To apply for elective clinical rotations through the Wake Forest PA Program, potential visiting students should follow the procedure below.

1. The visiting student’s clinical coordinator must contact the Wake Forest PA Program clinical coordinator to discuss the possibility and feasibility of the rotation.
2. If the rotation is deemed as possible, the student must submit the Visiting Student Application and supporting documents:
   • Application: Must be signed and dated by the visiting student and his/her school representative.
   • Tuition: $400.00 non-refundable, payable by check to Wake Forest School of Medicine, sent directly to PA Studies. There is a $100.00 non-refundable fee for each additional rotation.
   • Two photo IDs: Presentation of photo ID (driver’s license, school photo ID, passport)
   • Academic transcript
   • Letter of recommendation: Must address clinical skills and abilities from clinical coordinator in an inpatient setting.
   • Proof of personal health insurance: Photocopy of provider card and policy coverage
   • Proof of professional liability insurance: Certification of coverage to be provided or statement on school letterhead indicating provided limits of coverage.
   • Proof of criminal background check: Must cover prior seven years, all residences/locations, felony/misdemeanor. Report must be no older than 60 days at the time of application or student must have had CBC at the time of PA school entrance and continuously remained in the program.
   • Drug screen: Proof of 10 panel drug screen within the last 60 days
   • Immunization forms: Completion of Wake Forest School of Medicine Immunization Form or forms which meet the approval of Wake Forest Baptist Health Employee Health, including proof of current flu vaccination
   • TB test l. Proof of ACLS and BLS certification
3. Once all items are received, the Wake Forest PA Clinical Education team will review the file for approval of the rotation.
4. If the rotation is approved, the student and the student’s PA program will be notified. At this point it will be necessary to obtain an affiliation agreement with the visiting student’s program.
5. The program coordinator at the Wake Forest PA Program will then work with the student to complete institution-required training and other compliance items prior to the rotation start date.
6. The visiting student’s PA program will be responsible for obtaining all evaluations and other paperwork required by their program.

Credentialing Checklist

1. 7 year criminal comprehensive Background
2. *Immunizations (including proof of flu vaccine between Oct 1 –  Mar 31)
3. Drug screen—12 panel (Amphetamines,Barbiturates,Cocaine,Marijuana,Methaqualone,Opiates,Phencyclidine,Benzodiazepines,Methadone,propoxyphene,Oxycodone , MDMA)
4. Current TB ( Quantiferon or T-spot) 
5. Current American Heart Association CPR card
6. Have current, unencumbered license
7. OIG/ EPLS/ Sex Offender / National Health care registry clearance
8. Some areas ACLS
9. Some areas PALS
10. Providers must provide proof of insurance $2million   /$5 million 

*Required Immunizations/Vaccinations:

Measles, Mumps, Rubella (MMR): 
- Acceptable Immune Status:

1. 2 doses of Measles (or MMR) vaccine with 1st dose given on or after first birthday or serologic immunity result
2. 2 doses of Mumps (or MMR) vaccine with 1st dose given on or after first birthday or serologic immunity result
3. 1 dose of Rubella (or MMR) vaccine with 1st dose given on or after first birthday or serologic immunity result

Varicella (Chicken Pox): (History of disease no longer acceptable)
- Acceptable Immune Status:

1. 2 doses of Varicella vaccine or serologic immunity result
Note:  Medical Student Services/Programs (e.g. Medical, PA, Grad, SRNA) require documented serology.  If serology result is negative, students must also provide documentation of 2 doses of Varicella vaccine.

Tetanus (Required for all Animal Care Workers):

 - Acceptable Immune Status:

1. Documented history of Tetanus, Td, or TDaP within previous 10 years
Note:   Tetanus, Td, or TDaP is highly recommended for all HCWs

Influenza (Seasonal):

1. Generally noted as October 1 – March 31 or as determined by the WFBMC Influenza Immunization Task Force 

Tuberculosis Baseline Screening:.  

- Quantiferon or,
- T-spot blood test or
- 2 TB Skin Tests --2-step TB skin test process must have a minimum of 7 days between 1st TB Skin test administered and the 2nd TB skin test administered both with negative results Ex: 1st administered on Tuesday. The earliest the 2nd may be administered is the following Tuesday. 
1st TB skin test documentations within the last 14 months. 
2nd TB skin test must be within 30 days of start. 

Recommended Immunizations/Vaccinations for ‘At-Risk’ HCWs:

Recommended for individuals whose job activities or work areas may place them at high risk for certain communicable diseases.

1. Hepatitis B:  ‘At Risk’ individuals are those who may reasonably anticipate contact of the skin, eye or mucous membrane with human blood or body fluid
2. Neisseria meningitidis:  ‘At Risk’ individuals are those who work with the Neisseria meningitidis organism in microbiology laboratory areas

Rabies:  ‘At Risk’ individuals are those who work with dogs