Michigan State University

College of Osteopathic Medicine

Forms and Verifications

Requests for enrollment verifications, letters of good standing, or graduation verifications must come in writing from the student/graduate, or from a third party if a Release of Information form has been signed by the student/graduate. Any forms that a third party requires must be submitted with the request. Requests cannot be taken over the phone.
Verifications can be faxed, mailed, or e-mailed directly to the MSU College of Osteopathic Medicine Office of the Registrar.

965 Wilson Road
Suite C110
East Lansing, MI 48824
Email: com.osteomedreg@msu.edu
Fax: (517) 432-1976
Preclerkship physician shadowing experiences are intended for interested MSU College of Osteopathic Medicine OMS-I and OMS-II students. Shadow experiences are not enrollable courses, thus will not include credit or a grade and will not appear on the student’s transcript.

Eligibility
- Full-time enrollment in Preclerkship Core Curriculum.
- Completion of application with approvals.
- Compliance with all college/university immunization requirements.
- Being in good academic standing.
Application
- Physician Shadowing/Observation Experience Form
- Autopsy Shadowing Informational Sheet
Students will be considered for a pre-clerkship site transfer based on demonstrated need, as outlined below. Site transfer is contingent upon site availability. In the event there are more qualified applicants than there are seats available, the committee will facilitate a lottery system.

In order to be considered for site transfer, all students must be current with all immunizations, including but not limited to Measles, Mumps, Rubella, Varicella, Influenza, Hepatitis B, Tuberculosis, T-Dap (tetanus, diphtheria, and pertussis) and additional compliances, including but not limited to Bloodborne Pathogen (BBP), HIPAA, criminal background check and urine drug screen. Verification of completion must be on record with the University Physician’s Office and the Office of the COM Registrar.

MSUCOM students may prefer an alternate site for various reasons. In order to evaluate requests for transfer, the committee has established the criteria below for demonstration of need. Submitted applications and documentation will be reviewed for completeness by the COM Registrar and will be de-identified for assessment. Availability at the requested site is necessary but not sufficient for approval of a transfer request.

Please see the Pre-Clerkship Site Transfer Policy. Students seeking a site transfer will be required to complete the Pre-Clerkship Site Transfer Request form and include supporting documentation as requested under the criteria they are applying.

A site transfer, if granted, will commence at the beginning of a semester. Only under extremely rare circumstances will approval be given for a transfer to commence during a semester.
- July 15th for a fall semester transfer;
- November 15th for a spring semester transfer;
- April 15th for a summer semester transfer
Standards for Transfer Consideration

Student must meet at least one of the following criteria to be eligible for the lottery:
- Student, spouse or children with physical and/or mental illness/disability in need of health facilities or specialty services unique to a specific community and which cannot be duplicated effectively elsewhere.
- Student or spouse is the principal caregiver/support person for a family member with a physical and/or mental illness/disability.
- Students with rare and unusual circumstances not outlined above.
Documentation

Students who request consideration must provide a written statement explaining in detail, why the requested site transfer meets this criterion, including the nature of the circumstances and the impact these circumstances would have if approval would not be granted. Additional documentation to support student’s request for consideration must include:
- Letter from patient's physician, social worker, psychologist and/or psychiatrist verifying illness, treatment plan, and impact of relocation
- Copy of marriage license (spouse) or birth certificate(s) of child/children
- Copy of power of attorney (caregiver validation)
Committee Reviews

The Pre-Clerkship Site Transfer Consideration Committee will convene once each semester to facilitate a lottery process for students who meet the qualifications necessary to be considered for a site transfer.

Committee Decisions

Students will be notified in writing of the outcome of the site transfer lottery. If selected, the effective date of the site transfer and further detailed instructions and expectations will be included with the written notification. If a transfer request is denied, students will be notified of their option to re-apply for site transfer the following semester; denied site transfer requests are not held beyond the current semester.
Students may request a leave of absence from the College of Osteopathic Medicine for personal or health reasons. Please refer to the Policy for Retention, Promotion, and Graduation in the Student Handbook for details.

To request a leave of absence, the student must first meet with an advisor from the Office of Academic & Career Advising to discuss intent to take a leave of absence. Should a student decide to move forward with their request, the advisor will instruct students to complete the Leave of Absence request form.
To request a voluntary withdrawal (discontinue) from Michigan State University College of Osteopathic Medicine, a student must complete the following form: https://msu.co1.qualtrics.com/jfe/form/SV_dhXREw0LINgGLGK and attach a personal statement. Once received, the COM Registrar will reach out to discuss your withdrawal. If you have additional questions please email: com.osteomedreg@msu.edu.