Otolaryngology Head and Neck Surgery 
Student Elective Rotation

• Complete and submit the Rotation Request Form (Google Form). 
• Upon notification of your approval, you will be required to submit the documents in the required documents section. 

• General Liability Insurance and Professional Liability Insurance (minimum of $1 million/$3 million, current at the time of rotation).
• 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 IdentoGO, 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)

• 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.

• June-December
• We accept applications for the audition season between February and April of each academic year.

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

For more information about this program, please contact:

Anaise Marquez
Residency Program Coordinator
Email: anaisema@pcom.edu
Phone: 215-871-6645