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FORMS AND PUBLICATIONS FOR STUDENTS

PRE-ROTATION

Application for NYSED Clerkship Eligibility Letter
01 Student On Boarding Form
. . 03 ASI License Verification
. . 04 Confidentiality Security Agreement
. . 05 Work Place Policies
. . 06 Health Contact Info Sheet
. . 07 Mandatory NYS Infection Control Training
. . 08 2016 Mandatory Yearly Retraining
. . 09 Code of Conduct and Ethics
. . 10 Student Dress Code
. . 11 Travel Information

DURING ROTATION

Attendance Log ER Shift
Family Medicine Curriculum

FOR PSYCHIATRY ROTATIONS

Request for Staff Exclusion List Check Form
LDSS-3370
Code of Conduct

Kingsbrook rotations meet initial licensure requirements in all states of the United States.
Click here for more information.

Kingsbrook Undergraduate Medical Education. U.S. Hospital Clinical Clerkships.
We help medical students acquire the Accreditation Council for Graduate Medical Education Core Competencies:
1. Patient Care. 2. Medical Knowledge. 3. Professionalism. 4. Systems-based Practice.
5. Practice-based Learning. 6. Interpersonal and Communication Skills.

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