COMDTINST 6400.1C
26 JAN 2015
COMMANDANT INSTRUCTION 6400.1C
Subj: STUDENT EXTERNSHIP PROGRAM (SEP)
Ref: (a) Coast Guard Medical Manual, COMDTINST M6000.1 (series)
(b) Coast Guard Morale, Well-Being and Recreation Manual, COMDTINST M1710.13 (series)
1. PURPOSE. This Instruction establishes policy, procedure and standards for the Student
Externship Program (SEP) in Coast Guard health care facilities.
2. ACTION. All Coast Guard unit commanders, commanding officers, officers-in-charge,
deputy/assistant commandants, and chiefs of headquarters staff elements shall comply with the
provisions of this Instruction. Internet release is authorized.
3. DIRECTIVES AFFECTED. Student Externship Program (SEP), COMDTINST 6400.1B is
cancelled.
4. DISCUSSION. Student externs are usually upper level students from various health care disciplines
who are completing a curriculum requirement for graduation by providing supervised care in a
clinical environment. The lengths of externships vary, usually 4 to 6 weeks. Coast Guard health care
facilities can provide valuable clinical experience for these student externs. The Commandant’s
broad authority, under 14 U.S.C. 93(a)(17), to provide health care to Coast Guard personnel, allows
the Coast Guard to enter into an Affiliation Agreement (AA) with an Academic Institution (AI) to
facilitate patient care. Student externs can assist Coast Guard health services officers with staying
current in an ever changing field of practice. This ultimately helps improve the quality and quantity
of services provided to Coast Guard personnel.
5. DISCLAIMER. This Instruction is not a substitute for applicable legal requirements, nor is it itself a
rule. It is intended to provide operational guidance for Coast Guard personnel and is not intended to
nor does it impose legally-binding requirements on any party outside the Coast Guard.
6. MAJOR CHANGES. Major changes to this Instruction include better delineation of
responsibilities for both the AI and the Coast Guard as well as oversight of student externs under
UNITED STATES COAST GUARD
U.S. Coast Guard Stop 7907
2703 Martin Luther King Jr Ave SE
Washington DC 20593-7907
Staff Symbol: CG-112
Phone: (202) 475-5169
Fax: (202) 475-5926
DISTRIBUTION – SDL No. 165
a b c d e f g h i j k l m n o p q r s t u v w x y z
A X X X X X X X X X X X X X X X X X X
B X X X X X X X X X X X X X X X X X X X X
C X X X X X X X X X X X X X X X X X X X X X X X X X
D X X X X X X X X X X X X X X
E X X X X X X X
F X X X
G X X X
H
NON-STANDARD DISTRIBUTION:
