Working Hours

Clinic (outpatient) services are typically 8 a.m. to 5 p.m., Monday through Friday. Hospital services vary with each department.

The Elective Coordinator in each department will provide your specific working hours.

Absence During Your Rotation

If you need to be absent during your rotation, please get an absence form from the Orientation Tab. Complete the form and have it signed and approved by the department.

According to the policy, you can be absent no more than three days out of the four weeks. Anything more than this and you may not receive credit for the rotation and/or have the rotation cancelled.


You are responsible for all meals except on-call meals.

On-call meals are provided only when you are required to stay over in the hospital. A badge swipe system is used for on-call meals. When you receive your on-call schedule, you will give the MSE office the information needed to activate the badge system.

Meal tickets expire at the end of your rotation. They are non-transferable and not redeemable for cash. Expiration dates will not be extended.


We ask that you do not have mail delivered unless it is urgent. If so, you can have your mail forwarded to:

Cleveland Clinic
Elective Program / (c/o YOUR NAME)
Cleveland Clinic Lerner College of Medicine
Department of Clinical Education
9500 Euclid Avenue/NA20
Cleveland OH 44195

Please do not have shopping items sent to this location.

Emergency Medical Care

Cleveland Clinic's Primary Health Care Department and Emergency Department provide emergency visits for medical students. Check your personal insurance hospitalization plan for coverage information.

Body Substance Precautions

Cleveland Clinic has adopted Body Substance Precautions (BSP), a system of infection prevention practices used for all patients. These practices involve the use of protective barriers (e.g., gloves, gowns, facial protection) for contact with body substances, mucous membranes or intact skin, regardless of the patient's diagnosis.

The type of barrier used depends on the specific procedure or patient interaction. Each department's Exposure Control Plan outlines the minimum required protection that must be worn.

Gloves are required when a procedure or task is likely to involve contact with blood or other bodily fluids, mucous membranes or non-intact skin.

Facial protection (e.g., mask, eyeglasses with side shields, face shield) is required when one can reasonably anticipate blood or bodily fluids being splashed in the face.

All barrier equipment is available in each patient care area. The use of BSP for all patients will effectively isolate all infections, except those spread by the respiratory droplet or airborne routes.

Post-Exposure Protocol

Significant exposure to patients' BLOOD or BODILY FLUIDS that require follow up include:

  • needle stick, puncture or cut with contaminated sharp
  • splash into the eyes, nose or mouth
  • exposure to open skin areas

Follow-up action

  2. Complete an Occupational Injury Report Form and forward it to the Safety Department.

It is not necessary or advisable to go to the Emergency Department unless emergency care is required.

If the source patient is known, a protocol exists for testing the patient for Hepatitis B and C and HIV. Do not order testing yourself.

After appropriate counseling, you will be offered HIV testing for baseline information. This testing and reporting of the results is done confidentially, and test results are not filed in your medical record. Further testing will be guided by the source patient's results.

Based on the severity and risk of the exposure, and after appropriate counseling, post-exposure prophylaxis may be recommended for you.

Please call the Infection Control Department, Ext. 45194, if you have any questions.

Respiratory & Airborne Precautions

Respiratory droplet precautions require:

  • Private room. Place BLUE respiratory precautions sign on door of patient room; keep door closed.
  • Anyone entering room must wear a mask.
  • If the patient must leave the room, patient must wear a mask.

Diseases requiring respiratory droplet precautions:

  • Meningitis (continue for 24 hours after start of antibiotic therapy)
  • Influenza
  • Measles, mumps, rubella
  • Pertussis

Airborne respiratory precautions require:

  • Private room with negative air pressure. Place YELLOW respiratory precautions sign on door of patient room; keep door closed.
  • Anyone entering room must wear an N95 particulate respirator.
  • If the patient must leave the room, patient must wear a mask.

Diseases requiring airborne respiratory precautions:

  • Tuberculosis (pulmonary or laryngeal)

Chickenpox: Isolation for chickenpox or disseminated herpes zoster requires a private room with negative air pressure. Place chickenpox isolation sign on the patient room door; keep door closed. Anyone not immune, or not aware of their immune status, should not enter the room.

Hepatitis B Vaccine: Call Primary Care ext. 42535 for an appointment. The Hepatitis B vaccine is administered in three doses over six months. You must have all three doses to be considered immunized. Since you are here for only a short time, you are responsible for making sure you receive all three doses wherever you travel next.

Evaluations: Yours and Ours

If your school requires an evaluation of your performance, please provide the form to the Clinical Department you are presenting to.

Prior to completing your elective, you will be expected to complete an online teaching evaluation to evaluate your experience here. This information is very important as it provides us with critical information about our elective rotations.

If you have any questions about the use of evaluations, please ask.

Please note that the Elective office does not complete any type of evaluation form, evaluations must come from the clinical area you are rotating with.

TOEFL Requirements

TOEFL is required for all international students. Student must score high in reading and listening skills and good in speaking and writing skills.

Reading: High (22-30)
Listening: High (22-30)
Speaking: Good (26-30)
Writing: Good (24-30)

If you are attending medical school in an English-speaking country, you may submit a statement to that effect. English speaking countries are predominantly English-speaking countries and include regions such as Canada, Ireland, UK, Off shore Caribbean, and South Africa, for instance. Additionally, you may be eligible for a TOEFL waiver if you have attended secondary school or university in the US, Canada, or another predominantly English-speaking country and must submit your school transcript and include this information on your CV. If your medical school is not located in a predominant English-speaking country, we will not accept an official letter from your Dean stating that your school is conducted in English.

Please do not request a waiver without meeting the above criteria.

However, TOEFL scores may also be required by Cleveland Clinic for any applicant at the elective office's discretion.

Background Check

Domestic Visiting Students: We accept Fair Credit Reporting Act (FCRA) compliant National Criminal Database Search or The Ohio Attorney General’s Bureau of Criminal Investigation (BCI) and FBI reports.

International Visiting Students: We accept background check reports from the local magistrate/police department in the city and country where you are currently attending medical school.

Background checks are to be completed within one year of the student's scheduled rotation dates.

Please note we do not give recommendations on where to obtain your background check.

Missing Documents/Information

Since many items may be supplied after acceptance, you can apply without having these documents but you will need to upload something attesting you will send the information after acceptance (malpractice, health insurance and/or visa).

Also, we realize some results may take time to receive, again you can apply without this but you will need to upload something attesting that you will upload the required information once you have received it, knowing if you do not your application will be considered incomplete. Examples of this include: background check, urine drug screen or letter of good standing (as many schools may wish to send directly).

Drug tests

We require a five panel drug test. Anything over the five panel is accepted as well (as long as they include the five listed below). Results of your test should be within three months of your start date or at the minimum, current at time of application. This time frame of how current may change as we are currently reviewing this criteria but know you will be contacted to submit a new test if needed.

What drugs are included in a 5 panel drug test?

  • Cocaine
  • Amphetamines
  • Opiates
  • PCP
  • THC

Malpractice limits

Malpractice Limits are as follows:

  • Claim Limit: $1,000,000
  • Aggregate Limit: $3,000,000

If your school offers malpractice coverage while on away rotations and doesn't meet this criteria, you will have to purchase supplement malpractice insurance.

Conflict of Dates

Many students' academic calendars do not align with our own but we cannot switch dates. We must adhere to our own dates to allow the maximum number of spots for students to rotate. Many students may incorporate a week of vacation time to make the schedules work.