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Non-Core Elective Application

In order to obtain authorization for a non-UCI elective or externship the house officer must obtain prior approval from (1) the home and host departments and (2) the UC Irvine GME office. You must submit your application to Brianne Tsunezumi at least 10 weeks in advance of the scheduled elective for review and approval. 

Elective rotations must: 

  • Provide an educational benefit not generally available at UC Irvine

International rotations must:

  • Provide an educational benefit not generally available at UC Irvine
  • Take place in country free of increased safety & security concerns (Refer to Travel Advisory Warning List)
  • Be affiliated with an established institution or be supervised by a UC Irvine faculty member 
  • Be registered through UCOP Travel Insurance

If your request does not meet the above criteria, or is submitted after the deadline, you will not be allowed to take the elective.

Application Process

Step 1

Step 2

Step 3

Step 4
Complete the non-UCI elective application and obtain signature/approval from your host department. Submit to Brianne for UC Irvine program director approval. Upon approval, a Program Letter of Agreement (PLA) will be created. This is the final form that needs to be signed by your host department.  Return the PLA to Brianne for program director signature. Both forms will be submitted to the UCI GME office for approval. Approval can take 6-8 weeks.

Step 5 



For international rotations only: Enroll in UC trip insurance.

You are now approved for your externship.