Departmental Internship/Externship/Affiliating SchoolInternships/externships occurring in departments other than nursing, i.e., Dietary, Nutrition, Administration, Radiology, Pharmacy, Social Work, etc., will be handled by the individual requesting to intern/extern and the department agreeing to sponsor the individual. The individuals's school must have an affiliation agreement/contract with Upstate Medical University.
Individuals requesting an internship/externship at Upstate Medical University are responsible for directly contacting the department where they would like to intern/extern. Downtown campus departments web sites and contacts / Upstate University Hospital at Community Campus department web sites and contacts.
Upon receiving an internship/externship request, the department interested in sponsoring the job shadowing individual will need to verify with the Upstate Contracts Office that an affiliation agreement/contract between the individual's school and Upstate Medical University exists. If an affiliation agreement/contract exists, the individual may intern/extern pursuant to the affiliation agreement. (If there is NOT an affiliation agreement/contract in place, the individual/the individual's school will need to request one through Upstate's Contracts Office.)
The sponsoring department is responsible for initiating the non-employee request within Self Serve (Instructions) and ensuring all required education/forms are completed, health clearance is received, and an ID badge is issued prior to beginning their internship/externship. The initiating department is also responsible for entering the completed education into Self Serve Tracker and maintaining all required forms on file within the department. If the department is not able to enter into Self Serve Tracker, a COPY of the completed forms should be sent to OTD, JH Rm 417 or fax 4-4400, for entry.
Required Education/Forms (Return all completed forms to the department/person sponsoring your internship/extrernship)
- Confidentiality Agreement
- HIPAA Privacy Rule Education and Completion Certificate
- Upstate Pledge
- Non-Employee Orientation Guide and Completion Certificate
Health Statements (Return completed health form to Employee/Student Health for clearance)
ID BadgeAll requests for non-employee must be submitted electronically via Self Serve AND each request must be reviewed (and cleared or waived of clearance requirement) by Employee Health. Once a request for a non-employee is submitted the manager of the department sponsoring the intern/extern will be instructed via e-mail from Employee Health to advise when the non-employee should report to Employee Health and when he/she is free to visit Payroll for badging. We appreciate your support in our full compliance of this Department of Health requirement.
* Individuals interning/externing a Pediatric In-Patient Child Life Specialist OR in OB/GYN must be at least 18 years of age*