Externship courses must be completed to graduate from all programs. These courses span three semesters starting in semester three (3) of the program of choice. All students are required to complete the externship segment of the program before the issuance of a certificate of completion. No student is exempted from this portion of the program.

Externship allow students to acquire vital additional skills through workplace exposure under the supervision of a clinician within the appropriate area of study prior to graduation. Students must be prepared to experience added stress as classroom and lab knowledge is tested in the clinical setting. The student must conform to all clinical institution protocols and perform responsibly, ethically, and in a professional manner. This section of the program is conducted under the guidance of the clinical institution; site supervisors and the college clinical director. student progress is evaluated by both entities.  All students must meet the standards within the department. Students are required to submit time and case logs to the clinical director and submit at least one scan at the end of each semester for competency evaluation. Failure to comply may result in the student receiving a failure grade. The college uses Trajecsys to monitor student clinical performance.

While the college assists with externship placement, students with access to clinical sites may elect to make individual arrangements with the approval of the college administration. Students are required to have a GPA of 3.0 (B grade) to attend hospital clinical sites. Students with lower grades will be placed in the out patient clinic on or off campus for rotation.