PA Clinical Students

Physician Assistant Student Process

There are eight (8) steps listed below. Several steps reference documents that must be returned to your Program Clinical Coordinator at least two weeks prior to your intended rotation start date. Incomplete materials will not be accepted which may result in a delayed start date.

Steps To Be Completed
1.	Registration Form Complete the entire form, ensuring a start and end date and the name of the St. Luke's Hosting Supervisor are listed. Please print and return the registration form to your Program Clinical Coordinator.
2.	a. FBI Fingerprinting Please follow the process detailed in the FBI Clearance Handout, in addition to completing the Child Abuse Clearance and PA State Criminal History Check (https://epatch.state.pa.us/Home.jsp) and submit the originals to your school program director. b. Universal Child Protective Services Law Affirmation Form Please print and return to your Program Clinical Coordinator.
3.	a. Commitment to Privacy Please print and return to your Program Clinical Coordinator. b. Student Statement of Responsibility Please print and return to your Program Clinical Coordinator. c. Agreement of IT Access Please print and return to your Program Clinical Coordinator. d. PA Student IT Access Please print and return to your Program Clinical Coordinator. e. Student Volunteer Instructor Research Consent and Release Form (updated 10/4/2012) Please print and return to your Program Clinical Coordinator.
4.	a. Immunization History Form (updated 8/26/2011) Please ensure your health history meets the requirements outlined in the Immunization History form. Students are responsible for paying for additional immunizations or testing. b. Drug Screen Requirements Form Your Program Clinical Coordinator can provide you with the names of approved facilities to have the drug screening completed.
5.	Standards of Performance Booklet Please read this booklet as it contains the guiding principles of St. Luke's University Health Network which student interns are expected to uphold.
6.	Essentials Newsletter Please read the newsletter; it explains important safety practices and policies every student must be aware of during your internship at St. Luke's University Health Network.
7.	Orientation - Review the following pages. Building Blocks 7-11 Rule St. Luke's Basics Intern Guidelines Patients' Rights Infection Control Dress Code Health & Fitness Center Blood Exposure Policy Smoking, Drug and Alcohol Policy Campus Map Print and sign the Orientation Completion Acknowledgement document.
8.	Return all fully completed materials to your Program Clinical Coordinator. Incomplete materials will not be accepted, which will delay your start date.