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Visiting Student Resources

RealMD Logo

Visiting Student Resources

Visiting Student Resources

Sample Documents

    HIPAA

    Sample HIPAA Certification

    Your certification must be within the last 12 months prior to your rotation start date and must remain valid during your rotation dates. HIPAA certification is valid for 1 year. A completion date on the certificate is required. 

    HIPAA certifications are valid for one year.

    For example, if your rotation starts August 1, 2026, your certification must be valid prior to August 1. 

    In this example, the certification was completed on January 27, 2023 so it is considered valid for a rotation start date of Aug. 1, 2023.

    Sample HIPAA
    This picture shows a HIPAA certificate of completion. In this example, the HIPAA certification was completed on January 27, 2023 so it is considered valid for a rotation start date of Aug. 1, 2023.
    OIG

    Sample OIG Check

    Please visit the Office of Inspector General website.

    Please search for your name by entering your first and last name.

    PLEASE READ:

    Take a screenshot of the results and upload them along with your background check. BOTH the OIG check AND the national criminal background check are required. Both must be completed within the last 12 months. You can combine them into 1 PDF (background check + OIG check). Or you can upload the OIG Check separately under the OIG section in the VSLO portal.

    Sample OIG
    Screenshot of OIG website where student would enter "Last Name" and "(and/or) First Name" for search engine.
    Drug Screen

    Sample Drug Screen

    The University of Utah requires that your drug screen test for at least 10 different substances, must be completed within the last 12 months prior to your rotation dates, and must be valid during the duration of your rotation dates. 

    Please upload the Drug Screen report, that lists the tested substances, to VSLO. Please see example to the right.

    For more sample documents, visit our Visiting Student website.

     

    The University of Utah also offers a 10-panel drug screen through the HR storefront for $44.00 or a combined background check and 10 panel drug screen for $68.00.

     

    If you have purchased a 10-panel drug screen through The University of Utah (Certiphi) and have not received an email with further instructions, please contact the Visiting Students team at VisitingStudents@hsc.utah.edu.

    Please make sure to also check your spam/junk folder.

    DS Sample Document
    Drug Screen Sample Report showing 10-panel drug screen showing at least 10 different substances tested on report. Drug Screen report also shows that it was completed within the last 12 months prior to rotation dates, and is valid during the duration of rotation dates.
    Background Check

    Example of National Criminal Background Check

    Your national criminal background check should have been completed within the last 12 months prior to your rotation start date and must remain valid during the duration of your rotation dates. Background checks are usually valid for 1 year. 

     

    Your background check may include other searches (e.g., county databases, SSN confirmation), but these are not required. We only require that the search was conducted for a national criminal check. 

     

    We have seen students successfully submit national criminal background checks conducted by Certiphi, SentryLink, OneSource, and Checkr among others. There are a number of providers and you are not limited to any specific one. What is more important is that the national criminal background check was conducted in the last 12 months and will remain valid during the dates of your rotation. Please see example to the right. 

    For more sample documents, visit our Visiting Student website.

     

    The University of Utah also offers a background check through the HR storefront for $24.00 or a combined background check and 10 panel drug screen for $68.00.

     

    If you have purchased a background check through The University of Utah and have not received an email with further instructions, please contact the Visiting Students team at VisitingStudents@hsc.utah.edu.

    Please make sure to check your spam/junk folder.

    CBC sample doc
    Sample National Criminal Background check showing the report was completed within the last 12 months prior to the rotation start date and is valid during the duration of rotation dates. 
    AAMC Standardized Immunization Form
    • sample immunization 1

      AAMC Immunization Sample Form, highlighting directions for each section. Highlighted portions are the following:

      • MMR (Measles, Mumps, Rubella) - 2 doses of MMR vaccine or two (2) doses of Measles, two (2) doses of Mumps and (1) dose of Rubella; or serologic proof of immunity for Measles, Mumps, and/or Rubella. Choose only one option.
      • Tetanus-diphtheria-pertussis - One (1) dose of adult Tdap. If last Tdap is more than 10 years old, provide dates of last Td and Tdap.
      • Varicella (Chicken Pox) - 2 doses of vaccine or positive serology
      • Influenza Vaccine - 1 dose annually each fall
    • sample immunization 2

      AAMC Immunization Sample Form, highlighting directions for each section. Highlighted portions are the following:

      • Hepatitis B Vaccination - 3 doses of Engerix-B, PreHevbrio, Recombivax HB or Twinnx vaccines or 2 doses of Heplisav-B vaccine followed by a QUANTITATIVE Hepatitis B Surface Antibody test drawn 4-8 weeks after last vaccine dose. A test titer >10mlU/mL is positive for immunity.
    • sample immunization 3

      AAMC Immunization Sample Form, highlighting directions for each section. Highlighted portions are the following:

      • Tuberculosis (TB) Screening - Results of the last two TSTs or one IGRA blood test are required regardless of prior BCG status. If the TST method is used, record the dates and results of two 1-step annual TSTs over the last two years, or of one 2-step TST protocol (two TSTs performed with the second TST placed at least 1 week after the first TST read date). In either series, the second TST must have been placed within the past 12 months prior to clinical duties, and must have been performed in the U.S. Skin test or IGRA results should not expire during proposed elective rotation dates or must be updated with the receiving institution prior to rotation. 
    • sample immunization 4

      AAMC Immunization Sample Form, highlighting directions for each section. Highlighted portions are the following:

      • Must be signed and dated by a licensed healthcare professional or designee.

    FAQs

    • All of the SFESOM is only offering those electives currently listed in the 2026-2027 Course Catalog in VSLO. Course coordinators are always your best resource regarding the course, scheduling, logistics and opportunities for visiting students. You are welcome to contact course coordinators. You will find them noted in the courses’ listing in VSLO’s 2026-2027 Course Catalog.

    • The SFESOM requires students to apply for our electives through VSLO. Students also need to be in the clinical phase of their training who have completed six of the CORE Clerkships—Internal Medicine, Surgery, Pediatrics, Obstetrics/Gynecology, Psychiatry, Family Medicine and/or Neurology—prior to the requested rotation’s start date to be eligible to participate in visiting rotations at the SFESOM. An affiliation agreement is not required for students to participate in SFESOM electives.

    • Congratulations on receiving an offer to participate in a SFESOM elective. Once you have accepted your offer, you will need to upload your Post-Decision Documents into the VSLO portal. We recommend uploading all post-decision documents at least 45 days prior to the rotation start date. 

      Please note that these documents are crucial as they are sent to HR as part of the onboarding process. Failing to meet the exact instructions and requirements for your post-decision documents may negatively impact and/or delay your ability to start your rotation on time. Please keep a close eye on your email (including your spam) and plan to resubmit requested documents in a timely manner. In addition, we want to account for holidays and peak application times where processing times may be slower than usual. Please do not hesitate to contact us if you have NOT heard from us regarding your documents at visitingstudents@hsc.utah.edu.

      Students will need to provide the following as part of their Post-Decision Documentation: 

      1. Criminal Background Check dated within 12 months prior to the rotation’s start date
      2. National Sex Offender public website search dated within 12 months of rotation start date (screenshots will be accepted)
      3. OIG search within last 12 months (screenshots will be accepted)
      4. 10-panel Drug Screen dated within 12 months prior to the rotation’s start date
      5. AAMC Standardized Immunization Form
      6. Computer Account Protocol Agreement
      7. HIPAA Training dated within 12 months of rotation date
      8. University of Utah Health Attestation Form
      9. Supplemental Documents (if relevant or requested)

    • Re-scheduling in-person rotations are at the sole discretion of the hosting department. Course coordinators are always your best resource regarding the course, scheduling, logistics and opportunities for visiting students. You are welcome to contact course coordinators regarding opportunities to rotate here. You will find them noted in the courses' listing in VSLO's 2026-2027 Course Catalog.

      However, we can reschedule your virtual rotations to a rotation listed in the course catalog if you have a scheduling conflict. Re-scheduling requests for virtual rotations can be submitted via email to visitingstudents@hsc.utah.edu.

    • Extending offers for rotations are at the sole discretion of the hosting department. Course coordinators are always your best resource regarding the course, scheduling, logistics and opportunities for visiting students. You are welcome to contact course coordinators regarding opportunities to rotate here. You will find them noted in the courses' listing in VSLO's 2026-2027 Course Catalog.

    • The Spencer Fox Eccles School of Medicine’s application processing fee is charged for each course regardless if it’s virtual, in-person, 2-week or 4-week. Students are required to pay two fees if they accept two offers to participate in two electives. Also, please remember the fee is non-refundable. 

    PAY YOUR APPLICATION PROCESSING FEE

    MD/DO Student

    CONTACT US

    Need help?

    Contact the SFESOM Visiting Student Team  at visitingstudents@hsc.utah.edu

    VISITING STUDENT HOUSING

    UNIVERSITY GUEST HOUSE (SHORT-TERM HOUSING)
    UNIVERSITY OF UTAH OFF-CAMPUS HOUSING
    ROTATING ROOM