Level 3: Advanced Integration
Frequently Asked Questions
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Does the MICU AI count as an internal medicine AI?
No. But it can serve as your second/Student Choice Acting Internship.
Which courses meet the surgery subspecialty requirement?
- Cardiothoracic Surgery
- Orthopaedic Surgery
- Plastic Surgery
- MOHS Surgery (MED 9550)
- Pediatric Surgery
- Surgical Critical Care (SICU)
- Surgical Oncology
- Acute Care Surgery
- Vascular Surgery
- Gynecologic Oncology (OBGY 4504, contact the OB/GYN Coordinator for a non-AI option)
- Urogynecology (OBGY 4526)
- Interventional Radiology (RAD 7520)
*No more than 2 weeks of Anesthesia may be counted toward the surgical subspecialty requirement. ANES 9550, ANES 1501 (Clinical Anesthesiology) or ANES 1200 may count towards half of the requirement.
Can a surgical acting internship count as both the second AI requirement as well as the surgery requirement freeing up more opportunity to take electives?
No. No double-dipping.
Can I overlap a reading month with a light rotation?
No. While your enthusiasm for education is commendable, concurrent coursework for credit is not permitted toward fulfillment of Advanced Integration degree requirements.
I am going into a specialty without an associated acting internship. What would count as a second AI?
The following Acting Internships are available to be taken as your second AI:
|FM-1120 AI||Family Medicine|
|MED-2517 AI||MICU Service|
|OBGY-4503 AI||General Obstetrics|
|OBGY-4504 AI||Gynecologic Oncology|
|OBGY-4506 AI||Maternal-Fetal Medicine|
|PED-5500 AI||Pediatrics Intensive Care|
|PED-5501 AI||General Pediatrics|
|PED-5502 AI||NICU Pediatrics|
|SURG-9501 AI||Surgical Critical Care|
|SURG-9506 AI||Thoracic & Cardiac Surgery|
|SURG-9515 AI||Pediatric Surgery|
|SURG-9516 AI||Vascular Surgery|
|SURG-9520 AI||Plastic Surgery|
|SURG-9521 AI||General Surgery|
|SURG-9522 AI||Surgical Oncology|
|SURG-9524 AI||Acute Care Service|
Since there is no AI in my specialty, what are the best options for my second AI? Which AIs make the most sense?
Anesthesiology: SURG 9501 AI Surgical Critical Care
Pathology: OBGY 4504 AI Gynecologic Oncology, SURG 9522 AI Surgical Oncology
Radiology: SURG 9524 AI Acute Care Service
May I enroll in an acting internship through another institution to fulfill my subspecialty acting internship requirement? All of the spots in the subspecialty acting internships are filled, but a similar course is offered elsewhere.
No. While you may enroll in an approved away rotation to earn Advanced Integration credit, only the aforementioned acting internships (see previous question), supervised by LCOM faculty members, may be used to fulfill the acting internship degree
I wasn’t able to get an AI in my specialty early enough to have it included on my transcript or MSPE for residency application. What is my best course of action to have a strong application to my chosen specialty?
It is not necessary to have completed your specialty AI before residency applications go out. Program Directors understand that it is mathematically impossible for every student to be able to schedule their Acting Internship before residency applications are submitted. Students may do elective rotations in their specialty, at home or away, and get strong letters of recommendation. Department Chair letters, if required, will be completed for each student who needs one. The important thing is to be engaged in your rotations and perform well! Students are encouraged to meet with their specialty advisors or the Dean for Students to discuss their approach to the application process.
What makes an AI an AI?
An Acting Internship (AI) consolidates and refines the student’s medical knowledge and clinical skills at a level of competency necessary to deliver comprehensive care to inpatients through increased responsibility in the evaluation and management of patients and through closely supervised direct patient care experiences on an inpatient service. Students are expected to perform as part of the resident team in order to attain a level of competence and self-confidence sufficient to be prepared for entering their first year of residency.
Where can I find more information on the Teaching/Scholarly Project requirement?
Complete information on the options for the Teaching Month and Scholarly Project are available in Comet under the "Teaching
and Scholarly Project" course.
I've taken 4 weeks to work on my Scholarly Project but I've found that I need some more time to complete it. May I take additional time for this work and get credit for it?
Yes, you may add additional time for your project as elective research (1007).
Is there a limit around the number of clinical vs. non-clinical electives I can take?
Although there is no limit on the number of non-clinical electives you can take, you should consider the value of each elective choice toward your educational goals. It is suggested that you discuss which electives are more desirable with your specialty
advisor, and whether multiple non-clinical electives are the best option for you.
I am a student who is making up a clerkship. Do I have any Advanced Integration enrollment limitations?
You may not schedule any departmental offering until after the prerequisite clerkship is scheduled. SURG-615 is a prerequisite for Emergency Medicine, Anesthesiology and Orthopedics offerings. Both Medicine clerkships (MED-618 and MED-619) are prerequisites
for Medicine, Pathology, Radiology and Anesthesiology.
When does my Advanced Integration schedule need to be complete?
Students are responsible for maintaining a current and accurate schedule in OASIS to ensure that all Advanced Integration Level enrollment
blocks are accounted for. Please see the academic calendars for your class posted on the sidebar of the Vermont Integrated Curriculum webpage. Students should monitor wait list statuses.
Retroactive enrollment and schedule changes are not permitted. Your schedule in OASIS must reflect all course requirements no later
than January 1 of your graduation year. Please see the Advanced Integration Graduation Degree Requirements Policy. Please note that federal education loans are calculated and disbursed on a semester basis and require students to be enrolled in a minimum of 6 semester credits at all times to be considered eligible. The LCOM academic year is divided into two semesters for
billing and aid purposes: spring (January 1 through June 30) and fall (July 1 through December 31).
I am planning to graduate in the spring. What do I need to do?
Ensure that all degree requirements are scheduled by January 1 of your graduation year, in accordance with Policy 565.45 Graduation Degree Requirements: Advanced Integration.
This includes taking USMLE Step 2 CK and Step 2 CS before January, as detailed in Policy 540.70 USMLE Examination Requirements.
In late-January, complete administrative graduation survey in Oasis to specify how you would like your name and information to appear on your diploma and in event programs. Additionally, be sure to respond to messages from the Communications Department
regarding the Commencement Ceremony (attendance, tickets, etc.).
Complete mandatory exit loan counseling conducted by Student Financial Services if you borrowed federal funds for your education. Instructions and further details are sent via email and are also posted in your class section of the Weekly Wire shortly
before Match Day. Contact MedSFS@uvm.edu with questions.
If necessitated by your exceptional circumstance, petition the Associate Dean for Students to participation in the Commencement Ceremony as instructed in Policy 910.00 Commencement Participation.
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During the Lotteries
May I contact a department to secure a spot in a rotation before the lotteries open?
No. That would be unfair to your classmates.
Is there any advantage to logging in first to make my lottery selections?
There is NO advantage to logging in to a lottery first. Lottery participants are chosen at random by the software and then placed according to ranked preferences, not log-in time. In fact, server speed will be exceptionally slow during the first
hours of a lottery because so many users try to access the software simultaneously.
Do I need to do anything other than click on update and log out to finalize my lottery selections?
Nope, that's it.
I was wondering why I see some courses listed in the Course Catalog in OASIS, but I do not see them when I select the "Add Course" tab?
Some courses are unavailable during the lottery. Either because these courses require a student to complete an individualized 'independent study' form to enroll, or because the course (department) has chosen not to include the offering in the
lottery process. All courses are made available when the add/drop period opens. The Course Catalog allows students to review all course offerings regardless of when they will become available.
Why am I unable to add a research or reading month during the lotteries?
Most courses of this nature are considered independent studies. They require you to complete an independent study form when you add yourself to the roster. These courses are made available once the add/drop period opens, after the lotteries.
Two of the electives I was hoping to add are not listed - Outpatient Family Medicine and Orthopedics for Primary Care Providers. Any idea why not? I'm positive they are offered, and I've looked the list up and down...
Both of these courses (FM-1126 and ORTH-8507) are excluded from the lottery because they require a student to complete an individualized 'independent study' form to sign-up. They will be available for enrollment when the add/drop period opens.
How many rotations will I have scheduled during the Electives Lottery?
This lottery will assign as many of your elective selections as it possibly can. When the lottery is run, it randomizes all of the participating students, then takes the first student on the list, looks at their selections and tries to place them
in the highest prioritized selection. If the selection is already filled it moves to that person's second selection, until they are placed in something or until no open selections remain. Once the whole list of students has received the highest
prioritized selection available when each name was chosen, the process repeats itself: all of the students are re-randomized and the software takes the first student off the list and looks at the first selection that has not been tried yet.
OASIS continues this process round after round until all of the students have had all of their selections either placed or attempted to be placed.
Will the Electives Lottery schedule me in the same course more than once if I rank multiple months of the same course number?
No. The software will only assign you to one section of the course—the highest ranked month available when your name is chosen. If you are placed in a first choice for a specific course (such as 2 weeks of lactation consult), the system
will disregard your later rankings of the same course for different weeks/months.
Will the Electives Lottery include acting internship spots that remain open after the initial lottery stages?
The Electives Lottery will include many but not all subspecialty AI rotations that remain open after the initial lottery stages close. Acting internships NOT included in the Electives Lottery are: required internal medicine and surgery AIs. Extra
spots in pediatrics acting internships will be available in the Electives Lottery; however, students may not schedule more than one pediatrics acting internship through the lotteries. If space remains when the lotteries close, students should
contact the departmental coordinator to add a second AI.
May I drop courses confirmed to my schedule through a previous lottery?
Selections in subsequent lotteries may not have a time conflict with offerings confirmed to your schedule through a previous lottery.
- You may drop placements from previous lotteries to make new selections. However once dropped, the spot is immediately available to others to add to their selections. You may re-add it to your selections, but there is no guarantee
that the current lottery will place you in the spot again.
- You may NOT drop administratively assigned clerkships.
- Regarding the ability to drop: The lotteries override many add/drop course restrictions. Once the lotteries close and the add/drop period opens, you will not be able to drop restricted courses without contacting the course coordinator
for departmental approval.
What happens if I do not participate in the lottery process?
Students without an Internal Medicine AI and/or required Emergency Medicine course scheduled following Lottery III will be administratively assigned one prior to the Electives Lottery. Students will not be assigned a subspecialty AI prior to the
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General: Once the Add/Drop Period Opens
Where is the Advanced Integration information located on COMET?
Please visit Comet > Lounge > Student Affairs > Advanced Integration (hyperlink only works when already signed into COMET) for helpful information about Advanced Integration.
How do I add a TA rotation?
In January you will receive an email outlining the process for adding a TA rotation. You will submit your top 2 choices for a teaching month to the Course Coordinator for the Teaching Requirement (MD1005). Once you have approval for your teaching
month we will enroll you in OASIS.
I couldn't find a 4-week long Step 2 study month, only 2-week long electives. If I want to take 4 weeks to study, should I sign-up for two of these 2-week blocks?
Yes. Although if added to your selections during the lottery, you will only be placed in one section and need to add the second 2-week section when the Add/Drop Period opens. Please note that the study time is not considered vacation weeks, and
that students may only enroll in MD-1080 PRIOR TO sitting for the required USMLE Step 2 exams. Students who fail USMLE Step 2 CK or USMLE Step 2 CS may re-enroll in up to 4 additional weeks PRIOR TO retaking the exam.
How long does the Add/Drop Period last? Can I add/drop throughout the rest of the year?
Once it opens, the Add/Drop Period will remain open throughout your entire Advanced Integration year. You can add/drop as you wish within any restrictions configured by individual courses/departments. For example, many courses do not allow a student
to self-add/drop within 30 days of the start date of a rotation (though some do). If you want to add/drop a course within the restriction period, you simply contact the course coordinator listed in the course description to have them adjust
your schedule accordingly with departmental approval.
May I swap a rotation with another student?
Contact the departmental course coordinator who manages the course roster. Note that FERPA prevents the institution from sharing other student's schedules; the coordinator cannot provide you with the names of other students enrolled in the course.
Usually you will want to contact your classmates to see if anyone is enrolled in the rotation who might be interested in swapping with you. Once identified, you should email the course coordinator with the other student copied to make your
I would like to do a 1-week or a 3-week rotation, rather than the standard 2- or 4-week blocks offered; is that possible?
Approval for this is rarely granted without extenuating circumstances. You must first get permission from the Course Director, then obtain permission from the Associate Dean for Students. In general, approval is limited to Scholarly Project, research, or reading electives (with
extenuating circumstances) because there is no active time commitment from the Course Director for a specific enrollment period.
I am trying to register for a rotation but am unable to do so; what should I do?
You may not add a course, or be added to a course from a waitlist, until you drop any conflicting courses on your schedule. If you have no conflict, the course has likely been configured with restrictions. Contact the departmental course coordinator
to request enrollment in the course. Upon approval, they will add you to the course roster. When in doubt about your enrollment status in a course or you are unable to add/drop a course from your schedule, contact the course coordinator.
I have the required 48 weeks of rotations, but I didn't realize I needed to input vacation time for the remainder of the year - does it matter?
It is your responsibility to maintain an up to date schedule in OASIS. Vacation weeks should always be added in OASIS. In order to ensure your loans stay in in-school status and therefore avoid a premature grace period, take care with your schedule
that an enrollment gap does not exceed 10 days.
I forgot to add vacation time and now am unable to do so retroactively. What should I do?
Contact the Advanced Integration Level Coordinator (see Level 3 Resources for Contact Information) with the dates of the vacation weeks that need to be added retroactively. Remember to document future vacation weeks.
Is it possible to request extra days off for interviews during an acting internship month?
Requests for extra days off may not be accommodated during acting internship months. Please plan residency interview schedule accordingly in November, December, and January. An ample number of acting internship slots are available. Please refer
to the Advanced Integration Level Attendance Policy.
How do waitlists work?
Until you are approved by the course coordinator from a waitlist, you are not officially enrolled in a course. Once the enrollment has been approved, the course will no longer be highlighted green with a waiting status; instead it will appear
without highlighting as other course on your schedule. If you remain on the waiting list for more than a couple of weeks without receiving approval from or being dropped by the department, contact the course coordinator for more information.
I’ve heard fellow students talking about a Medical Spanish elective. What is this and how can I sign up to take it?
The approved Medical Spanish course is available from Canopy Innovations. The course consists of 3 proficiency levels of 12 lessons each, specifically tailored to medical professionals and supported by the National Institutes of Health.
After signing up through Canopy and submitting payment, you will add yourself to the waitlist for 4 weeks of MD 1090 Extramural in OASIS and complete the info form for approval. Upon completion of the 3 levels you must forward copies of your completion certificates to the Advanced Integration Coordinator to receive your final grade. This course is graded pass/fail.
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Once I have added myself to the waitlist for an extramural and filled out the electronic form in OASIS, how will I know that it's been approved?
The course will no longer be highlighted green with a waiting status. Instead, it will appear without highlighting as other courses on your schedule.
I am interested in doing an away rotation and understanding how to use VSAS, but I would appreciate a few pointers…
Visit the VSAS FAQ page online for some basic info and tips.
Contact the Advanced Integration Coordinator to have your VSAS account activated. You will then receive an email from VSAS with the login information.
The use of VSAS has led to a significant increase in the number of applications that institutions receive from visiting students. Please be patient and understand that each institution has its own method and timeline for reviewing, approving,
and scheduling visiting students. It may take a while to receive a response.
Remember that you start your 4th year earlier than students from other schools. It is likely that you will not be able to schedule away electives until June or later because of the rotation schedules of other institutions. Just like at UVM,
other medical schools will schedule their own students into their rotations first before they open them up to visiting students.
Unofficial Etiquette: Please be polite to coordinators at other institutions. Getting an outside student set up for a rotation is time-consuming and requires quite a bit of work behind the scenes. We understand that things will happen
that are out of your control and you may need to drop a rotation unexpectedly. If you must drop a visiting rotation less than 2 weeks before the scheduled start date please contact the host site right away to let them know.
I am interested in a rotation at an institution that does not use VSAS. How do I get started?
Programs that don't use VSAS for visiting student applications will most likely have a paper application and set of instructions that you can print off of their website. There will be a section of the application that requires the Dean, Registrar,
or comparable school official to attest to and sign off on your enrollment, student standing, liability coverage, personal health insurance, etc. A letter of good standing may also be required. All application forms and letter requests
can be dropped off/mailed/emailed to Emma Faustner in the OMSE. Some institutions may have their own online system which will require forms to be completed electronically and items to be uploaded. Emma will help with those as well.
Please take note of the different requirements that each institution may have, and feel free to ask questions.
How will I be graded/assessed at an away rotation? What must I do to make sure a grade is returned?
Most host institutions assess the performance of visiting students in the same way they assess their own students. PDF copies of the clinical and research assessment forms for extramurals are available for download on COMET > Lounge
> Student Affairs > Advanced Integration and in any Extramural course catalog listing in OASIS. The form can also be made available to host institutions through VSAS. In some cases the host institution will not complete UVM's
form and will submit a completed copy of their own form using their particular grading scale. The official final grade will be translated to the UVM LCOM grading scale which is Unofficial Honors (UH)*, Pass (P), or Fail (F). *Please note
that the Rules and Regulations of the Larner College of Medicine state that only The Robert Larner, M.D. College of Medicine at The University of Vermont faculty may award an official Honors grade (HON).
Students are responsible for making sure that an assessment form is returned to the OMSE via email to Emma.Faustner@med.uvm.edu, Fax at 803-656-9377, or in hard copy to Given Courtyard N-100,
89 Beaumont Ave., Burlington, VT 05405.
What is the difference between an Extramural and an Intramural?
- Course number 1090, except for ED Away which is 1091 and Extramural Research which is 2090
- Any rotation done outside of the UVM LCOM system under the supervision of non-UVM LCOM faculty
- Must be approved by the Medical Education Leadership Team (MELT) if it is not on the List of Approved Extramurals posted on COMET
- Course number 1095
- A rotation that does not currently exist in the official catalog but will be supervised and assessed by a member if the LCOM faculty
- Includes rotations done at WCHN (Danbury/Norwalk) and St. Mary's in West Palm Beach which are not yet in the catalog
- May need to be approved by the Medical Education Leadership Team (MELT)
What is the process for obtaining my medical records for away rotations
Please reference the guidelines prepared by the Center for Health and Wellbeing for medical students to determine how you obtain your medical records for away rotations. Please plan ahead; UVM Student Health Services requires about 10 business days to process your paperwork.
How do I get a transcript uploaded to VSAS?
You must request a transcript from the UVM Registrar’s Office; you request a transcript from the Registrar via your myUVM Portal:
- In the "issued to" field enter VSAS c/o AAMC
- In the "send to email address" field enter Emma.Faustner@med.uvm.edu.
A PDF of your transcript will be emailed to Emma Faustner, the Advanced Integration and Residency Placement Coordinator; she will upload the transcript
to VSAS once she receives it.
I need a background check. How do I get one?
LCOM does not pay for background checks for Advanced Integration, but many affordable services are available online. The VSAS website offers several commonly accepted background check options.
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Student Financial Services
How do I afford residency related preparation costs, such as ERAS fees and airfare for interviews?
You are eligible to borrow extra Federal loan funds for these costs, if you wish. This is considered an appeal, and your written request is required. The Medical Student Financial Services Coordinator can provide this form and guide you through
the appeal for extra loan money. This is recommended if you do not have family assistance or personal savings for these costs. “Residency Relocation Loans” through private lenders are also an option, but immediate repayment
is generally required, and it is considered a personal loan product which do not come with the standard federal education loan benefits.
How do I know my total debt at graduation and what steps do I need to take to manage this responsibly?
Students can always track their debt by logging into www.nslds.ed.gov or www.studentloans.gov with your FAFSA credentials. You can also log in to your Servicer’s website to view your
information. An important step is choosing a way to manage your accounts; options include utilizing your Servicer’s “apps” and automated email notifications, and tracking your balances in the AAMC Med Loans Organizer.
What counseling is offered by Student Financial Services to best prepare me for repayment?
Shortly before the Match day in late March, the Medical Student Financial Services Coordinator will contact the 4th year class (via Weekly Wire & email list-serve), advertising mini group loan counseling sessions. You will have several
dates to choose from, with both on campus options as well as webinar options for traveling students. These mandatory sessions are presentation-based with plenty of time for questions. If you have individualized questions even after attending
a mini group session, you are encouraged to schedule a follow up with Student Financial Services. We strive to ensure you have the knowledge about loan repayment options and education debt management before you depart for your residency.
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