Medical Student Rotations

St. Mary’s Medical Center (SMMC) offers inpatient elective rotations for fourth-year medical students attending LCME and AOA accredited medical schools. SMMC has a student affiliation agreement with the University of California San Francisco (UCSF), California Northstate University (CNSU), and Creighton University. Ward teams typically have 1-2 third-year CNSU medical students and a fourth-year sub-intern.

Elective Opportunities

Pulmonary Medicine: 4th-year elective designed to introduce students to evaluation and management of patients with a variety of pulmonary diseases. This elective rotation involves inpatient consultation on wards and ICU patients as well as a weekly outpatient pulmonary clinic.

Internal Medicine Sub-Internship: 4th-year elective focuses on inpatient management of patients admitted to the UCSF academic hospitalist teaching service at St. Mary’s Medical Center. During a sub-internship, students function as an integral member of a ward team and are expected to carry responsibilities similar to interns: patient care, on-call duty, pager-response, attending lectures, Morning Report, Noon Conference and Grand Rounds.

Critical Care Medicine: 4th-year elective designed to offer exposure to evaluation and management of critically ill patients in the ICU. Students will join a team of medical interns, senior residents, and Pulmonary-Critical Care faculty for an intensive learning experience. This rotation may qualify as a medical sub-internship, dependent on individual medical school criteria.

How to Apply

If you are currently a fourth-year medical student interested in applying for an elective rotation in the Department of Medicine, please follow instructions for applying, which are available online at www.stmarysmedicalcenter.org. Applications must be submitted to the program coordinator 3 months in advance of requested timeframe, and applications are subject to approval based on criteria and availability. 

Students are provided complementary lunch and on-call meals during their shift, and are welcome to use the Residents’ Lounge. Additionally, SMMC provides students with hospital scrubs daily, which students are to leave in the hospital following their shift each day during the course of their rotation. Hospital provided PPE is to be worn at all times or as indicated. SMMC does not provide students with lodging, lockers, lab coats, stipends, health insurance, liability, laundry service, or parking, although hospital parking (secure, covered garage) is available for a daily fee.

Students are required to demonstrate proof of HIPAA training, malpractice coverage provided by their school, and personal health insurance coverage when away from their school. An attestation of satisfactory background investigation is requested by our GME Department and must be completed by the student’s medical school.


Please include the following documents only when applying:

  • Current CV
  • Half-page summary describing your specific interest in Internal Medicine and include your reasons for wanting to participate in an elective rotation at SMMC.
  • Reference letter from faculty (physician) who supervised you during your third-year medicine rotation (on letterhead/signed).
  • List all volunteer work you have done working with underserved populations.
  • USMLE Step 1 Score (or COMLEX equivalent)

Attachment A - Student Information Page
Attachment B (section I only) - please do not complete Section II at this time
Attachment C - Medical Student Contact Information


Send the above requested documents to:

Kathy Banks, Residency Program Coordinator
Internal Medicine, St. Mary's Medical Center
Email: [email protected]   

Following approval of applications student will receive an email tentatively confirming rotation dates and requesting additional documentation, i.e. the complete Application to include Attachment B, Section II: a letter from the your Dean or authorized school official (on letterhead w/contact #s) approving your rotation/dates.

Review of complete application will commence registration/ final confirmation of rotation dates; incomplete applications will not be accepted. Please note we require an AAMC Uniform Affiliation Agreement with your school prior to beginning a rotation.

 Please be advised that our Medical Center does not offer observerships or externships.