashier's Check
Traveler's Check
Application Fee ($1000)
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