This form is provided for students to request that non-Internal Medicine or Surgery-designated courses count as a course substitution for the Internal Medicine or Surgery graduation requirements. (For example, a request that FM 703 Hospice and Palliative Care count towards the Internal Medicine requirements.)
The Course Substitution Request Form should be used rarely – the curriculum has been established with the expectation that students will take a certain number of IM and SURG courses - students should take actual IM or SURG named courses whenever possible.
Partial credit cannot be substituted. Only the entire amount of the weeks of a rotation will be considered.
PED electives will generally only be considered for SURG credit, and must be surgical in nature.
If a course does not appear on the drop-down list, it will not be considered for IM or SURG credit
Requesting a Course Substitution is not a guarantee of approval.
Please provide the information requested below and once your course has been completed, this information and a case log report will be reviewed, and you will receive confirmation of approval or denial of this request. If you have any further questions, please contact Janell Kiel Nelson at email@example.com or 360.853.3257.