Application Procedure & Requirements

Click here to download an application (MS Word document) Enclose the following additional supporting documentation with the completed application form.

1. A letter from your medical school's Dean:
a.) Verifying your academic standing
b.) Approving that you may take the chosen elective
c.) Verifying that your school will be responsible for your malpractice insurance.

2. A letter of evaluation from the preceptor on your preliminary (junior year) rotation for the clerkship you are requesting.
(If you have not completed such a clerkship, an evaluation from another clerkship will be accepted.)

3. If applying for an Ophthalmology clerkship, please include a one page personal statement describing your interest in pursuing an Ophthalmology clerkship at CPMC.

4. Written proof of TB screening and vaccinations for Rubella, Rubeola and Hepatitis B.

5. Written proof of personal health insurance.

Send your application with all supporting documentation to:
California Pacific Medical Center
Graduate Medical Education
P.O. Box 7999
San Francisco, CA 94120

Applications will be accepted up to one year in advance of the requested rotation date though decisions may not be made until 90 days prior to the beginning of the rotation.