Fourth Year Elective Planning and Management

Everything you need to plan and manage your 4th year

class of 2019 med students first days

Update 6/23/21 For questions about the content or functionality of this page, please contact Kristen Alexander.

The Change Form is now coordinator/specialty-specific to better serve you. Forms route directly to the coordinator, reducing transit time. Forms are published below.

Virtual Away Add Form is now live. This and the In-Person Away are required before accepting offers.

Reminder: Adobe has you verify your email and then returns an message that you have already completed this step. This anomaly does not affect your form.

Please note that Radiology preceptor schedules are still being determined. Until we have their availability we are removing it from the catalog; Dermatology is being determined; Teaching in Medicine and Medical Spanish are processing requests. A notice will go out with updates as soon as they are available, and please check back here for the latest. 

Class of 2022
  • Rural counts towards the 30 clinical credit minimum, and does not count in the 12-credit max per sub-specialty.
  • In-Person Away Registration Form is below under "Information and Forms" and is required.
  • The specialty you take during your Rural Experience does not count towards the 12-credit maximum for a single specialty. Therefore you can take 12 credits in one sub-specialty plus your rural.
  • Longitudinal electives can be noted on your TeamUp calendar at the end of the semester you are taking it. Just put in the number of weeks that matches the number of credits you are signing up for.
  • Students are not permitted to arrange rotations with attendings. Department Assistants (DAs) manage all clinical placements and are aware of considerations the student and attending may not be.

April 20-May 2 - Students can view what has been scheduled, consult with Advisor, submit Add Forms (below) based on published availability. No changes or drops are being processed at this time. DAs process Add Forms as they come in and will contact you if there are questions. Please note: Adobe Sign will ask you to verify your email and when you click the link, it will return a message that you have already verified the email. This error will not affect your submission and you will receive a confirmation once you have completed this step.


  • Jun 3-17 Associate Dean, Medical Education completes secondary review of schedules
  • December 1 Last day to submit change form for Fall 
  • February 1 Last day to submit change form for Spring

Information & Forms 

Change Forms:
Away Forms: 

Mask Fit Testing: Please allow 5 business days for mask fit testing. Contact Donna Dutra to obtain the form and instructions.

Replacement Masks: To replace a mask issued by Renown, please contact a floor supervisor for assistance in having the mask repaired or replaced. For masks issued by University Health, email Jennie Parker and copy Samantha Rodeman to make arrangements.

For adding, changing, or dropping AWAY electives students must notify the department of the school/institution offering the elective, in writing.

Students are responsible for ensuring their schedule always contains 30 plus clinical and 36 total credits; any course dropped that takes the total below 36 must be accompanied by a course addition, following the graduation requirements. Students are to consult with their advisor with schedule content questions.

For adding or changing UNR Med electives, students will contact the department assistant to check availability. Then they will complete the change form. OME will review the submission to ensure that the request is occurring more than two weeks in advance/in time to complete credentialing. Then OME will forward the form to the department assistant who will schedule the elective in One45.  

Please note all changes (drop, add, change) are due at least two weeks prior to the start of the affected elective. Please remember that some institutions credentialing requirements take longer than 2 weeks. For example, if your credentials have lapsed at the VA you will need up to 6 weeks advanced planning.

Students must be registered in advance of an elective if they are to receive credit.

Students' away electives must either go through VSLO or have an affiliation agreement in place prior to the start of the elective in order to be authorized to attend and to receive credit.

Absences are considered insurance and may be requested from the Course Director, copying the Department Assistant, for up to 3 days in a four-week rotation and 1 day in a two week rotation; time off must be made up to receive credit.

No schedule changes to fall semester electives will be accepted after December 1. No changes to spring semester electives will be accepted after February 1.

Change Q&A:

  1. Will I be penalized for canceling a home elective if the away elective(s) comes thorough?  A: No, as long as you follow the change process described above.
  2. What happens after we submit a change form request? Do we hear back within that day, or week?  A:Usually within 24-48 hours on business days. The form is received by OME and we send it to the department assistants (for local electives).