Special Assignment Electives

The School Of Medicine is currently still processing 699 WWAMI Special Elective applications for the 2021-2022 academic year. Please follow the same process outlined below. For the 2021-2022 academic year, students are allowed to do one 697 elective per specialty (after June 28, 2021). 

Exceptions will be made for Military students. Please reach out to somclrk@uw.edu with questions.

Special Assignment Electives are 2 or 4 week clinical electives at outside institutions/facilities that can be taken for School of Medicine Clinical Elective Credit (also known as away electives).  In order for students to receive SOM Clinical Elective Credit for their experience, they must complete a Special Assignment Elective Application and once approved, register for the clerkship.  See Timeline for Approval information below to ensure applications are submitted with enough time for processing.

Considerations for Approval:

  • Special Assignment Electives must be approved by the department that administers the preceptor’s specialty for the experience (ex. FAMED electives cannot be approved by Internal Medicine).
  • There are two types of Special Assignment electives with specific requirements for each. Please see below for additional details.
  • Special Assignment Electives must take place within the UW School of Medicine Clinical Calendar’s 12-week quarter and cannot overlap with breaks or extend into another quarter. Exceptions can be made on a case-by-case basis if a student is taking a 697 away clerkship at another LCME accredited institution.
  • All Special Assignment Electives must begin on a Monday and end on a Friday.


1. Away Special Assignment – 697s

  • Outside of WWAMI region
  • Clerkships generally follow the dates on the UW SOM Clinical Calendar, although special exceptions can be made.
  • NOTE: An affiliation agreement is required between the UW and the institution if the site is NOT an LCME-accredited OR ACGME-accredited Residency for the program you wish to apply.  Please contact medevalu@uw.edu for additional details.  You can check to see if a site is LCME-accredited here, and ACGME-accredited here.

2. WWAMI Special Assignment – 699s

  • Within WWAMI Region
  • Clerkship must follow clerkship dates on UW SOM Clinical Calendar
  • Special Assignment electives at non-LCME accredited institutions or non-ACGME accredited Residency programs are permissible within the WWAMI region, and require additional application information.

In order to ensure your application will be approved in time for your clerkship, please follow these guidelines for application submittal.

  • Applications for electives at LCME* accredited institutions and ACGME** accredited Residency programs are due to SOM a minimum 2 weeks before the start date to allow for processing.
  • Applications for electives at non-LCME accredited institutions or ACGME accredited Residency programs are a due to SOM a minimum of 2 months before the start date to allow for processing.

*Most university programs (ex. Stanford University Hospital) are LCME accredited, whereas private clinics and community-based programs (ex. Providence Sacred Heart Hospital in Spokane) are not. Check for LCME accredited schools here.

**You can check for ACGME Accredited Residency Programs here.



  • A course which was previously passed may be repeated one time for credit to receive financial aid.
  • It is not appropriate use of Special Assignment Electives to take an established elective during an off-calendar timeframe.
  • Special Assignment electives require departmental permission and most clerkships require completion of required MS3/Patient Care clerkships. Permission to take clerkship is determined by the Department- please check with Department Clerkship Administrator for details.
  • Special assignment electives cannot be used for research credits nor to fulfill Advanced Patient Care requirements.
  • If you decide not to take a Special Assignment elective after you have already gotten approval and been registered you must inform the Site Director, appropriate Department Clerkship Administrator, Regional Administrator, and Registration to have the clerkship removed from your schedule.