1. (1) Clinical clerkship shall mean a supervised educational experience which is part of the clinical component of a program of undergraduate medical education, which takes place in a general hospital or in an equivalent health organization acceptable to the department and which is performed in accordance with all requirements of the jurisdiction in which such facility is located.
2. (2) Long-term clinical clerkship shall mean a clinical clerkship which, in the aggregate of all clerkship experience received during two academic years, exceeds 12 weeks.
3. (b) Students enrolled in medical programs registered by the department or determined by the department to be equivalent to such programs, or students whose clerkships shall not exceed an aggregate of 12 weeks in two academic years may serve in clinical clerkships.

4. (c) Except as provided in subdivision (b) of this section, students enrolled in medical programs not registered by the department may serve in clinical clerkships in teaching hospitals in this State provided that:

   1. (1) the student was engaged in a clinical clerkship in this State prior to May 1, 1981;
   2. (2) the student was enrolled in the medical school on or before September 25, 1980 and has provided evidence of having obtained a satisfactory score on the medical sciences knowledge profile examination taken prior to July 1, 1985, a passing score on Part I of the Foreign Medical Graduate Examination in the Medical Sciences (FMGEMS), or an acceptable score on a satisfactory equivalent examination;
   3. (3) the student was enrolled in the medical school after September 25, 1980 and has provided evidence of having obtained a satisfactory score on the medical sciences knowledge profile examination taken prior to July 1, 1985, a passing score on Part I of the Foreign Medical Graduate Examination in the Medical Sciences (FMGEMS), or an acceptable score on a satisfactory equivalent examination, provided that the program in the medical school attended has been determined by the department, after a site visit conducted at the expense of the applicant by persons designated by the department and experienced in medical program evaluation, to meet substantially the requirements of section 60.1(a)(1) of this Part and of Parts 50 and 52 of this Title except any provision thereof that states or implies that a particular form of governing body is required, and provided further that formal agreements satisfactory to the department have been executed between the medical school and the hospital(s) in which students from the school are to be engaged in clinical clerkships, which specify responsibility for planning, managing and supervising clerkships in each subject area, and further that the department shall be notified by the medical school of any changes in such agreements, including termination or the initiation of new agreements; or
   4. (4) the student was enrolled in the medical school after September 25, 1980 but before May 1, 1981 and has provided evidence of having obtained a satisfactory score on the medical sciences knowledge profile examination taken prior to July 1, 1985, a passing score on Part I of the Foreign Medical Graduate Examination in the Medical Sciences (FMGEMS), or an acceptable score on a satisfactory equivalent examination and the medical school in which he is enrolled has submitted a formal application for approval pursuant to paragraph (3) of this subdivision.
   5. (5) The satisfactory score specified in paragraphs (2), (3) and (4) of this subdivision shall be a score comparable to the performance on Part I of the National Board of Medical Examiners examination of students who attend medical schools registered by the department or accredited by an accrediting organization acceptable to the department.
5. (d) A clinical clerkship may be performed only in a clinical subject or subjects in which the teaching hospital has a residency program accredited by the Accreditation Council on Graduate Medical Education, or an equivalent accrediting agency acceptable to the department, or which is part of such a program through affiliation(s) approved by the Accreditation Council on Graduate Medical Education, or an equivalent agency acceptable to the department. The requirements of this subdivision shall not apply to students who were engaged in clinical clerkships in this State prior to May 1, 1981. To engage in a clerkship which, in the aggregate of all clerkship experience during two academic years, will not exceed 12 weeks, the student shall present a letter of eligibility if issued by the department.

6. (e) No teaching hospital shall be under obligation by virtue of these regulations to accept medical students in clinical clerkships, and any medical school or teaching hospital may impose standards for admission to clinical clerkships which exceed the standard set forth in this section.

   1. (1) Upon consultation with the Board of Regents, the chancellor shall appoint an advisory committee on long-term clinical clerkships. The committee shall serve in a consultative and advisory capacity on matters pertaining to the standards and process for approving international medical schools to place their students in long-term clinical clerkships in New York State and shall perform such specific tasks as are assigned by the department or the Board of Regents.

   2. (2) Composition of the committee. The committee shall consist of:

      1. (i) two members of the Board of Regents, one of whom shall be designated by the chancellor to serve as co-chair of the committee along with the chairperson of the State Board for Medicine;
      2. (ii) the chairperson of the State Board for Medicine or another member of the such board designated by the chairperson, who will serve as co-chair of the committee along with the member of the Board of Regents;
      3. (iii) the executive secretary of the State Board for Medicine, who shall be a non-voting member of the committee;
      4. (iv) one representative of the Department of Health;
      5. (v) two physicians who are experienced in the evaluation of medical education programs;
      6. (vi) two representatives of international medical schools approved by the department or Board of Regents to place their students in long-term clinical clerkships in New York State;
      7. (vii) two representatives of medical schools registered in New York State;
      8. (viii) two representatives from hospitals that serve as sites for clinical clerkships in New York State;
      9. (ix) such other members as the chancellor, upon consultation with the Board of Regents, may appoint; and
      10. (x) the chancellor may remove a member who fails to attend three or more consecutive meetings, and upon such removal shall appoint a replacement member.
   3. (3) Terms of members. The terms of the members of the first committee appointed pursuant to subparagraphs (2)(v) through (viii) of this subdivision shall be so arranged that the terms of two members shall expire on June 30, 2013, the terms of two on June 30, 2014, and the terms of two on June 30, 2015, and the terms of two on June 30, 2016. Thereafter, all members appointed pursuant to subparagraphs (2)(v) through (viii) of this subdivision shall be appointed to serve a term of four years each, beginning with the first day of July next following the ending of the term to which each, respectively, is to succeed, except that an appointment to fill a vacancy created other than by the expiration of a term shall be for the unexpired term.

   4. (4) Duties of the advisory committee on long-term clinical clerkships. The committee shall gather and study existing research on relevant issues, such as health workforce demands and trends, health workforce diversity and Board of Regents policy determinations. Based on such research and policy determinations, the committee shall:

      1. (i) make recommendations regarding the standards to be applied in assessing applications by international medical schools for approval to place their students in long-term clinical clerkships in New York State;
      2. (ii) make recommendations regarding the process to be followed in assessing such applications for approval to place their students in long-term clinical clerkships;
      3. (iii) appoint an appropriate site review team from a roster of individuals approved by the committee; and
      4. (iv) after consideration of the site review report, issue a report and recommendation, with minority opinions reflected, as to whether an application for placement of students in a long-term clinical clerkship should be approved.
   5. (5) After consideration of the committee's recommendations, the department shall make a recommendation to the Board of Regents as to whether an application for authorization to place students in a long-term clinical clerkship should be approved. Upon approval by the Board of Regents, the medical school shall be authorized to place students in long-term clinical clerkships in New York State pursuant to standards and/or limitations prescribed by the Board of Regents.
   6. (6) Until the Board of Regents approves the new standards and processes for approval for the placement of students in international medical schools in long-term clinical clerkships, schools currently approved for such purpose will continue to be subject to the current standards and processes prescribed in subdivision (c) of this section.

   (f) Establishment of advisory committee on long-term clinical clerkships.

(a) Definitions.

As used in this Part: