Otolaryngology Head and Neck Surgery 
Student Elective Rotation

Applicants must submit the following documents and complete the online form below in order to apply:

• Photo
• CV
• Boards score
• Medical school transcript
• Copy of health insurance card (front and back)
• Certificate of malpractice insurance (minimum of $1 million/$3 million, current at time of rotation)

Send all the below documents to anaisema@pcom.edu three weeks before your rotation start date:

• PA state criminal background check (within six months of the requested rotation dates)
• PA FBI fingerprinting clearance (within six months of the requested rotation dates)
  • We will only accept the fingerprinting certificate from the Department of Human Services, not the Criminal Justice Information Services (CJIS) certificate from the Department of Justice.
  • If you are non-PA resident, once you click on the hyperlink of IdentGO, scroll down to the bottom of the website and click on "Pennsylvania Non-Resident Cardscan Instructions" for further instructions.
  • Please don't send in your actual fingerprint card, it will not be accepted.
  • Service code: 1KG738
• PA child abuse clearance (within six months of the requested rotation dates)
• Immunization records or documentation of having immunity for the following infectious diseases: Measles, Mumps, Rubella, Varicella (Chicken Pox), Hepatitis B, Tetanus, Diphtheria
• Copy of COVID vaccination card
• Proof of 2 Step PPD (tuberculosis) testing or QuantiFERON during the past three months
• Flu shot verification (within one year of the requested rotation dates)
• Mask fit test results (within one year of the requested rotation dates)

Applicants must complete the form below and submit the required documents in order to apply.

Elective Application Form

If you see this don't fill out this input box.

*Indicates required field

*Name

*Email address

*Current Street Address

*City

*State

*Zip code

*Mobile phone number

*Alternate phone number

*Medical School

*Year of Graduation

*Rotation dates - choices 1, 2 and 3

Type of rotation requested

AuditionNon-Audition

Submit   Cancel

• Audition rotation for the residency program and elective rotation.
• Please note applications for an audition and elective rotations are being accepted on a rolling basis.
• For non-PCOM students we now require an affiliation agreement between PCOM and your school.

• March 1 - October 31

• Crozer-Chester Medical Center
• St. Christopher's Hospital for Children
• Albert Einstein Medical Center-Philadelphia
• Methodist Hospital

For more information about this program, please contact:

Anaise Marquez
Residency Program Coordinator
Email: anaisema@pcom.edu
Phone: 215-871-6694