D&I Policies

During Differentiation and Integration (D&I), students must adhere to the following policies and guidelines that pertain to registration and attendance:

Four-Week Policy

The Office of Medical Education observes and enforces a policy that restricts schedule changes within four weeks of a rotation start date. At the four-week mark, course directors and coordinators start to assemble their rosters for the following month, which may include assigning preceptors and preparing orientation materials. Changes within four weeks of the start date may be reviewed by the senior associate dean of student affairs, based on the following criteria:

  • Personal emergency of the student
  • Faculty not available to provide the course as described
  • Urgent academic issue
  • A change in career plans

This policy affects all schedule changes within four weeks, including electives at Columbia University Vagelos College of Physicians and Surgeons (P&S) and away institutions. All self-arranged electives fall under the four-week policy. Students who request to add away electives within four weeks of the start date must receive approval by the senior associate dean for student affairs before the rotation is pursued or started. Requests made after the start of the rotation will only be considered under extreme circumstances, and if related to the student's well-being. Students risk forfeiting a month of elective credit if the request to add/drop is not made prior to the rotation start date.

As a courtesy to faculty, staff, and other P&S students, it is the student's responsibility to contact the Office of Medical Education in a timely fashion. For further instruction, please visit UserVoice.

Medicine Sub-Internships (March through September)

Due to the high volume of need for sub-internships prior to residency applications (March through September), P&S students are permitted one medicine sub-internship from March through September. This restriction does not apply to sub-internships in other specialties unless otherwise communicated to the class. Example: Students may take a medicine sub-internship and a surgical sub-internship from March through September.

Students can take only one of the following medicine sub-internships March through September:

  • MEDI-MD09P **Aids Sub-Internship (NYP)
  • MEDI-MD10P **Oncology Sub-Internship (NYP)
  • MEDI-MD13P **Medicine: Hospitalist Sub-Internship @ Allen (NYP)
  • MEDI-MD14P **ICU Sub-Internship @ Allen (NYP)
  • MEDI-MD16P **Cardiac ICU @ Milstein (NYP)
  • MEDI-MD17P **Medicine: Hospital Sub-Internship (NYP)
  • MEDI-MD20C **Medicine Sub-Internship (Bassett)
  • MEDI-MD20P **Heart Hospital CCU (NYP)
  • MEDI-MD23C **Intensive Care Sub-Internship (Bassett)
  • MEDI-MD30S **Medicine Sub-Internship (Stamford)
  • MEDI-MD31S **Critical Care Sub-Internship (Stamford)
  • MEDI-MD44H **Critical Care Sub-Internship (Harlem)
  • MEDI-PU02P **Critical Care Sub-Internship (NYP)

Students who take three electives in any one specialty (other than medicine and pediatrics), and are therefore required to take a medicine sub-internship, can do so at any point before graduation. Therefore, students who only need to fulfill this requirement are advised to enroll in the medicine sub-internship after September, which will provide space for students who need the medicine sub-internship for residency applications.

Away Electives and Visiting Student Application System

Away Electives
A maximum of three electives may be taken at an away site. All away electives must be at least four weeks in length, except for the University of California system, which can be three weeks.

P&S students are also not allowed to drop a Columbia elective for an away site within four weeks of a rotation. This does not meet the criteria for dropping a course, and P&S students are advised to not add a Columbia elective if planning to go away. If the away site falls through, it is much more convenient to add a Columbia elective after the fact, and the Office of Medical Education is happy to help those students in need of electives.

Visiting Student Application System (VSAS)
P&S students are responsible for knowing what materials are needed for their away site applications, and are expected to coordinate these applications in advance to avoid last-minute requests. Due to the volume of P&S students using VSAS, please note the following estimates for processing VSAS requests:

  • Transcripts: One week to upload. Please contact CUMC's registrar to request a copy of your transcripts, or log onto SSOL to use the official online form.
  • Letters of Recommendation: One week to upload. Letter writers can email pselectives@columbia.edu and attach a formatted letter, or submit a hard copy to the Office of Medical Education, located in the Vagelos Education Center, Suite 1103
  • Verification and Releasing Applications: Every weekday at 9:00 a.m. For emergency requests, please submit a ticket through UserVoice

Self-Arranged Electives: Preceptorships and Research

Registration
Due to the volume of requests for self-arranged electives, all requests must adhere to the four-week policy. To add a self-arranged elective, please follow the instructions on UserVoice:

Research Summaries
For self-arranged research electives, a two- to five-page summary of the month’s activities and results will be required to receive a grade. Results of the research do not have to be shared if being published. The Office of Medical Education guarantees privacy of all research projects.

P&S Attendance and Absence Policy

Students are responsible for keeping electives faculty and staff aware of all absences. Please see the P&S Attendance and Absence Policy for more information.

Specialty Restrictions for Original Class of 2017 Students

Students in the original Class of 2017 who are now part of the Class of 2018 have two options regarding specialty requirements:

  • Option 1: Students may enroll in unlimited specialty electives and must take a medicine, pediatrics, or surgery sub-internship before graduation.
  • Option 2: Students may enroll in up to three (or up to seven if waiving scholarly projects) specialty electives and must take a medicine, neuro ICU, or SICU sub-internship before graduation. The specialty restrictions are as follows for Option 2:
    • Except for medicine and pediatrics (which are unlimited), students can receive credit for two electives in the same specialty. A total of three electives are allowed if a medicine, neuro ICU, or SICU sub-internship is also completed. This policy includes all electives at P&S and at away sites
    • Students can receive credit for only one month in a medicine or pediatrics subspecialty. Example: 1 Cardiology, 1 Nephrology, etc.
    • All surgical subspecialties count together as surgery
    • All emergency medicine, including pediatric, count as emergency medicine
    • All ICUs (except for pediatric) count as medicine (SICU and neuro ICU). Neuro ICU will not count toward the total of neurology/neurosurgery electives
    • Neuro subspecialties (neuroradiology, neuro-ophthalmology, neuropathology, neurosurgery) count as neurology AND the second specialty