Site Assignments: Advanced Integration Level

Policy 523.00

Policy Statement

The Robert Larner, M.D. College of Medicine at the University of Vermont Advanced Integration Level of the curriculum includes clinical opportunities to complete required Internal Medicine Acting Internship and Emergency Medicine rotations at the University of Vermont Health Network and our affiliate sites with the Connecticut branch campus of the Larner College of Medicine. Scheduling of these required courses is accomplished through a lottery process.

Please note related Medical Student Handbook Policy 520.00 - Transportation to Training Sites.

Policy Elaboration

Extenuating Circumstances

The Office of Medical Student Education reserves the right to reassign students to complete their rotation in Vermont for personal, academic, or professional reasons.

Site Exemption Requests

To be considered for a site exemption allowing completion of your required Internal Medicine Acting Internship and Emergency Medicine rotations within 1 hour commuting distance from the UVM Medical Center, the student must file a request form citing one or more of the eligibility criteria:

  • Have children under the age of 18 living in their household.
  • Have a significant medical condition that requires ongoing treatment locally.
  • Have a family member with a significant medical condition for whom they provide care locally.

The options for applicable grounds above are the only options that the Robert Larner, M.D. College of Medicine at the University of Vermont can take into consideration; the Larner College of Medicine is unable to make exemptions for pet ownership or other situations not listed.

The request form must be submitted through OASIS no later than noon, two weeks prior to the first Advanced Integration Level scheduling lottery. If the site exemption request is based on a documented disability, students must contact Student Accessibility Services at the University of Vermont (SAS) prior to uploading the request form to OASIS. 

By itself, a diagnosis does not establish a need or an entitlement to accommodations under Section 504 of the Rehabilitation Act or the Americans with Disabilities Act as Amended (ADA-AA). Another way of saying this is that having any disorder or condition does not, by itself, lead to any conclusion under Section 504 or the ADA. Therefore, the documentation required by University of Vermont extends beyond the medical diagnosis and encompasses the four key elements of a person's disability status under Section 504 and the ADA. Those key elements are that:

  • the student has a physical or mental impairment
  • the impairment limits the student's participation in a major life activity
  • the degree of limitation is substantial

Student Accessibility Services will review with the student the necessary healthcare provider documentation to determine if the student is eligible for a site exemption accommodation. Note that Advanced Integration Level rotations are only 4 weeks in duration; therefore, documentation based on medical conditions must stipulate that treatment cannot be obtained in Connecticut.

Upon receipt of the electronic request including any supporting documents, the Office of Medical Student Education will review and process the exemption request prior to the lottery. IMPORTANT: Documentation to support a medical request should not include any medical information. When working with SAS, medical information should be submitted directly to SAS, and only the SAS accommodation letter should be uploaded to OASIS with the UVM Larner College of Medicine Advanced Integration Level Site Exemption Request Form. Requests made after the annual deadline will be subject to UVM Medical Center capacity. If space is not available, the student can meet with the Director of Student Support or the Associate/Assistant Dean for Students to discuss alternative options.

Please note: Students with site exemptions are expected to rank local rotations in their lottery selections. If they are unable to secure a placement through the lottery by prioritizing local course selections, students with approved exemptions for local placement will be administratively placed in available rotations outside of the lottery process.

Applicability of the Policy

Advanced Integration Level Students

Related Larner College of Medicine Policies

Related University of Vermont Policies

Not Applicable

Related Liaison Committee on Medical Education (LCME) Standard(s)

10.9 Student Assignment


  • 6/18/2019 Policy Adopted/Affirmed [Medical Curriculum Committee]
  • 1/21/2020 Reformatted [Medical Curriculum Committee]
  • 4/21/2020 Policy Revised [Medical Curriculum Committee]
  • 12/7/2020 Policy Edited [Medical Curriculum Committee]
  • 2/16/2021 Policy Edited [Medical Curriculum Committee]

Policy Oversight

Senior Associate Dean for Medical Education

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